通过退伍军人卫生管理局实施和评估"靠近我",一家新型门诊和家庭输液治疗计划
Jason C Chen1,2, Jenna Shields3, Tina Bredin1
1Hematology/Oncology, LTC Charles S. Kettles VA Medical Center, Ann Arbor, MI.
JCO oncology practice
|January 23, 2026
概括
"靠近我" (CTM) 计划减少了接受癌症护理的退伍军人的旅行负担. 这种创新型号为患者节省了大量的旅行里程和费用,显示出高度的坚持和满意度.
科学领域:
- 在瘤学瘤学.
- 医疗保健管理的管理
- 提供患者护理 提供患者护理
背景情况:
- 旅行负担对癌症和专科护理患者产生重大影响.
- 退伍军人健康管理局 (VA) 国家瘤学计划开发了接近我 (CTM) 模型来应对这些挑战.
- 美国弗吉尼亚州安纳伯医疗保健系统 (VAAAHS) 血液瘤诊所实施了CTM,以减少患者通过本地和家庭治疗的旅行.
研究的目的:
- 评估VAAAHS近我 (CTM) 护理模式的可行性和影响.
- 评估减少接受输液治疗的退伍军人的旅行负担.
- 确定与CTM计划相关的成本节约和患者满意度.
主要方法:
- 在VAAAHS接受输液治疗的退伍军人,居住在VA社区门诊 (CBOC) 附近或患有多发性骨髓瘤.
- 通过旅行VAAAHS护士在CBOC进行输液疗法或为特定治疗提供家庭自给药.
- 监测患者的坚持,不良事件,旅行里程和成本.
主要成果:
- 招募了102名患者;节省了21,840个旅行里程,相当于患者节省了约8,954美元的成本.
- 完成了261次治疗访问,具有很高的坚持 (98.5%) 和没有严重的不良事件.
- 据报道,估计有403,432美元的潜在药物成本节省和高患者满意度.
结论:
- 在VA系统内,VAAAHS CTM计划是一个安全和可行的模型,用于在VA系统内提供本地和家庭输液护理.
- 该计划显著降低了退伍军人的旅行负担和相关成本.
- 这种方法为改善VA和非VA环境中的癌症护理提供了可扩展的解决方案.
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