Changing the location of care: Management of patients with chronic conditions in Veterans Health Administration using care coordination/home telehealth
“…This disparity in program sizes was due to the fact that each HT program was initiated locally, and the enrolled patient number was dependent on starting date, effectiveness of recruitment activities, and type of patient targeted. 28 This retrospective cohort study used secondary data from two VA databases. After Institutional Review Board approvals were obtained, subjects were identified through the VA Austin Information Technology Center.…”
Program and patient characteristics warrant further study as potential predictors of HT device adherence. Additional research is also needed to further examine the relationships between HT device adherence and various outcomes.
“…This disparity in program sizes was due to the fact that each HT program was initiated locally, and the enrolled patient number was dependent on starting date, effectiveness of recruitment activities, and type of patient targeted. 28 This retrospective cohort study used secondary data from two VA databases. After Institutional Review Board approvals were obtained, subjects were identified through the VA Austin Information Technology Center.…”
Program and patient characteristics warrant further study as potential predictors of HT device adherence. Additional research is also needed to further examine the relationships between HT device adherence and various outcomes.
“…We concur with this vision; however, we also advocate for a more process-oriented perspective on access to care and disease management, focusing on potential ways that these programs could be integrated in a complementary manner. Table 3 presents a series of healthcare elements-resources, processes, and activities that are an inherent part of managing health-and the various functionalities of the CCHT and MHV programs that map to each element 27,34,35,43 . Although there is some overlap, we suggest how the respective functions provided by the two programs might be drawn upon in combination to enhance different healthcare elements, including access to care.…”
Section: Va's My Healthevet (Mhv) Personal Health Record (Phr) Portalmentioning
“…Technological innovations such as teleconferencing and Internet messaging are better studied in other areas, such as chronic-disease monitoring [73][74]. They provide a promising approach, however, for long-term care and support for families by bridging barriers due to geography, lack of specialty care, or lack of supportive social networks among families in similar situations [75][76].…”
Abstract-Although research shows that caring for a family member with chronic disease or disability can cause significant distress for caregivers, it also shows that families that function well and adequately support patients can improve the quality of life and health outcomes for their ill or disabled family member. Currently, little knowledge exists about how families function and cope after a loved one has sustained polytrauma, the multiple traumatic injuries that often include traumatic brain injury (TBI). We summarize the polytrauma and TBI research about family needs during rehabilitation and recovery, describe current efforts to improve family-centered care, and detail approaches for understanding family resilience and the longterm consequences of injuries on families. We conclude with recommendations for future research in inpatient and outpatient settings where evidence has been limited for families of patients with TBI and is nonexistent for families of patients with polytrauma. Understanding many of these issues will help to better inform families of policies for benefits and resources and help researchers and clinicians plan for appropriate interventions.
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