护理院到家庭试点计划:通过促进和监测退伍军人返回社区来支持退伍军人
Amanda Merski1, Chelsea Manheim2, Winifred Scott3
1VA Central Office, Office of Geriatrics and Extended Care, Washington, DC, USA.
Journal of the American Medical Directors Association
|December 14, 2025
概括
退伍军人护理院到家庭试点计划显著降低了退伍军人回家的长期护理费用. 退伍军人和护理人员报告了高度满意度,这表明社区在VA支持下成功老龄化.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
背景情况:
- 美国老龄化的退伍军人人口需要创新的解决方案来解决家庭老龄化问题.
- 退伍军人事务部 (VA) 在2023年推出了养老院到家庭 (NHTH) 试点计划.
- NHTH旨在促进退伍军人从社区养老院 (CNHs) 返回家园.
研究的目的:
- 评估与NHTH试点计划相关的成本节约.
- 评估退伍军人和护理人员对NHTH计划的满意度.
- 确定NHTH在支持退伍军人在社区中老龄化的有效性.
主要方法:
- 成本分析的前性队列设计;调查和采访的横截面设计.
- 分析了3个VA医疗中心通过NHTH出院的24名退伍军人的成本数据.
- 用调查 (n=41) 和采访 (n=13) 来衡量退伍军人和护理人员的满意度.
主要成果:
- 在长期服务和支持 (LTSSs) 方面,NHTH的平均成本节约为每个退伍军人每月平均为5496美元 (每年为65,952美元).
- 基准比较表明,与留在CNH相比,每30天的成本降低了5000-6000美元.
- 退伍军人和护理人员对NHTH表示高度满意,退役后LTSS使社区生活安全.
结论:
- 美国VA NHTH试点项目展示了从CNH到社区生活的安全退伍军人过渡的潜力.
- 对VA来说,通过NHTH计划可以实现大幅度的成本节约.
- 随着VA制度化成本预计将大幅增加,NHTH解决了对成本有效的长期护理解决方案的日益增长的需求.
更多相关视频
04:13Using a Real-Time Locating System to Measure Walking Activity Associated with Wandering Behaviors Among Institutionalized Older Adults
Published on: February 8, 2019
7.2K
11:21Methodology for Establishing a Community-Wide Life Laboratory for Capturing Unobtrusive and Continuous Remote Activity and Health Data
Published on: July 27, 2018
8.6K
相关概念视频
Documentation in Long-Term and Home Healthcare Setting
1.4K
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
1.4K
Restorative Care
2.3K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
2.3K
Specialized Care Centers and Settings-II
1.2K
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
1.2K
Continuing Care
1.8K
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
1.8K
Community Based Intervention
258
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
258
Specialized Care Centers and Settings-I
1.4K
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
1.4K
