Reder Sheri, Hedrick Susan, Guihan Marylou, Miller Sara
Health Services Research and Development Center of Excellence, VA Puget Sound Health Care System, Seattle, Washington 98101, USA.
Gerontol Geriatr Educ. 2009;30(1):21-33. doi: 10.1080/02701960802690241.
The purpose of this study was to obtain information about Department of Veteran Affairs (VA) long-term care (LTC) referrals that could be used to develop interventions that increase the likelihood of referrals to home and community-based services (HCBS) instead of institutional care. This primarily qualitative study was conducted at five VA Medical Centers. The study used three linked methods: interviews with patients and informal caregivers; focus groups with LTC administrators, providers, and social workers; and written rankings of the barriers to HCBS referrals. We unexpectedly identified a cluster of findings indicating the importance of physicians' role in the LTC referral process and the need for more LTC training, particularly about HCBS.
本研究的目的是获取有关退伍军人事务部（VA）长期护理（LTC）转诊的信息，这些信息可用于制定干预措施，以增加转诊至居家和社区服务（HCBS）而非机构护理的可能性。这项主要为定性研究的工作在五个VA医疗中心开展。该研究采用了三种相互关联的方法：对患者和非正式护理人员进行访谈；与LTC管理人员、服务提供者和社会工作者进行焦点小组讨论；以及对HCBS转诊障碍进行书面排名。我们意外地发现了一系列研究结果，表明医生在LTC转诊过程中的作用至关重要，并且需要更多的LTC培训，尤其是关于HCBS的培训。
