在VHA临床资源中心之间的协会提供远程心理健康服务
Erin Jaske1, Chelle L Wheat1, Russell McCann2,3
1VA Puget Sound Health Care System, Seattle, Washington, USA.
概括
退伍军人健康管理局的退伍军人健康管理局.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 心理健康服务 心理健康服务
- 远程医疗实施实施
背景情况:
- 退伍军人健康管理局 (VHA) 临床资源中心 (CRHs) 提供远程健康 (TMH) 以提高退伍军人获取.
- 在VHA诊所的CRH-TMH利用中存在显著的变化.
研究的目的:
- 分析影响VHA内CRH-TMH服务采用和透的因素.
- 为了确定与CRH-TMH使用相关的患者和临床特征.
主要方法:
- 对VHA门诊患者在FY23.3中的心理健康遭遇进行了回顾性分析.
- 基于CRH-TMH的使用和透水平的临床分类.
- 统计建模包括LASSO回归和固定效应模型.
主要成果:
- 在920家VHA诊所中,有218家使用CRH-TMH服务.
- 使用CRH-TMH的诊所更大,更常见的是VA医疗中心,社区护理转诊率更高.
- 高透率的网站较小,农村诊所旅行距离较长,社区护理使用较少.
结论:
- 较大的VHA站点将CRH-TMH与现有的复杂护理服务整合起来.
- 较小的农村地区利用CRH-TMH解决服务缺口并改善接入.
- 需要量身定制的策略来优化CRH-TMH的整合,并扩大退伍军人获得心理健康的机会.
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