Impacts of COVID-19 on Health and Healthcare for Rural Veterans in Home-Based Primary Care

被引：2

作者：

Yee, Priscilla ^{[1
]}

Echt, Katharina V. ^{[2
,3
,4
]}

Markland, Alayne D. ^{[2
,4
]}

Zubkoff, Lisa ^{[2
,4
,5
]}

机构：

[1] Hampton Vet Affairs Med Ctr, Hampton, VA USA

[2] Vet Affairs Healthcare Syst, Birmingham Atlanta Geriatr Res Educ & Clin Ctr, Birmingham, AL USA

[3] Emory Univ, Atlanta, GA USA

[4] Univ Alabama Birmingham, Birmingham, AL USA

[5] Birmingham VA Healthcare Syst, Birmingham Atlanta Geriatr Res Educ & Clin Ctr, 700 19th St S, Birmingham, AL 35223 USA

来源：

JOURNAL OF APPLIED GERONTOLOGY | 2024年 / 43卷 / 01期

关键词：

telehealth; older adults; rural; access; primary health care; qualitative research; COVID-19; Veterans;

D O I：

10.1177/07334648231197386

中图分类号：

R4 [临床医学]; R592 [老年病学];

学科分类号：

1002 ; 100203 ; 100602 ;

摘要：

This qualitative study explored the impact of COVID-19 on older rural-dwelling veterans and their caregivers enrolled in home-based primary care (HBPC) through the Birmingham VA Health Care System (BVAHCS). Phone interviews were conducted with 16 veterans and/or their caregivers and rapid qualitative analysis of interview notes was performed. Average age of veterans was 77 (range = 69-97) and 93.7% were white males. Despite a significant number of co-morbidities, 68.8% reported minimal adverse impacts of COVID-19 on overall physical and mental health. Like many healthcare teams, the inter-disciplinary VA HBPC team incorporated Telehealth during COVID-19. Telehealth utilization varied among the 16 participants, with 50% using telehealth independently, 37.5% needing assistance, and 12% lacking access. Our findings are consistent with prior research that identifies resilient characteristics as potentially protective in this high-risk older veteran population during the COVID-19 pandemic.

引用

页码：47 / 58

页数：12

共 17 条

[1]

Federman Alex D, 2021, Home Healthc Now, V39, P211, DOI [10.1097/nhh.0000000000000983, 10.1097/NHH.0000000000000983]

[2] Virtual care expansion in the Veterans Health Administration during the COVID-19 pandemic: clinical services and patient characteristics associated with utilization [J].