Incorporating TechQuity in Virtual Care Within the Veterans Health Administration: Identifying Future Research and Operations Priorities.
Incorporating TechQuity in Virtual Care Within the Veterans Health Administration: Identifying Future Research and Operations Priorities.
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DOI：
10.1007/s11606-023-08029-2
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发表时间：
2023-07
影响因子：
5.7
通讯作者：
Lewinski, Allison A.
中科院分区：
文献类型：
--
作者：
Walsh, Conor;Sullivan, Caitlin;Bosworth, Hayden B.;Wilson, Sarah;Gierisch, Jennifer M.;Goodwin, Kaitlyn B.;Mccant, Felicia;Hoenig, Helen;Heyworth, Leonie;Zulman, Donna M.;Turvey, Carolyn;Moy, Ernest;Lewinski, Allison A.
新冠肺炎的流行极大地改变了医疗保健服务，推动了同步(即实时)纯音频和视频远程医疗，也就是所谓的虚拟医疗的快速扩展。然而，有证据表明，在虚拟护理利用方面存在严重的不平等，某些人群比基于视频的护理更依赖纯音频的虚拟护理。需要进行研究，为虚拟护理政策和进程提供信息，以抵消目前在获取和健康结果方面的不平等。鉴于将公平纳入退伍军人健康管理局(VHA)内虚拟医疗的重要性，我们召集了一个智库，以确定未来研究和虚拟医疗行动的优先事项，重点是在VHA内实现虚拟医疗的公平实施。我们利用参与性活动吸引来自VHA的临床医生、研究人员和运营合作伙伴，以制定公平实施虚拟护理的优先事项。我们通过小组讨论和强制排序来细化优先事项，并概述了选定优先事项的下一步步骤。智库参与者包括来自VHA的43名个人，他们代表不同的地理区域、办公室和背景。与会者自认为他们的联系主要是运营(n=9)、研究(n=28)或两者(n=6)。我们初步确定了63项未来研究和虚拟护理行动的潜在优先事项。在讨论之后，我们将清单缩小到四个优先领域：(1)衡量虚拟医疗中的不平等，(2)解决虚拟医疗中新出现的不平等问题，(3)公平地部署虚拟医疗以容纳不同能力的退伍军人，以及(4)衡量和解决扩大虚拟医疗的潜在不利后果。我们讨论相关信息、数据、关键合作伙伴，并概述可能的下一步行动。来自VHA各地的研究和运营合作伙伴智库确定了将股权纳入虚拟医疗的设计和实施的有希望的机会。尽管还有很多工作要做，但确定的优先事项是朝着实现这一重要目标迈出的重要一步。
The Covid-19 pandemic dramatically changed healthcare delivery, driving rapid expansion of synchronous (i.e., real-time) audio-only and video telehealth, otherwise known as virtual care. Yet evidence describes significant inequities in virtual care utilization, with certain populations more dependent on audio-only virtual care than video-based care. Research is needed to inform virtual care policies and processes to counteract current inequities in access and health outcomes. Given the importance of incorporating equity into virtual care within the Veterans Health Administration (VHA), we convened a Think Tank to identify priorities for future research and virtual care operations focused on achieving equitable implementation of virtual care within the VHA. We used participatory activities to engage clinicians, researchers, and operational partners from across the VHA to develop priorities for equitable implementation of virtual care. We refined priorities through group discussion and force-ranked prioritization and outlined next steps for selected priorities. Think Tank participants included 43 individuals from the VHA who represented diverse geographical regions, offices, and backgrounds. Attendees self-identified their associations primarily as operations (n = 9), research (n = 28), or both (n = 6). We identified an initial list of 63 potential priorities for future research and virtual care operations. Following discussion, we narrowed the list to four priority areas: (1) measure inequities in virtual care, (2) address emerging inequities in virtual care, (3) deploy virtual care equitably to accommodate differently abled veterans, and (4) measure and address potential adverse consequences of expanded virtual care. We discuss related information, data, key partners, and outline potential next steps. This Think Tank of research and operational partners from across the VHA identified promising opportunities to incorporate equity into the design and implementation of virtual care. Although much work remains, the priorities identified represent important steps toward achieving this vital goal.
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影响因子：
39.2
作者：
Chang, Stephanie M.;Carey, Timothy S.;Sanders, Gillian D.
通讯作者：
Sanders, Gillian D.
DOI：
10.1682/jrrd.2008.09.0129
发表时间：
2009-01-01
影响因子：
--
作者：
Lew, Henry L.;Garvert, Donn W.;Goodrich, Gregory L.
通讯作者：
Goodrich, Gregory L.
影响因子：
5.7
作者：
Lewinski, Allison A.;Sullivan, Caitlin;Bosworth, Hayden B.
通讯作者：
Bosworth, Hayden B.
影响因子：
1.9
作者：
Peterson A;Charles V;Yeung D;Coyle K
通讯作者：
Coyle K
影响因子：
1.5
作者：
Lentz, Trevor A.;Curtis, Lesley H.;Ellenberg, Susan S.
通讯作者：
Ellenberg, Susan S.