Implementing Geographic Information Systems (GIS) into VHA Home Based Primary Care

被引：7

作者：

Lind, Jason D. ^{[1
]}

Fickel, Jacqueline ^{[2
]}

Cotner, Bridget A. ^{[1
]}

Katzburg, Judith R. ^{[2
]}

Cowper-Ripley, Diane ^{[3
,4
]}

Fleming, Marguerite ^{[5
]}

Ong, Michael K. ^{[6
,7
]}

Bergman, Alicia A. ^{[2
]}

Bradley, Sarah E. ^{[1
]}

Tubbesing, Sarah A. ^{[6
,8
]}

机构：

[1] James A Haley Vet Hosp & Clin, Res & Dev Serv, 8900 Grand Oak Circle 151R, Tampa, FL 33637 USA

[2] VA Greater Los Angeles Healthcare Syst, VA HSR&D Ctr Study Healthcare Innovat Implementat, Los Angeles, CA USA

[3] North Florida South Georgia Vet Hlth Syst, Ctr Innovat, Gainesville, FL USA

[4] VA Off Rural Hlth, GeoSpatial Outcomes Div, Gainesville, FL USA

[5] Ctr Innovat & Analyt, VA Off Reporting Analyt Performance Improvement &, Washington, DC USA

[6] Univ Calif Los Angeles, David Geffen Sch Med, Los Angeles, CA 90095 USA

[7] VA Greater Los Angeles Healthcare Syst, Div Hosp Med, Los Angeles, CA USA

[8] VA Greater Los Angeles Healthcare Syst, Home Based Primary Care Program, Los Angeles, CA USA

来源：

GERIATRIC NURSING | 2020年 / 41卷 / 03期

关键词：

Geographic information systems; Home based primary care; Nursing; Primary health care; Veterans; VETERANS; ACCESS;

D O I：

10.1016/j.gerinurse.2019.10.010

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

The Veteran's Health Administration (VHA) Home Based Primary Care (HBPC) program provides comprehensive in-home primary care services to elderly Veterans with complex chronic medical conditions. Nurses have prominent roles in HBPC including as program leaders, primary care providers and nurses who make home visits. Delivery of primary care services to patients in their homes can be challenging due to travel distances, difficult terrain, traffic, and adverse weather. Mapmaking with geographic information systems (GIS) can support optimization of resource utilization, travel efficiency, program capacity, and management during normal operations, and patient safety during disasters. This paper reports on the feasibility, acceptability and outcomes of an initiative to implement GIS mapmaking in VHA HBPC programs. A mixed method evaluation assessed extent of adoption and identified facilitators and barriers to uptake. Results indicate that GIS mapping in VHA HBPC is feasible and can increase effectiveness and efficiency of VHA HBPC nurses. (C) 2019 Elsevier Inc. All rights reserved.

引用

页码：282 / 289

页数：8

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