Campbell Colleen L, McCoy Sean, Hoffman Nannette, Oneil Patricia
Health Soc Work. 2014 Feb;39(1):55-62. doi: 10.1093/hsw/hlu006.
In response to the implementation of new Patient Aligned Care Teams (PACT) within the Veterans Administration health care system, the interdisciplinary nature of social work in health care settings is expanding to address emerging needs of veterans and their caregivers. One such area of expansion is the receipt of extended care services in the veteran's home environment. Social workers within PACT, also known as the patient-centered medical home, are tasked with movement of health care resources and care coordination centered around veterans in their residences. This presents social workers in the health care setting with new challenges for dealing with high burden and role strain for caregivers of veterans in noninstitutional settings who are dependent in performing activities of daily living. The current article establishes an approach, grounded in community science, for interventions within the Veterans Health Administration aimed at alleviating caregivers' role strain when caring for veterans with functional disabilities while optimizing implementation of home care and care coordination.
为响应退伍军人事务部医疗保健系统中新型患者协作护理团队（PACT）的实施，医疗保健环境中社会工作的跨学科性质正在扩展，以满足退伍军人及其护理人员的新需求。这种扩展的一个领域是在退伍军人的家庭环境中接受长期护理服务。PACT（也称为以患者为中心的医疗之家）中的社会工作者负责围绕居住在家中的退伍军人调配医疗资源并进行护理协调。这给医疗保健环境中的社会工作者带来了新的挑战，即应对非机构环境中依赖日常生活活动的退伍军人护理人员的高负担和角色压力。本文确立了一种基于社区科学的方法，用于退伍军人健康管理局内部的干预措施，旨在减轻护理功能残疾退伍军人的护理人员的角色压力，同时优化家庭护理和护理协调的实施。
