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与退伍军人帕金森病患者的教育和支持使用相关的患者和组织因素。

Patient and organizational factors related to education and support use by Veterans with Parkinson's disease.

机构信息

Center for Organization, Leadership and Management Research, Department of Veterans Affairs, 150 South Huntington Avenue (152M), Boston, MA 02130, USA.

出版信息

Mov Disord. 2009 Oct 15;24(13):1916-24. doi: 10.1002/mds.22516.

Abstract

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.

摘要

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。

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