Improving Veteran Engagement with Virtual Care Technologies: a Veterans Health Administration State of the Art Conference Research Agenda.

Autor: Haderlein TP; VHA HSR&D Center for the Study of Healthcare Innovation, Implementation, & Policy, Los Angeles, CA, USA. Taona.Haderlein@va.gov.; Department of Veterans Affairs, Veterans Emergency Management Evaluation Center, Sepulveda, CA, USA. Taona.Haderlein@va.gov., Guzman-Clark J; Southern Arizona VA Health Care System, Tucson, AZ, USA., Dardashti NS; NYU Grossman School of Medicine, New York, NY, USA.; VA New York Harbor Healthcare System, New York, NY, USA., McMahon N; Center for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, Bedford, MA, USA., Duran EL; VA New York Harbor Healthcare System, New York, NY, USA., Haun JN; Research and Development Service, James A. Haley Veterans Hospital, Tampa, FL, USA.; Division of Epidemiology, Department of Internal Medicine, University of Utah, Salt Lake City, UT, USA., Robinson SA; Center for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, Bedford, MA, USA.; The Pulmonary Center, Boston University School of Medicine, Boston, MA, USA., Blok AC; VA Center for Clinical Management Research, VA Ann Arbor Healthcare System, United States Department of Veterans Affairs, Ann Arbor, MI, USA.; Department of Systems, Populations and Leadership, University of Michigan School of Nursing, Ann Arbor, MI, USA., Cutrona SL; Center for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, Bedford, MA, USA.; Department of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School, Worcester, MA, USA., Lindsay JA; Houston VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, Houston, TX, USA.; South Central Mental Illness Research, Education and Clinical Center (A Virtual Center), Houston, TX, USA.; Baylor College of Medicine, Houston, TX, USA.; Rice University's Baker Institute for Public Policy, Houston, TX, USA., Armstrong CM; Connected Health Implementation Strategies, Office of Connected Care, Veterans Health Administration, Washington, DC, USA., Nazi KM; Trilogy Federal, LLC, Arlington, VA, USA.; KMN Consulting Services, LTD, Coxsackie, NY, USA., Shimada SL; Center for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, Bedford, MA, USA.; Department of Health Law, Policy and Management, Boston University School of Public Health, Boston, MA, USA.; Division of Health Informatics and Implementation Science, Department of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School, Worcester, MA, USA., Wilck NR; Connected Health Implementation Strategies, Office of Connected Care, Veterans Health Administration, Washington, DC, USA., Reilly E; VISN 1 Mental Illness Research, Education, and Clinical Center (MIRECC), VA Bedford Healthcare System, Bedford, MA, USA.; University of Massachusetts Chan Medical School, Worcester, MA, USA., Kuhn E; National Center for PTSD, Dissemination and Training Division, VA Palo Alto Healthcare System, Menlo Park, CA, USA.; Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA, USA., Hogan TP; Center for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, Bedford, MA, USA.; Peter O'Donnell School of Public Health, UT Southwestern Medical Center, Dallas, TX, USA.
Jazyk: angličtina
Zdroj: Journal of general internal medicine [J Gen Intern Med] 2024 Feb; Vol. 39 (Suppl 1), pp. 21-28. Date of Electronic Publication: 2024 Jan 22.
DOI: 10.1007/s11606-023-08488-7
Abstrakt: Although the availability of virtual care technologies in the Veterans Health Administration (VHA) continues to expand, ensuring engagement with these technologies among Veterans remains a challenge. VHA Health Services Research & Development convened a Virtual Care State of The Art (SOTA) conference in May 2022 to create a research agenda for improving virtual care access, engagement, and outcomes. This article reports findings from the Virtual Care SOTA engagement workgroup, which comprised fourteen VHA subject matter experts representing VHA clinical care, research, administration, and operations. Workgroup members reviewed current evidence on factors and strategies that may affect Veteran engagement with virtual care technologies and generated key questions to address evidence gaps. The workgroup agreed that although extensive literature exists on factors that affect Veteran engagement, more work is needed to identify effective strategies to increase and sustain engagement. Workgroup members identified key priorities for research on Veteran engagement with virtual care technologies through a series of breakout discussion groups and ranking exercises. The top three priorities were to (1) understand the Veteran journey from active service to VHA enrollment and beyond, and when and how virtual care technologies can best be introduced along that journey to maximize engagement and promote seamless care; (2) utilize the meaningful relationships in a Veteran's life, including family, friends, peers, and other informal or formal caregivers, to support Veteran adoption and sustained use of virtual care technologies; and (3) test promising strategies in meaningful combinations to promote Veteran adoption and/or sustained use of virtual care technologies. Research in these priority areas has the potential to help VHA refine strategies to improve virtual care user engagement, and by extension, outcomes.
(© 2023. The Author(s).)
Databáze: MEDLINE
Externí odkaz: