主要护理连续性和使用模式为退伍军人无家可归的经验.
Kevin R Riggs1,2, Aerin J deRussy1, April E Hoge1
1Birmingham VA Health Care System, Birmingham, Alabama.
JAMA network open
|February 2, 2026
概括
在专门的H-PACT诊所中,有无家可归经验的退伍军人 (VHE) 与主流PACT中的退伍军人相比,表现出更好的初级保健连续性. 这种增强的连续性并没有导致专科或紧急护理的使用率增加.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 退伍军人健康 退伍军人的健康
- 初级保健模式的初级保健模式
背景情况:
- 护理的连续性对于高质量的初级保健至关重要,但弱势群体往往面临着分散的护理.
- 美国退伍军人事务部 (VA) 为有无家可归经历的退伍军人 (VHE) 提供专门的患者协调护理团队 (PACTS),称为H-PACT.
研究的目的:
- 评估H-PACT中的VHE是否比主流VA PACT中的VHE具有更高的初级保健连续性.
- 为了比较H-PACT和主流PACT中的VHEs之间的其他服务利用模式.
主要方法:
- 一项追溯观察队列研究利用了全国调查和VA电子健康记录数据.
- 包括在2018年全国调查之前的12个月内至少进行了两次初级保健访问的VHE.
- 连续性通过通常的护理提供者 (UPC) 比例来衡量;多变量回归分析了关联.
主要成果:
- 与主流PACT相比,H-PACT中的VHE显示出更高的UPC平均值 (0.81对0.77) 和更高的连续性可能性 (65.3%对57.7%).
- 在调整后,H-PACT招生仍然与高连续性相关 (OR, 1.48).
- 参与H-PACT的患者有更多的初级保健访问,更少的专科访问,减少了急诊室 (ED) 访问.
结论:
- 在H-PACT诊所的VHE经历了优越的初级保健连续性.
- H-PACT模型似乎与提供不那么密集的医疗保健相关,而不会取代专业或紧急护理.
- 这表明H-PACT是改善VHEs护理连续性的有效模型.
相关概念视频
Continuing Care
2.0K
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,...
2.0K
What is an Experiment?
18.3K
An experiment is a planned activity carried out under controlled conditions. The purpose of an experiment is to investigate the relationship between two variables. When one variable causes change in another, we call the first variable the explanatory or independent variable. The affected variable is called the response or dependent variable. In a randomized experiment, the researcher manipulates values of the explanatory variable and measures the resulting changes in the response variable. The...
18.3K
Interdisciplinary Care: The Health Care Team-I
2.7K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
2.7K
Interdisciplinary Care: The Health Care Team-II
2.3K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
2.3K
Fixed Action Patterns
17.7K
A fixed action pattern (FAP) is a specific, hard-wired sequence of behaviors that occurs in response to an external stimulus, called a sign stimulus. The behavior is “fixed” because it is essentially unchangeable—proceeding similarly across individuals of a species every time it occurs.
17.7K
Continuity of a Function
241
A function is continuous at a point a if three conditions are met: the function is defined at a, the limit of the function as x approaches a exists, and this limit equals the function’s value. Mathematically, this is written asThis definition ensures the graph of the function does not exhibit any breaks, holes, or jumps at that point. Discontinuities occur when any of these conditions fail. A removable discontinuity exists when the two-sided limit exists but the function is either...
241


