Barriers to a Timely Discharge From Short-Term Care in VA Community Living Centers.
Barriers to a Timely Discharge From Short-Term Care in VA Community Living Centers.
复制标题
退伍军人事务部社区生活中心短期护理及时出院的障碍。
DOI：
10.1080/08959420.2019.1578607
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发表时间：
2020
影响因子：
5.1
通讯作者：
Allen,SusanM
中科院分区：
文献类型：
--
作者：
Tyler,DeniseA;Shield,RenéeR;Harrison,Jill;Mills,WhitneyL;Morgan,KristenE;Cutty,MaxwellE;Coté,DanielleL;Allen,SusanM
本研究旨在确定退伍军人健康管理局（VHA）社区生活中心（CLC）及时出院的障碍。九十九个访谈进行了CLC的工作人员在领导和直接护理职位在八个不同的CLC。通过定性分析确定的主要主题为及时出院的障碍是缺乏患者的财政资源，社会支持低，以及不愿意一些退伍军人和工作人员将退伍军人及时出院视为他们的目标。工作人员还认为，在社区长期服务和支助有限或根本不存在的区域，障碍更难克服。由于VHA在这些类型的服务投资方面普遍落后于医疗补助，因此有必要采取额外的战略来实现VHA护理非机构化和退伍军人重返社区家园的重要政策目标。
This study aimed to identify the barriers to a timely discharge from short-term care in Veterans Health Administration (VHA) Community Living Centers (CLCs). Ninety-nine interviews were conducted with CLC staff in leadership and direct-care positions in eight varied CLCs. Major themes identified through qualitative analysis as barriers to a timely discharge were a lack of patients’ financial resources, low social support, and reluctance of some veterans and staff to view a timely veteran discharge as their goal. Staff also perceived that barriers were much more difficult to overcome in regions where community-based long-term services and supports were limited or nonexistent. Because VHA has lagged behind Medicaid more generally in terms of investment in these types of services, additional strategies are warranted to achieve the important policy goal of deinstitutionalizing VHA care and returning veterans to their homes in the community.