The Clinical Resource Hub Initiative First-Year Implementation of the Veterans Health Administration Regional Telehealth Contingency Staffing Program

被引：15

作者：

Burnett, Kedron ^{[1
,10
]}

Stockdale, Susan E. ^{[2
,3
]}

Yoon, Jean ^{[4
]}

Ragan, Addison ^{[1
]}

Rogers, Matthew ^{[1
]}

Rubenstein, Lisa V. ^{[5
,6
,7
]}

Wheat, Chelle ^{[8
]}

Jaske, Erin ^{[8
]}

Rose, Danielle E. ^{[2
]}

Nelson, Karin ^{[9
]}

机构：

[1] Off Primary Care, Natl Clin Resource Hub, Washington, DC USA

[2] VA HSR&D, Ctr Study Healthcare Innovat Implementat & Policy, Washington, DC USA

[3] VA Greater Los Angeles Hlth Care Syst, Los Angeles, CA USA

[4] VA Palo Alto Hlth Care Syst, VHA Hlth Econ Resource Ctr, Palo Alto, CA USA

[5] RAND Corp, Santa Monica, CA USA

[6] UCLA, David Geffen Sch Med, Los Angeles, CA USA

[7] UCLA, Fielding Sch Publ Hlth, Los Angeles, CA USA

[8] VA Puget Sound Healthcare Syst, Primary Care Analyt Team PCAT, Seattle, WA USA

[9] Univ Washington, Sch Med, VHA Puget Sound Primary Care, Seattle HSR&D COIN, Seattle, WA USA

[10] Dept Vet Affairs, Off Primary Care, 810 Vermont Ave NW, Washington, DC 20420 USA

来源：

JOURNAL OF AMBULATORY CARE MANAGEMENT | 2023年 / 46卷 / 03期

关键词：

mental health; primary care; telehealth; PRIMARY-CARE; SERVICES; ACCESS;

D O I：

10.1097/JAC.0000000000000468

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Health care systems face challenges providing accessible health care across geographically disparate sites. The Veterans Health Administration (VHA) developed regional telemedicine service focusing initially on primary care and mental health services. The objective of this study is to describe the program and progress during the early implementation. In its first year, the Clinical Resource Hub program provided 244 515 encounters to 95 684 Veterans at 475 sites. All 18 regions met or exceeded minimum implementation requirements. The regionally based telehealth contingency staffing hub met early implementation goals. Further evaluation to review sustainability and impact on provider experience and patient outcomes is needed.

引用

页码：228 / 239

页数：12

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