"There's a huge benefit just to know that someone cares:" a qualitative examination of rural veterans' experiences with TelePain.
"There's a huge benefit just to know that someone cares:" a qualitative examination of rural veterans' experiences with TelePain.
复制标题
DOI：
10.1186/s12913-021-07133-5
复制
发表时间：
2021-10-16
影响因子：
2.8
通讯作者：
Chen JA
中科院分区：
文献类型：
--
作者：
Silvestrini M;Indresano J;Zeliadt SB;Chen JA
与非退伍军人相比，美国退伍军人患慢性疼痛的风险更高，报告的疼痛患病率和严重程度也更高。这项定性研究旨在考察退伍军人对通过TelePain接受疼痛护理的接受程度的看法。TelePain是退伍军人健康管理局(VA)实施的一项远程医疗计划，旨在为农村退伍军人在家中或附近门诊诊所的视频会议室提供专门的疼痛护理。退伍军人管理局电子健康记录用于识别在2019年1月12日至2020年3月31日期间从华盛顿、俄勒冈州和阿拉斯加的乡村诊所转诊到TelePain的患者。研究小组完成了对农村退伍军人的16次半结构化采访，内容是他们使用TelePain的经历。访谈成绩单被数字化记录和转录后，使用Atlas.ti来组织数据和促进定性编码。访谈记录采用主题分析的方法进行分析。退伍军人报告说，他们对通过远程医疗接受疼痛护理总体上感到满意，并珍视提供有用信息和资源的支持性、知识性的提供者。此外，退伍军人还欣赏远程医疗带来的便利。护理的障碍包括与计划跟进有关的问题，对疼痛心理健康护理的负面看法，以及对面对面护理的偏好。虽然一些患者建议远程医疗音频和视频可以改进，但大多数患者在远程医疗技术方面没有任何重大问题。在这个使用TelePain的农村退伍军人样本中，许多人报告对该计划感到满意，并与提供商取得了积极的体验。质量改进的目标包括简化该计划的转诊和调度过程，并提高患者参与心理疼痛治疗的动机。结果表明，通过远程医疗提供疼痛服务对于这一患者群体来说是一种可接受的方式。网上版载有补充材料，可在10.1186/s12913-021-07133-5查阅。
Veterans in the United States are at an increased risk of chronic pain and have higher reported pain prevalence and severity than nonveterans. This qualitative study aims to examine veterans’ perspectives on the acceptability of receiving pain care through TelePain, a telehealth program implemented by the Veterans Health Administration (VA) that offers specialty pain care to rural veterans in their homes or in a video conferencing room at a nearby outpatient clinic. The VA electronic health record was used to identify patients who were referred to TelePain from rural clinics located in Washington, Oregon, and Alaska between 12/01/2019 and 03/31/2020. The study team completed 16 semi-structured interviews with rural veterans about their experiences with TelePain. After interview transcripts were recorded digitally and transcribed, Atlas.ti was used to organize data and facilitate qualitative coding. Interview transcripts were analyzed using thematic analysis. Veterans reported general satisfaction with receiving pain care through telehealth and valued having supportive, knowledgeable providers who provided useful information and resources. In addition, veterans appreciated the convenience of telehealth. Barriers to care included problems with program follow-up, negative perceptions of mental health care for pain, and preference for in-person care. Although some patients suggested that telehealth audio and video could be improved, most patients did not have any significant problems with telehealth technology. In this sample of rural veterans who used TelePain, many reported satisfaction with the program and positive experiences with providers. Targets for quality improvement include streamlining the program’s referral and scheduling process and improving patient motivation to engage in psychological pain treatments. Results indicate that delivering pain services over telehealth is an acceptable modality for this patient population. The online version contains supplementary material available at 10.1186/s12913-021-07133-5.
登录
查看更多内容
影响因子：
3.1
作者：
Hanna, George M.;Fishman, Irina;Gilligan, Christopher
通讯作者：
Gilligan, Christopher
影响因子：
4.9
作者：
Goins, RT;Williams, KA;Solovieva, T
通讯作者：
Solovieva, T
影响因子：
4.7
作者：
Meropol, Neal J.;Daly, Mary B.;Zubarev, Vadim
通讯作者：
Zubarev, Vadim
DOI：
10.1093/jamia/ocy022
发表时间：
2018-07-01
影响因子：
6.4
作者：
Blosnich, John R.;Cashy, John;Fine, Michael J.
通讯作者：
Fine, Michael J.
影响因子：
2.1
作者：
Friesner, Daniel;Scott, David M.
通讯作者：
Scott, David M.