Therien J
Primary and Acute Care, Department of Veterans Affairs Medical Center, Salem, VA, USA.
Nurs Clin North Am. 2000 Jun;35(2):499-505.
The US Department of Veterans Affairs Medical Center in Salem, Virginia provides mobile access to health care for over 4000 veterans in southwestern Virginia. This innovative program has joined community outreach with increased use of advanced practice nurses to provide health screenings, risk identification and stratification, education, and enrollment to veterans living in the facility's predominantly rural primary service area. Concurrently, veterans are placed within a comprehensive continuum of care through nurse practitioner intake and assessment clinics, primary care, or routine care every 4 months, with follow-up using the mobile program. Salem's mobile program is extremely effective in its clinical management and fiscal outcomes.
弗吉尼亚州塞勒姆的美国退伍军人事务部医疗中心为弗吉尼亚州西南部的4000多名退伍军人提供移动医疗服务。这个创新项目将社区外展服务与更多地利用高级执业护士相结合，为居住在该机构主要为农村的初级服务区域的退伍军人提供健康筛查、风险识别与分层、教育及登记服务。同时，退伍军人通过执业护士接诊与评估诊所、初级保健或每4个月的常规护理被纳入全面的连续护理体系，并通过移动项目进行随访。塞勒姆的移动项目在临床管理和财务成果方面极其有效。
