The Use of Telemental Health to Meet the Mental Health Needs of Women Using Department of Veterans Affairs Services
The Use of Telemental Health to Meet the Mental Health Needs of Women Using Department of Veterans Affairs Services
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DOI：
10.1016/j.whi.2017.12.005
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发表时间：
2018-03-01
影响因子：
3.2
通讯作者：
Hamilton, Alison B.
中科院分区：
文献类型：
--
作者：
Moreau, Jessica L.;Cordasco, Kristina M.;Hamilton, Alison B.
背景资料：女性退伍军人是退伍军人事务部（VA）用户中越来越多的一部分，具有独特的心理健康需求和有据可查的护理障碍。基本健康为减少精神卫生保健的障碍提供了很大的希望。我们评估了VA利益相关者的看法telemental健康的适当性和潜力，以解决女性退伍军人VA users.Methods的心理健康需求：我们进行了半结构化的定性访谈，40个关键的领导和临床利益相关者在VA医疗中心和相关的门诊诊所。成绩单进行了总结，在一个模板的关键领域开发的基础上的采访指南，并编码为主题相关的妇女的心理健康需求和远程health services.Results：Telemental健康被认为是增加获得心理健康护理，包括同性保健和获得专业培训的供应商，特别是农村妇女和那些有其他限制的情况。受访者认为，女性退伍军人特别容易受益于远程健康，由于与儿童保育，配偶护理和老年人照顾相关的责任。受访者对远程医疗的潜力表示了热情，并渴望扩大服务，包括仅限女性的心理健康团体。实施挑战也noted.Conclusions：总体而言，我们的利益相关者认为远程医疗是一个很好的适合帮助解决女性退伍军人的感知需求，特别是在解决农村妇女和那些旅行能力有限的人所经历的地理障碍。这些发现可以帮助为VA内外的远程健康的性别定制扩展提供信息。爱思唯尔公司出版。代表雅各布妇女健康研究所
Background: Women veterans are a growing segment of Department of Veterans Affairs (VA) users with distinct mental health needs and well-documented barriers to care. Telemental health holds much promise for reducing barriers to mental health care. We assessed VA stakeholders' perceptions of telemental health's appropriateness and potential to address the mental health needs of women veteran VA users.Methods: We conducted semistructured qualitative interviews with 40 key leadership and clinical stakeholders at VA medical centers and associated outpatient clinics. Transcripts were summarized in a template of key domains developed based on the interview guide, and coded for topics relevant to women's mental health needs and telehealth services.Results: Telemental health was perceived to increase access to mental health care, including same-gender care and access to providers with specialized training, especially for rural women and those with other limiting circumstances. Respondents saw women veterans as being particularly poised to benefit from telemental health, owing to responsibilities associated with childcare, spousal care, and elder caregiving. Interviewees expressed enthusiasm for telemental health's potential and were eager to expand services, including women-only mental health groups. Implementation challenges were also noted.Conclusions: Overall, our stakeholders saw telemental health as a good fit for helping to address the perceived needs of women veterans, especially in addressing the geographical barriers experienced by rural women and those with a limited ability to travel. These findings can help to inform gender-tailored expansion of telemental health within and outside of the VA. Published by Elsevier Inc. on behalf of Jacobs Institute of Women's Health.