...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>JMIR Research Protocols >TeleWound Practice Within the Veterans Health Administration: Protocol for a Mixed Methods Program Evaluation
【24h】

TeleWound Practice Within the Veterans Health Administration: Protocol for a Mixed Methods Program Evaluation

机译：退伍军人健康管理局内的电传侵犯惯例：混合方法方案评估的协议

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background Chronic wounds, such as pressure injuries and diabetic foot ulcers, are a significant predictor of mortality. Veterans who reside in rural areas often have difficulty accessing care for their wounds. TeleWound Practice (TWP), a coordinated effort to incorporate telehealth into the provision of specialty care for patients with skin wounds, has the potential to increase access to wound care by allowing veterans to receive this care at nearby outpatient clinics or in their homes. The Veterans Health Administration (VA) is championing the rollout of the TWP, starting with regional implementation. Objective This paper aims to describe the protocol for a mixed-methods program evaluation to assess the implementation and outcomes of TWP in VA. Methods We are conducting a mixed-methods evaluation of 4 VA medical centers and their community-based outpatient clinics that are participating in the initial implementation of the TWP. Data will be collected from veterans, VA health care team members, and other key stakeholders (eg, clinical leadership). We will use qualitative methods (ie, semistructured interviews), site visits, and quantitative methods (ie, surveys, national VA administrative databases) to assess the process and reach of TWP implementation and its impact on veterans’ clinical outcomes and travel burdens and costs. Results This program evaluation was funded in October 2019 as a Partnered Evaluation Initiative by the US Department of Veterans Affairs, Diffusion of Excellence Office, and Office of Research and Development, Health Services Research and Development Service, Quality Enhancement Research Initiative Program (PEC 19-310). Conclusions Evaluation of the TWP will identify barriers and solutions to TeleWound implementation in a small number of sites that can be used to inform successful rollout of the TWP nationally. Our evaluation work will inform future efforts to scale up the TWP across VA and optimize reach of the program to veterans across the nation.
机译：背景技术慢性伤口，如压力损伤和糖尿病足溃疡，是死亡率的显着预测因子。住在农村地区的退伍军人往往难以获得伤口的照顾。电信练习（TWP），将远程医院纳入患有皮肤伤口患者的专业护理的协调努力，有可能通过允许退伍军人在附近的门诊诊所或家庭中接受此护理来增加伤口护理。退伍军人健康管理局（va）正在从区域实施开始的TWP的推出。目的本文旨在描述混合方法方案评估的协议，以评估VA中TWP的实施和结果。方法我们正在进行4 VA医疗中心的混合方法和其社区的门诊诊所，参与TWP的初步实施。数据将从退伍军人，VA保健团队成员和其他主要利益相关者（例如，临床领导层）收集。我们将使用定性方法（即，半系统面试），站点访问和定量方法（即调查，国家VA行政数据库）来评估TWP实施的过程和达到对退伍军人的临床结果和旅行负担和费用的影响。结果该方案评估由2019年10月供资成于美国退伍军人事务部的合作评估倡议，卓越办公室扩散，研发办公室，卫生服务研发服务，质量增强研究倡议计划（PEC 19- 310）。结论TWP的评估将识别在少数站点中的屏幕上实施障碍和解决方案，这些网站可用于向全国推出TWP的成功推出。我们的评估工作将告知未来的努力，扩大VA的TWP，并优化计划的范围到全国的退伍军人。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号