新冠疫情对城乡退伍军人使用远程心理健康服务的不同影响。
Differential Impact of COVID-19 on the Use of Tele-mental Health Among Veterans Living in Urban or Rural Areas.
作者信息
Hogan Julianna, Amspoker Amber B, Walder Annette, Hamer Joshua, Lindsay Jan A, Ecker Anthony H
机构信息
U.S. Department of Veterans Affairs (VA) Health Services Research and Development Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, Houston (all authors); VA South Central Mental Illness Research, Education and Clinical Center, Houston (Hogan, Amspoker, Walder, Lindsay, Ecker).
出版信息
Psychiatr Serv. 2022 Dec 1;73(12):1393-1396. doi: 10.1176/appi.ps.202100363. Epub 2022 Jun 2.
OBJECTIVE
The authors examined the use of Veterans Affairs Video Connect (VVC) for mental health care by rural and urban veterans and the impact of the COVID-19 pandemic on patterns of VVC use.
METHODS
Data from 557,668 rural and 1,384,093 urban veterans (collected July 2019-October 2020) from the Veterans Health Administration Corporate Data Warehouse were examined with interrupted time-series models to determine rural versus urban VVC use before and during the initial 7 months of the pandemic.
RESULTS
Before COVID-19, rates of VVC use as percentages of all mental health care were higher among rural veterans. After implementation of pandemic restrictions, rural veteran VVC use continued to increase, but this increase was surpassed by that of urban veterans.
CONCLUSIONS
These findings highlight the need to monitor emerging disparities in telehealth use and to encourage and support use of VVC and access to mental health care for all veterans, particularly those experiencing barriers to care.
目的
作者研究了农村和城市退伍军人对退伍军人事务视频连线（VVC）用于心理健康护理的使用情况，以及新冠疫情对VVC使用模式的影响。
方法
利用中断时间序列模型，对退伍军人健康管理局企业数据仓库中557,668名农村退伍军人和1,384,093名城市退伍军人（2019年7月至2020年10月收集的数据）进行分析，以确定疫情最初7个月之前和期间农村与城市退伍军人对VVC的使用情况。
结果
在新冠疫情之前，农村退伍军人将VVC用于所有心理健康护理的使用比例更高。在实施疫情限制措施后，农村退伍军人对VVC的使用持续增加，但城市退伍军人的增长幅度超过了农村退伍军人。
结论
这些发现凸显了监测远程医疗使用中出现的差异的必要性，并鼓励和支持所有退伍军人使用VVC并获得心理健康护理，特别是那些在获得护理方面存在障碍的退伍军人。
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