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通过自我指导的护理赋予老年退伍军人权力:通过技术支持的休息家庭护理模型的混合方法评估
Melissa Harris-Gersten1,2, Emily Franzosa3,4, Kasey Decosimo1
1Center of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Health Care System, Durham, NC, USA.
退伍军人健康管理局
科学领域:
- 老年学
- 医疗服务研究
- 公共卫生
背景情况:
- 家庭护理对于老年人和残疾人独立至关重要.
- 家庭护理的劳动力短缺和流动性限制了服务的获取.
- 退伍军人卫生管理局试图改善家庭护理.
研究的目的:
- 评估技术支持的家庭护理模式.
- 评估该模型对退伍军人获得护理的影响.
- 测量退伍军人和家庭护理人员的满意度.
主要方法:
- 融合混合方法设计.
- 对退伍军人 (n=97) 和家庭护理助手 (n=110) 的调查.
- 与工作人员进行定性采访 (n=8).
主要成果:
- 退伍军人在家护理的机会增加了44%.
- 退伍军人 (8.6/10) 和助手 (8.0/10) 报告的高满意度.
- 家庭护理助理获得更高的每小时薪酬 (增加3.11美元).
结论:
- 这项试点成功增加了退伍军人在家护理的机会.
- 该模型展示了解决未满足家庭护理需求的可行方法.
- 工作人员建议改进未来的实施,包括护理监督和加强沟通.
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