文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

致使命:美国退伍军人事务部居家初级保健团队为让退伍军人留在家里而采用的策略。

Dedicated to the Mission: Strategies US Department of Veterans Affairs Home-Based Primary Care Teams Apply to Keep Veterans at Home.

机构信息

Veterans Health Administration, Eastern Colorado Health Care System, Denver-Seattle Center of Innovation for Veteran-Centered and Value Driven Care, Aurora, Colorado.

Canandaigua Veterans Affairs Medical Center, Canandaigua, New York.

出版信息

J Am Geriatr Soc. 2019 Dec;67(12):2511-2518. doi: 10.1111/jgs.16171. Epub 2019 Oct 8.


DOI:10.1111/jgs.16171
PMID:31593296
Abstract

BACKGROUND/OBJECTIVES: The US Department of Veterans Affairs (VA) Home-Based Primary Care (HBPC) Program provides interdisciplinary, long-term primary care for frail, disabled, or chronically ill veterans. This research identifies strategies used by HBPC teams to support veterans in their homes, rather than in institutionalized care. DESIGN: Focus groups and semistructured interviews were conducted with HBPC interdisciplinary team (IDT) members, including program directors, medical directors, and key staff, from September 2017 to March 2018. Field observations were gathered during visits to veterans' homes and IDT meetings. SETTING: In-person site visits were conducted at eight HBPC Programs across the United States. Sites varied in location, setting, and primary care model. PARTICIPANTS: A total of 105 HBPC professionals. MEASUREMENT: Qualitative thematic content analysis. RESULTS: Four main strategies drive and support the shared mission of IDTs to support veterans at home: fostering frequent communication among IDT members, veterans, caregivers, and outside agencies; development of longitudinal, trusting, reliable relationships within IDTs and with veterans and caregivers; ongoing, consistent education for IDT members and veterans and caregivers; and collaboration within and outside IDTs. Adhering to this mission meant providing timely and efficient care that kept veterans in their homes and minimized the need for acute hospitalizations and nursing home placement. CONCLUSION: HBPC IDTs studied worked together across disciplines to effectively create a dedicated culture of caring for veterans, caregivers, and themselves, leading to keeping veterans at home. Focusing on the strategies identified in this research may be useful to achieve similar positive outcomes when caring for medically complex, homebound patients within and outside the VA. J Am Geriatr Soc 67:2511-2518, 2019.

摘要

背景/目的:美国退伍军人事务部(VA)的家庭为基础的初级保健(HBPC)计划为虚弱、残疾或慢性病老兵提供跨学科的长期初级保健。这项研究确定了 HBPC 团队用于支持在家中而不是在机构化护理中的退伍军人的策略。

设计:2017 年 9 月至 2018 年 3 月,对 HBPC 跨学科团队(IDT)成员,包括项目主任、医疗主任和主要工作人员,进行了焦点小组和半结构化访谈。在访问退伍军人家庭和 IDT 会议期间收集了实地观察资料。

地点:在美国八个 HBPC 计划中进行了现场考察。这些地点在地点、环境和初级保健模式上存在差异。

参与者:共有 105 名 HBPC 专业人员。

测量:定性主题内容分析。

结果:有四个主要策略推动和支持 IDT 的共同使命,即支持在家中的退伍军人:促进 IDT 成员、退伍军人、照顾者和外部机构之间的频繁沟通;在 IDT 内部以及与退伍军人和照顾者建立长期、信任、可靠的关系;为 IDT 成员和退伍军人以及照顾者提供持续、一致的教育;以及在 IDT 内部和外部进行合作。坚持这一使命意味着提供及时、高效的护理,使退伍军人留在家里,最大限度地减少对急性住院和疗养院安置的需求。

结论:研究中的 HBPC IDT 跨学科合作,有效地为退伍军人、照顾者和他们自己创造了一种专注的关爱文化,使退伍军人留在家里。关注本研究中确定的策略,在 VA 内外照顾病情复杂、居家的患者时,可能有助于取得类似的积极结果。美国老年学会杂志 67:2511-2518, 2019。

相似文献

[1]
Dedicated to the Mission: Strategies US Department of Veterans Affairs Home-Based Primary Care Teams Apply to Keep Veterans at Home.

J Am Geriatr Soc. 2019-10-8

[2]
VA Home Based Primary Care Teams: Partnering with and Acting as Caregivers for Veterans.

Home Health Care Serv Q. 2021

[3]
VA home-based primary care interdisciplinary team structure varies with Veterans' needs, aligns with PACE regulation.

J Am Geriatr Soc. 2021-7

[4]
COVID-19 Vaccination in VA Home Based Primary Care: Experience of Interdisciplinary Team Members.

J Am Med Dir Assoc. 2022-6

[5]
Interdisciplinary Team Perspectives on Mental Health Care in VA Home-Based Primary Care: A Qualitative Study.

Am J Geriatr Psychiatry. 2018-11-2

[6]
Telehealth in Home-Based Primary Care: Factors and Challenges Associated With Integration Into Veteran Care.

J Am Geriatr Soc. 2019-7-25

[7]
Key Characteristics for Successful Adoption and Implementation of Home Telehealth Technology in Veterans Affairs Home-Based Primary Care: An Exploratory Study.

Telemed J E Health. 2018-7-3

[8]
National integration of mental health providers in VA home-based primary care: an innovative model for mental health care delivery with older adults.

Gerontologist. 2013-12-3

[9]
National Structural Survey of Veterans Affairs Home-Based Primary Care Programs.

J Am Geriatr Soc. 2017-9-27

[10]
"Eyes in the Home": Addressing Social Complexity in Veterans Affairs Home-Based Primary Care.

J Gen Intern Med. 2021-4

引用本文的文献

[1]
Use of Long COVID Clinics in the Veterans Health Administration: Implications for the path forward.

Health Aff Sch. 2025-4-11

[2]
Trajectories and Transitions in Service Use Among Older Veterans at High Risk of Long-Term Institutional Care.

Med Care. 2024-10-1

[3]
Applying the Tailored Implementation in Chronic Diseases framework to inform implementation of the Preferences Elicited and Respected for Seriously Ill Veterans through enhanced decision-making program in the United States Veterans Health Administration.

Front Health Serv. 2022-9-2

[4]
How Social Determinants of Health of Individuals Living or Working in U.S. Department of Veterans Affairs Home-Based Long-Term Care Programs in Puerto Rico Influenced Recovery after Hurricane Maria.

Int J Environ Res Public Health. 2022-10-14

[5]
Home-based primary care-mental health integration in the Veterans Health Administration: An updated evaluation of practice patterns.

Psychol Serv. 2023-11

[6]
Outpatient Care Fragmentation and Acute Care Utilization in Veterans Affairs Home-Based Primary Care.

JAMA Netw Open. 2022-9-1

[7]
COVID-19 Vaccination in VA Home Based Primary Care: Experience of Interdisciplinary Team Members.

J Am Med Dir Assoc. 2022-6

[8]
"Eyes in the Home": Addressing Social Complexity in Veterans Affairs Home-Based Primary Care.

J Gen Intern Med. 2021-4

[9]
The Adoption of Video Visits During the COVID-19 Pandemic by VA Home Based Primary Care.

J Am Geriatr Soc. 2021-2

[10]
Preparedness and response activities of the US Department of Veterans Affairs (VA) home-based primary care program around the fall 2017 hurricane season.

BMC Public Health. 2020-11-26

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索