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退伍军人事务部社区护理的前景与挑战:聚焦退伍军人问题

The Promise and Challenges of VA Community Care: Veterans' Issues in Focus.

作者信息

Rasmussen Petra, Farmer Carrie M

出版信息

Rand Health Q. 2023 Jun 16;10(3):9. eCollection 2023 Jun.

PMID:37333666
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10273892/
Abstract

Despite an overall decline in the U.S. veteran population, the number of veterans using VA health care has increased. To deliver timely care to as many eligible veterans as possible, VA supplements the care delivered by VA providers with private-sector community care, which is paid for by VA and delivered by non-VA providers. Although community care is a potentially important resource for veterans facing access barriers and long wait times for appointments, questions remain about its cost and quality. With recent expansions in veterans' eligibility for community care, accurate data are critical to policy and budget decisions and ensuring that veterans receive the high-quality health care they need.

摘要

尽管美国退伍军人的总体数量有所下降,但使用退伍军人事务部(VA)医疗保健服务的退伍军人数量却有所增加。为了尽可能及时地为更多符合条件的退伍军人提供护理,退伍军人事务部利用私营部门的社区护理来补充退伍军人事务部医疗服务提供者所提供的护理,社区护理由退伍军人事务部付费,并由非退伍军人事务部的医疗服务提供者提供。尽管社区护理对于面临就医障碍和预约等待时间过长问题的退伍军人来说可能是一项重要资源,但关于其成本和质量仍存在疑问。随着最近退伍军人获得社区护理资格的扩大,准确的数据对于政策和预算决策以及确保退伍军人获得他们所需的高质量医疗保健至关重要。

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本文引用的文献

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Med Care. 2022 Feb 1;60(2):178-186. doi: 10.1097/MLR.0000000000001678.
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Association between care coordination tasks with non-VA community care and VA PCP burnout: an analysis of a national, cross-sectional survey.与非 VA 社区护理相关的护理协调任务与 VA PCP 倦怠之间的关联:一项全国性横断面调查分析。
BMC Health Serv Res. 2021 Aug 13;21(1):809. doi: 10.1186/s12913-021-06769-7.
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National Media Coverage of the Veterans Affairs Waitlist Scandal: Effects on Veterans' Distrust of the VA Health Care System.国家媒体对退伍军人事务部候补名单丑闻的报道:对退伍军人对 VA 医疗保健系统信任的影响。
Med Care. 2021 Jun 1;59(Suppl 3):S322-S326. doi: 10.1097/MLR.0000000000001551.
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Rural Veterans' Experiences With Outpatient Care in the Veterans Health Administration Versus Community Care.农村退伍军人在退伍军人医疗管理局和社区护理方面的门诊护理体验。
Med Care. 2021 Jun 1;59(Suppl 3):S286-S291. doi: 10.1097/MLR.0000000000001552.
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Did Access to Care Improve Since Passage of the Veterans Choice Act?: Differences Between Rural and Urban Veterans. Veterans Choice 法案通过后,获得医疗服务的机会是否有所改善?:农村和城市退伍军人之间的差异。
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