Center for Organization, Leadership and Management Research, Department of Veterans Affairs, 150 South Huntington Avenue (152M), Boston, MA 02130, USA.
Mov Disord. 2009 Oct 15;24(13):1916-24. doi: 10.1002/mds.22516.
Patient education and support services are recognized in the Department of Veterans Affairs (VA) as important to the patient-centered treatment of Parkinson's disease. Indeed, educating patients is one of the missions of the VA's six specialty Parkinson's Disease Research, Education and Clinical Centers (PADRECCs). We compared VA education/support services utilization by whether or not a patient's VA Medical Center (VAMC) contained a PADRECC. Our sample included Parkinson's disease patients from VAMCs with (n = 882) and without (n = 1,448) PADRECCs. Patients completed surveys that asked about demographic/individual characteristics, health status/function, and education/support utilization. Results showed that 15.8% (n = 354) of all patients utilized education/support services. Patients at PADRECC VAMCs were generally healthier and more educated than other VAMC patients. After statistically controlling for these differences, however, being a patient at a PADRECC VAMC site and using only VA providers (as compared to a combination of VA and non-VA providers) were significant predictors of education/support utilization. Further, proportionally more PADRECC VAMC site patients reported higher satisfaction and receiving a broad range of information from different modalities as compared to other VAMC patients. These findings suggest that PADRECC VAMCs are providing educational/support activities consistent with these specialty centers' goals.
患者教育和支持服务在退伍军人事务部(VA)被认为对帕金森病的以患者为中心的治疗很重要。事实上,教育患者是 VA 的六个专业帕金森病研究、教育和临床中心(PADRECC)的使命之一。我们比较了是否有患者的退伍军人医疗中心(VAMC)包含 PADRECC,VA 教育/支持服务的利用情况。我们的样本包括来自有(n=882)和没有(n=1448)PADRECC 的 VAMC 的帕金森病患者。患者完成了调查,询问了人口统计学/个体特征、健康状况/功能以及教育/支持的利用情况。结果表明,所有患者中有 15.8%(n=354)利用了教育/支持服务。PADRECC VAMC 的患者通常比其他 VAMC 患者更健康、受教育程度更高。然而,在对这些差异进行统计控制后,在 PADRECC VAMC 就诊和仅使用 VA 提供者(与 VA 和非 VA 提供者的组合相比)是教育/支持利用的显著预测因素。此外,与其他 VAMC 患者相比,比例更高的 PADRECC VAMC 患者报告了更高的满意度,并从不同模式获得了广泛的信息。这些发现表明,PADRECC VAMC 正在提供与这些专业中心目标一致的教育/支持活动。