Improving Patient Activation among Older Veterans: Results from a Social Worker-Led Care Transitions Intervention.
Improving Patient Activation among Older Veterans: Results from a Social Worker-Led Care Transitions Intervention.
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DOI：
10.1080/01634372.2021.1932003
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发表时间：
2022-01
影响因子：
3.2
通讯作者：
Boockvar KS
中科院分区：
文献类型：
--
作者：
Koufacos NS;May J;Judon KM;Franzosa E;Dixon BE;Schubert CC;Schwartzkopf AL;Guerrero VM;Traylor M;Boockvar KS
在退伍军人健康管理局（VHA）注册的老年退伍军人经常使用VHA和非VHA提供者进行护理。这种双重使用，特别是在住院期间，可能会导致出院后过渡期间的零散护理。针对患者激活的干预措施可能是帮助退伍军人管理多个提供者的复杂药物治疗方案和护理计划的有价值的方法。护理过渡干预（CTI）是一种基于证据的模式，可帮助老年人获得信心和技能，以实现出院后的健康目标。我们的研究探讨了CTI对非VHA医院退伍军人患者激活的影响。总共为87名退伍军人进行了158次干预。从基线到随访，患者激活评分显著增加1.7分，从5.4增加到7.1。这种关联仅在完成干预的人中发现。最常见的完成障碍是难以通过电话联系退伍军人，患者拒绝干预，以及出院后30天内再次住院。由社会工作者指导的护理过渡可能是改善患者激活的一种有前途的方法。然而，未来的研究和实践应该解决完成障碍，并检查患者激活增加对健康结果的影响。
Older veterans enrolled in the Veterans Health Administration (VHA) often use both VHA and non-VHA providers for their care. This dual use, especially around an inpatient visit, can lead to fragmented care during the time of transition post-discharge. Interventions that target patient activation may be valuable ways to help veterans manage complex medication regimens and care plans from multiple providers. The Care Transitions Intervention (CTI) is an evidence-based model that helps older adults gain confidence and skills to achieve their health goals post-discharge. Our study examined the impact of CTI upon patient activation for veterans discharged from non-VHA hospitals. In total, 158 interventions were conducted for 87 veterans. From baseline to follow-up there was a significant 1.7-point increase in patient activation scores, from 5.4 to 7.1. This association was only found among those who completed the intervention. The most common barriers to completion were difficulty reaching the veteran by phone, patient declining the intervention, and rehospitalization during the 30 days post-discharge. Care transitions guided by social workers may be a promising way to improve patient activation. However, future research and practice should address barriers to completion and examine the impact of increased patient activation on health outcomes.
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DOI：
10.3122/jabfm.2021.02.200332
发表时间：
2021-03
影响因子：
2.9
作者：
Augustine, Matthew R.;Mason, Tanieka;Baim-Lance, Abigail;Boockvar, Kenneth
通讯作者：
Boockvar, Kenneth
DOI：
10.1046/j.1532-5415.2003.51185.x
发表时间：
2003-04-01
影响因子：
6.3
作者：
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通讯作者：
Coleman, EA
影响因子：
4.4
作者：
Mills, Llewellyn;Meiser, Bettina;Mitchell, Philip B.
通讯作者：
Mitchell, Philip B.
影响因子：
12.7
作者：
Grady, Patricia A.;Gough, Lisa Lucio
通讯作者：
Gough, Lisa Lucio
影响因子：
6.3
作者：
Greysen, S. Ryan;Hoi-Cheung, Doug;Kushel, Margot
通讯作者：
Kushel, Margot