Mills Carol A, Tran Yvette, Yeager Valerie A, Unroe Kathleen T, Holmes Ann, Blackburn Justin
The Pennsylvania State University, Department of Health Policy and Administration, University Park, USA.
Indiana University, Richard M. Fairbanks School of Public Health at IUPUI, Indianapolis, USA.
Gerontol Geriatr Med. 2023 Mar 22;9:23337214231163438. doi: 10.1177/23337214231163438. eCollection 2023 Jan-Dec.
Avoidable hospitalizations among nursing home residents result in poorer health outcomes and excess costs. Consequently, efforts to reduce avoidable hospitalizations have been a priority over the recent decade. However, many potential interventions are time-intensive and require dedicated clinical staff, although nursing homes are chronically understaffed. The OPTIMISTIC project was one of seven programs selected by CMS as "enhanced care & coordination providers" and was implemented from 2012 to 2020. This qualitative study explores the perceptions of the nurses that piloted a virtual care support project developed to expand the program's reach through telehealth, and specifically considered how nurses perceived the effectiveness of this program. Relationships, communication, and access to information were identified as common themes facilitating or impeding the perceived effectiveness of the implementation of virtual care support programs within nursing homes.
疗养院居民中可避免的住院会导致更差的健康结果和额外费用。因此，在过去十年中，减少可避免住院的努力一直是优先事项。然而，许多潜在干预措施需要大量时间且需要专业临床工作人员，尽管疗养院长期人手不足。OPTIMISTIC项目是被医疗保险和医疗补助服务中心（CMS）选为“强化护理与协调提供者”的七个项目之一，于2012年至2020年实施。这项定性研究探讨了参与试点虚拟护理支持项目的护士的看法，该项目旨在通过远程医疗扩大项目覆盖范围，并特别考虑了护士如何看待该项目的有效性。关系、沟通和信息获取被确定为促进或阻碍疗养院虚拟护理支持项目实施效果的共同主题。
