Petrova Valentina V, Turner Aaron P, Simons Carol, Kamiab Neelab A, Crothers Kristina, Sayre George G
VA HSR Center of Innovation for Veteran-Centered and Value-Driven Care, VA Puget Sound Health Care System, Seattle, WA, USA.
VA Puget Sound Health Care System, Seattle, WA, USA.
J Gen Intern Med. 2025 May 15. doi: 10.1007/s11606-025-09557-9.
The COVID-19 pandemic challenged healthcare systems like the Department of Veterans Affairs (VA) to pivot to new models of care and keep up with rapidly evolving practice and treatment guidelines. These challenges were amplified by the context of a polarized society and widespread mistrust of government and traditional media communication.
We sought to better understand experiences with COVID-specific care and the role of patient-provider interactions.
Using semi-structured qualitative phone interviews, we collected Veterans' accounts of their treatment, recovery, and any follow-up care for COVID-19.
We used VA electronic health records data to recruit a nationally representative sample of participants across three disease severity categories (ICU, acute care hospitalization, and outpatient) and across three timepoints (2-8 weeks, 8 weeks to 6 months, and 12 months) after having COVID-19. A total of 94 Veterans were interviewed by phone once between June 2021 and June 2022.
Interviews were transcribed and analyzed using deductive-inductive content analysis.
Three main themes emerged: (1) Veterans made sense of their COVID-19 experiences by comparing themselves to others and doing their own research, often feeling they had to defend their beliefs to others and in the face of critical media coverage; (2) perceptions of care sometimes aligned with distrust in institutions but positive communication with healthcare providers substantially impacted Veterans' trust in their VA care; and (3) the most effective healthcare interactions resulted from clear and empathetic answers from trusted providers.
Clear, consistent messages delivered with respect and empathy had the potential to overcome patients' hesitancy and mistrust of government and media information sources.
Chronic Lung Disease and COVID-19: Understanding Severity, Recovery and Rehabilitation Needs (LAUREL), ClinicalTrials.gov ID NCT04628039.
新冠疫情给退伍军人事务部（VA）等医疗系统带来挑战，促使其转向新的护理模式，并跟上迅速演变的实践和治疗指南。两极分化的社会背景以及对政府和传统媒体传播的普遍不信任加剧了这些挑战。
我们试图更好地了解新冠特定护理的经历以及患者与提供者互动的作用。
通过半结构化定性电话访谈，我们收集了退伍军人关于其新冠治疗、康复及任何后续护理的描述。
我们利用退伍军人事务部电子健康记录数据，招募了一个具有全国代表性的样本，涵盖三个疾病严重程度类别（重症监护病房、急性护理住院和门诊）以及感染新冠后三个时间点（2至8周、8周至6个月、12个月）的参与者。2021年6月至2022年6月期间，共对94名退伍军人进行了一次电话访谈。
访谈进行转录，并采用演绎-归纳内容分析法进行分析。
出现了三个主要主题：（1）退伍军人通过将自己与他人比较并自行研究来理解他们的新冠经历，常常觉得他们必须在他人面前以及面对批判性媒体报道时捍卫自己的信念；（2）对护理的看法有时与对机构的不信任一致，但与医疗保健提供者的积极沟通极大地影响了退伍军人对其退伍军人事务部护理的信任；（3）最有效的医疗互动源于值得信赖的提供者给出的清晰且有同理心的回答。
以尊重和同理心传递的清晰、一致的信息有可能克服患者对政府和媒体信息来源的犹豫和不信任。
慢性肺病与新冠：了解严重程度、康复及康复需求（LAUREL），ClinicalTrials.gov标识符NCT04628039。
