PDF(Pubmed)
Abstract：
In the unique context of rural Veterans\' health care needs, expansion of US Department of Veterans Affairs and Community Care programs under the MISSION Act, and the uncertainties of coronavirus disease 2019 (COVID-19), it is critical to understand what may support effective interorganizational care coordination for increased access to high-quality care.
We conducted a systematic review to examine the interorganizational care coordination initiatives that Veterans Affairs (VA) and community partners have pursued in caring for rural Veterans, including challenges and opportunities, organizational domains shaping care coordination, and among these, initiatives that improve or impede health care outcomes.
We followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines to search 2 electronic databases (PubMed and Embase) for peer-reviewed articles published between January 2009 and May 2020. Building on prior research, we conducted a systematic review.
Sixteen articles met our criteria. Each captured a unique health care focus while examining common challenges. Four organizational domains emerged: policy and administration, culture, mechanisms, and relational practices. Exemplars highlight how initiatives improve or impede rural health care delivery.
This is the first systematic review, to our knowledge, examining interorganizational care coordination of rural Veterans by VA and Community Care programs. Results provide exemplars of interorganizational care coordination domains and program effectiveness. It suggests that partners\' efforts to align their coordination domains can improve health care, with rurality serving as a critical contextual factor. Findings are important for policies, practices, and research of VA and Community Care partners committed to improving access and health care for rural Veterans.
We conducted a systematic review to examine the interorganizational care coordination initiatives that Veterans Affairs (VA) and community partners have pursued in caring for rural Veterans, including challenges and opportunities, organizational domains shaping care coordination, and among these, initiatives that improve or impede health care outcomes.
We followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines to search 2 electronic databases (PubMed and Embase) for peer-reviewed articles published between January 2009 and May 2020. Building on prior research, we conducted a systematic review.
Sixteen articles met our criteria. Each captured a unique health care focus while examining common challenges. Four organizational domains emerged: policy and administration, culture, mechanisms, and relational practices. Exemplars highlight how initiatives improve or impede rural health care delivery.
This is the first systematic review, to our knowledge, examining interorganizational care coordination of rural Veterans by VA and Community Care programs. Results provide exemplars of interorganizational care coordination domains and program effectiveness. It suggests that partners\' efforts to align their coordination domains can improve health care, with rurality serving as a critical contextual factor. Findings are important for policies, practices, and research of VA and Community Care partners committed to improving access and health care for rural Veterans.
摘要：
在农村退伍军人医疗保健需求的独特背景下，根据《使命法》扩大美国退伍军人事务部和社区护理计划，以及2019年冠状病毒病的不确定性（COVID-19），了解什么可以支持有效的组织间护理协调以增加获得高质量护理的机会至关重要.
我们进行了系统的审查，以检查退伍军人事务部（VA）和社区合作伙伴在照顾农村退伍军人方面所采取的组织间护理协调举措，包括挑战和机遇，组织领域塑造护理协调，其中，改善或阻碍医疗保健结果的举措。
我们遵循系统评论和荟萃分析（PRISMA）指南的首选报告项目，以搜索2个电子数据库（PubMed和Embase），查找2009年1月至2020年5月之间发表的同行评审文章。在先前研究的基础上，我们进行了系统的审查。
16篇文章符合我们的标准。每个人都抓住了独特的医疗保健重点，同时研究了共同的挑战。出现了四个组织领域：政策和行政，文化,机制,和关系实践。示例强调了举措如何改善或阻碍农村医疗保健的提供。
这是第一次系统综述,根据我们的知识，通过VA和社区护理计划检查农村退伍军人的组织间护理协调。结果提供了组织间护理协调领域和计划有效性的范例。这表明合作伙伴调整协调领域的努力可以改善医疗保健，将农村作为一个关键的背景因素。调查结果对政策很重要，实践,VA和社区护理合作伙伴的研究致力于改善农村退伍军人的获取和医疗保健。
我们进行了系统的审查，以检查退伍军人事务部（VA）和社区合作伙伴在照顾农村退伍军人方面所采取的组织间护理协调举措，包括挑战和机遇，组织领域塑造护理协调，其中，改善或阻碍医疗保健结果的举措。
我们遵循系统评论和荟萃分析（PRISMA）指南的首选报告项目，以搜索2个电子数据库（PubMed和Embase），查找2009年1月至2020年5月之间发表的同行评审文章。在先前研究的基础上，我们进行了系统的审查。
16篇文章符合我们的标准。每个人都抓住了独特的医疗保健重点，同时研究了共同的挑战。出现了四个组织领域：政策和行政，文化,机制,和关系实践。示例强调了举措如何改善或阻碍农村医疗保健的提供。
这是第一次系统综述,根据我们的知识，通过VA和社区护理计划检查农村退伍军人的组织间护理协调。结果提供了组织间护理协调领域和计划有效性的范例。这表明合作伙伴调整协调领域的努力可以改善医疗保健，将农村作为一个关键的背景因素。调查结果对政策很重要，实践,VA和社区护理合作伙伴的研究致力于改善农村退伍军人的获取和医疗保健。
