Perceptions of Telehospitalist Services to Address Staffing Needs in Rural and Low Complexity Hospitals in the Veterans Health Administration.
hospitalist
rural health
telehospitalist
telemedicine
veterans
Journal
The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association
ISSN: 1748-0361
Titre abrégé: J Rural Health
Pays: England
ID NLM: 8508122
Informations de publication
Date de publication:
06 2020
06 2020
Historique:
pubmed:
17
12
2019
medline:
10
8
2021
entrez:
17
12
2019
Statut:
ppublish
Résumé
Rural hospitals are disproportionally affected by physician shortages and struggle to staff inpatient services. Telemedicine presents an opportunity to address staffing problems and bring the advantages of hospital medicine to rural areas. In this study we surveyed administrators from 34 rural and low complexity hospitals in the Veterans Health Administration (VHA) to evaluate staffing needs and perceptions of a potential telehospitalist service. Of the 25 respondent facilities (74% response rate), 96% reported vacancies that resulted in staffing difficulties within the last 3 years and 84% relied on intermittent providers to staff their inpatient services in the last year. Almost two-thirds of respondents thought that a telehospitalist service could help address their staffing needs and 72% were interested in participating in a pilot program. The results of this study corroborate staffing challenges in rural hospitals within VHA and support the use of alternative staffing models like a telehospitalist service to address intermittent and long-term staffing needs.
Types de publication
Journal Article
Research Support, U.S. Gov't, Non-P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
355-359Informations de copyright
© 2019 National Rural Health Association.
Références
Fordyce MA, Chen FM, Doescher MP, Hart LG. 2005 Physician Supply and Distribution in Rural Areas of the United States. Seattle, WA: WWAMI: The Rural Health Working Paper Series; 2007(116).
MacDowell M, Glasser M, Fitts M, Nielsen K, Hunsaker M. A national view of rural health workforce issues in the USA. Rural Remote Health. 2010;10(3):1531.
Iversen L, Farmer JC, Hannaford PC. Workload pressures in rural general practice: a qualitative investigation. Scand J Prim Health Care. 2002;20(3):139-144.
Association of American Medical Colleges. The Complexities of Physician Supply and Demand: Projections Through 2025. Washington, DC: IHS Markit Ltd; 2010.
Peterson MC. A systematic review of outcomes and quality measures in adult patients cared for by hospitalists vs nonhospitalists. Mayo Clin Proc. 2009;84(3):248-254.
Casey MM, Hung P, Moscovice I, Prasad S. The use of hospitalists by small rural hospitals: results of a national survey. Med Care Res Rev. 2014;71(4):356-366.
Sood S, Mbarika V, Jugoo S, et al. What is telemedicine? A collection of 104 peer-reviewed perspectives and theoretical underpinnings. Telemed J E Health. 2007;13(5):573-590.
Sanders RB, Simpson KN, Kazley AS, Giarrizzi DP. New hospital telemedicine services: potential market for a nighttime telehospitalist service. Telemed J E Health. 2014;20(10):902-908.
Kuperman E, Linson E, Klefstad K, Glenn K. Utilization of virtual hospitalists to address staffing needs at critical access hospitals. [abstract]. J Hosp Med. 2017;12(suppl 2). Abstract 233.
Helseth C. Technology widens care options for rural hospitals. The Rural Monitor; 2014. https://www.ruralhealthinfo.org/rural-monitor/technology-widens-care-options/. Accessed May 29, 2018.
Russo JE, McCool RR, Davies L. VA telemedicine: an analysis of cost and time savings. Telemed J E Health. 2016;22(3):209-215.
Cowper Ripley D, Ahern J, Litt E, Wilson L. Rural Veterans Health Care Atlas, 2nd ed. FY-2015. Washington, DC: VHA Office of Rural Health, Department of Veterans Affairs; 2017.
AlDossary S, Martin-Khan MG, Bradford NK, Armfield NR, Smith AC. The development of a telemedicine planning framework based on needs assessment. J Med Syst. 2017;41(5):74.
United States, Department of Veterans Affairs. National Bed Control Database and Workload Profile. Retrieved from Organization's Secure Intranet: Veterans Health Administration; 2018.
Patton MQ. Qualitative Research & Evaluation Methods, 3rd ed. Thousand Oaks, CA: SAGE Publications, Inc.; 2002.
Beresford L. Rural Hospitalists Face Myriad Challenges, Rewards. Hospitalist. 2012;2012(7).
Quinn R. The pros and cons of locum tenens for hospitalists; 2012. https://www.the-hospitalist.org/hospitalist/article/124988/pros-and-cons-locum-tenens-hospitalists. Accessed May 29, 2018.
Blumenthal DM, Olenski AR, Tsugawa Y, Jena AB. Association between treatment by locum tenens internal medicine physicians and 30-day mortality among hospitalized Medicare beneficiaries. JAMA. 2017;318(21):2119-2129.
Jennett PA, Hall LA, Hailey D, et al. The socio-economic impact of telehealth: a systematic review. J Telemed Telec. 2003;9(6):311-320.
Meterko M, Restuccia JD, Stolzmann K, et al. Response rates, nonresponse bias, and data quality: results from a National Survey of Senior Healthcare Leaders. Public Opin Q. 2015;79(1):130-144.