The Sexual Assault Forensic Examination Telehealth (SAFE-T) Center: A Comprehensive, Nurse-led Telehealth Model to Address Disparities in Sexual Assault Care.

The Sexual Assault Forensic Examination Telehealth (SAFE-T) Center: A Comprehensive, Nurse-led Telehealth Model to Address Disparities in Sexual Assault Care.
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DOI:
10.1111/jrh.12474
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发表时间:
2021-01
期刊:
The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association
影响因子:
--
通讯作者:
Scanlon D
Scanlon D
中科院分区:
其他
文献类型:
--
作者:
Miyamoto S;Thiede E;Dorn L;Perkins DF;Bittner C;Scanlon D

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农村和得不到充分服务的社区往往很难提供专门的保健服务,包括性攻击护理。远程保健是提供一系列专门保健服务的有效解决办法。以前的性侵犯远程保健方案提供的证据表明,远程保健是一个可行的和可接受的解决方案。然而,在文献中缺乏有关计划开发和考虑因素的信息,以指导那些可能寻求在其社区实施性侵犯远程保健计划的人。本文的目的是描述性侵犯法医检查远程医疗(SAFE-T)中心-一个护士主导的模式,提供全面的,高质量的性侵犯护理在农村和服务不足的社区最近在宾夕法尼亚州农村的3家医院实施。使用该计划的逻辑模型,我们提出了我们的社区参与的方法的开发和实施阶段的SAFE-T中心。我们首先描述了学术研究人员如何与多个利益相关者合作,形成一个全州范围的咨询委员会,并阐述了一个愿景和使命的安全-T中心,满足当地社区的需求。然后,我们描述了模型的总体设计,它是如何通过这种学术社区的伙伴关系,以及每个元素如何与预期的结果。我们还提出了我们的计划评估,扩展和可持续性。这种合作伙伴关系,联盟建设,方案设计和实施的详细描述可以作为医院和卫生系统寻求实施远程保健方案,以改善提供给性侵犯幸存者的护理的指南。
Rural and underserved communities often struggle to provide access to specialized health care, including sexual assault care. Telehealth is an effective solution for providing access to an array of specialized health care services. Prior sexual assault telehealth programs have provided evidence that telehealth is a feasible and acceptable solution. However, there is scant information about program development and considerations in the literature to guide those who may seek to implement a sexual assault telehealth program in their communities. The purpose of this paper is to describe the Sexual Assault Forensic Examination Telehealth (SAFE-T) Center – a nurse-led model for providing comprehensive, high-quality sexual assault care in rural and underserved communities recently implemented at 3 hospitals in rural Pennsylvania. Using the program’s logic model, we present our community-engaged approach to the development and implementation phases of the SAFE-T Center. We first describe how academic researchers partnered with multiple stakeholders to form a statewide advisory board and articulated a vision and mission for the SAFE-T Center that meets the needs of local communities. We then describe the overall design of the model, how it was informed by this academic-community partnership, and how each element relates to anticipated outcomes. We also present our plans for program evaluation, expansion, and sustainability. This detailed description of collaborative partnership, coalition-building, program design and implementation can serve as a guide for hospitals and health systems seeking to implement telehealth programs to improve the care provided to survivors of sexual assault.
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