扩大农村退伍军人患有疼痛的全方位医疗接入:虚拟枢纽和口径模型
Rendelle Bolton1, Kelly Dvorin1, Juliet Wu1
1Center for Health Optimization and Implementation Research, VA Bedford Healthcare System, Bedford, MA 01730.
The American journal of medicine
|January 31, 2026
概括
临床资源中心 (CRHs) 成功地整合了整体健康方法,以改善农村退伍军人的慢性疼痛护理. 这种模式通过明确的流程和虚拟交付来增强护理,使患者和医疗保健系统都受益.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 整合性健康 整合性健康
- 农村卫生 农村卫生
背景情况:
- 农村退伍军人在获得慢性疼痛护理方面面临重大障碍.
- 退伍军人卫生管理局的临床资源中心 (CRHs) 使用中心和分支模型来解决访问缺口.
- 整体健康方法为治疗慢性疼痛提供了一个以患者为中心的模式.
研究的目的:
- 检查CRH中整体健康方法的整合.
- 了解CRH如何扩大农村患者获得慢性疼痛护理的机会.
主要方法:
- 与四个CRH的员工进行了定性访谈.
- 采用快速分析来研究CRH中整体医疗保健的组织和提供.
主要成果:
- 整体卫生保健通过跨学科疼痛诊所,独立整体卫生诊所和初级保健机构提供.
- 服务包括指导,补充疗法和小组会议,重点是以人为中心的沟通.
- 关键的交付考虑包括转诊途径,患者导向,医疗许可,出院连续性和远程医疗适应.
结论:
- 整体医疗保健可以有效地集成到像CRH这样的集中式医疗系统模型中,从而提高了可访问性.
- 成功复制需要明确的入门/出院协议,并关注虚拟护理的提供.
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