Behavioral Health Program, Houston VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, Houston, Texas, USA.
Department of Medicine, Baylor College of Medicine, Houston, Texas, USA.
Telemed J E Health. 2023 May;29(5):788-792. doi: 10.1089/tmj.2022.0300. Epub 2022 Oct 25.
Video-to-home telehealth (VTH) is promising for increasing access to mental health (MH) services. VA Video Connect (VVC) facilitates video-based teleconferencing between patients and providers and can reduce barriers while maintaining clinical effectiveness. Little is known about the preferences of Hispanic veterans for VTH. A retrospective cohort investigation of VTH for MH care utilization among veterans having at least one MH visit from October 2019 to September 2020. The veterans consisted of 155,492 Hispanic/Latino and 1,544,958 non-Hispanic/Latino. VVC involved face-to-face synchronous video-based teleconferencing between patients and providers, enabling care at home or another private location. The main measures included the percentage of MH encounters delivered through VVC. Compared with non-Hispanic veterans, Hispanic veterans had 3.28% greater percentage of VVC MH encounters. Furthermore, there was a 2.65% increase per month in percentage of VVC MH encounters. Contrary to preconceived notions, Hispanic veterans access VTH at higher rates than their non-Hispanic counterparts.
视频家访(VTH)有望增加获得心理健康(MH)服务的机会。VA Video Connect(VVC)促进了患者和提供者之间基于视频的远程会议,可以在保持临床效果的同时减少障碍。对于西班牙裔退伍军人对 VTH 的偏好知之甚少。这是一项回顾性队列研究,调查了 2019 年 10 月至 2020 年 9 月期间至少有一次 MH 就诊的退伍军人对 VTH 用于 MH 护理的利用情况。退伍军人包括 155492 名西班牙裔/拉丁裔和 1544958 名非西班牙裔/拉丁裔。VVC 涉及患者和提供者之间面对面的同步基于视频的远程会议,使患者能够在家庭或其他私人场所接受护理。主要措施包括通过 VVC 提供的 MH 会诊的百分比。与非西班牙裔退伍军人相比,西班牙裔退伍军人通过 VVC 进行 MH 会诊的比例高出 3.28%。此外,VVC 进行 MH 会诊的比例每月增加 2.65%。与先入为主的观念相反,西班牙裔退伍军人比非西班牙裔退伍军人更频繁地使用 VTH。