Supporting the implementation of connected care technologies in the Veterans Health Administration: Cross-sectional survey findings from the Veterans Engagement with Technology Collaborative (VET-C) cohort

作     者：Etingen, Bella Amante, Daniel J. Martinez, Rachael N. Smith, Bridget M. Shimada, Stephanie L. Richardson, Lorilei Patterson, Angela Houston, Thomas K. Frisbee, Kathleen L. Hogan, Timothy P. 

作者机构：eHealth Partnered Evaluation Initiative Edith Nourse Rogers Memorial Veterans Hospital Bedford MA United States Center of Innovation for Complex Chronic Healthcare Hines Veterans Affairs Hospital 5000 5th Ave Hines 60141 IL United States Division of Health Informatics and Implementation Science Department of Population and Quantitative Health Sciences University of Massachusetts Medical School Worcester MA United States Northwestern University Feinberg School of Medicine Chicago IL United States Center for Healthcare Organization and Implementation Research Edith Nourse Rogers Memorial Veterans Hospital Bedford MA United States Department of Health Law Policy and Management Boston University School of Public Health Boston MA United States Office of Connected Care Veterans Health Administration US Department of Veterans Affairs Washington DC United States Department of Population and Data Sciences University of Texas Southwestern Medical Center Dallas TX United States 

出 版 物：《Journal of Participatory Medicine》 (J. Particip. Med.)

年 卷 期：2020年第12卷第3期

页      面：e21214页

基　　金：Office of Connected Care U.S. Department of Veterans Affairs, VA Office of Research and Development, ORD, (PEC 15-470) 

主　　题：EHealth Mobile health Patient engagement Telehealth Veterans 

摘      要：Background: Widespread adoption, use, and integration of patient-facing technologies into the workflow of health care systems has been slow, thus limiting the realization of their potential. A growing body of work has focused on how best to promote adoption and use of these technologies and measure their impacts on processes of care and outcomes. This body of work currently suffers from limitations (eg, cross-sectional analyses, limited patient-generated data linked with clinical records) and would benefit from institutional infrastructure to enhance available data and integrate the voice of the patient into implementation and evaluation efforts. Objective: The Veterans Health Administration (VHA) has launched an initiative called the Veterans Engagement with Technology Collaborative cohort to directly address these challenges. This paper reports the process by which the cohort was developed and describes the baseline data being collected from cohort members. The overarching goal of the Veterans Engagement with Technology Collaborative cohort is to directly engage veterans in the evaluation of new VHA patient-facing technologies and in so doing, to create new infrastructure to support related quality improvement and evaluation activities. Methods: Inclusion criteria for veterans to be eligible for membership in the cohort included being an active user of VHA health care services, having a mobile phone, and being an established user of existing VHA patient-facing technologies as represented by use of the secure messaging feature of VHA’s patient portal. Between 2017 and 2018, we recruited veterans who met these criteria and administered a survey to them over the telephone. Results: The majority of participants (N=2727) were male (2268/2727, 83.2%), White (2226/2727, 81.6%), living in their own apartment or house (2519/2696, 93.4%), and had completed some college (1176/2701, 43.5%) or an advanced degree (1178/2701, 43.6%). Cohort members were 59.9 years old, on averag