农村老年人的老年医疗需求 退伍军人接受虚拟心理健康服务
Carter H Davis1, Amanda D Peeples2, Chalise Carlson1,3
1Geriatric Research, Education, and Clinical Center, VA Palo Alto Health Care System, Palo Alto, California, USA.
概括
农村老年退伍军人在获得老年医学和专科护理方面面临重大差距,即使有远程老年心理健康 (tele-GMH) 服务. 整合这些服务可以改善老年退伍军人的护理协调和质量.
科学领域:
- 老年医学 老年医学
- 远程医疗服务是远程医疗服务.
- 退伍军人卫生管理局 (VHA)
背景情况:
- 农村老年退伍军人无法获得基本的专业护理服务.
- 远程老年精神卫生 (tele-GMH) 服务旨在弥合VHA内部的差距.
- 老年医学和相关专业仍然存在差距,这影响了退伍军人的整体护理,在心理和身体健康的交叉点.
研究的目的:
- 评估农村老年退伍军人使用远程GMH对老年医学和相关专业服务的未满足需求.
- 为了确定障碍物和促进者在获得综合护理的这一群体.
主要方法:
- 调查了32名VHA临床医生 (25名服务于农村退伍军人) 并采访了11名远程GMH临床医生.
- 分析调查数据使用描述性统计和采访通过快速定性分析.
- 检查的远程GMH临床医生工作流程与年龄友好型护理的4M相关 (思维,药物,流动性,重要的是什么).
主要成果:
- 服务于农村退伍军人的临床医生报告说,与服务于混合人口 (36.4%) 的临床医生相比,他们对老年医生的访问率明显较低 (14.3%).
- 农村退伍军人获得额外的专业和当地老龄化服务也受到限制.
- 促进者包括临床医生对资源的了解,而障碍包括高需求,地理位置和员工流动.
结论:
- 将老年医学纳入远程GMH计划对于高质量,适合老年人的医疗保健至关重要.
- 这种整合优化了VHA工作人员的能力,并提高了VHA系统内外的护理协调.
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