Factors Influencing the Adoption of Telemedicine for Treatment of Military Veterans with Post-Traumatic Stress Disorder
|dc.contributor.author||Kruse, Clemens S. ( 0000-0002-7636-1086 )|
|dc.contributor.author||Atkins, James M. ( )|
|dc.contributor.author||Baker, Tiffany D. ( )|
|dc.contributor.author||Gonzales, Estefania N. ( )|
|dc.contributor.author||Paul, Jennifer L. ( )|
|dc.contributor.author||Brooks, Matthew ( )|
|dc.identifier.citation||Kruse, C. S., Atkins, J. M., Baker, T. D., Gonzales, E. N., Paul, J. L., & Brooks, B. (2018). Factors influencing the adoption of telemedicine for treatment of military veterans with post-traumatic stress disorder. Journal of Rehabilitation Medicine, 50(5), pp. 385-392.||en_US|
Background: Military veterans returning from a combat zone often face mental health challenges as a result of traumatic experiences. The veteran in the United States has been underdiagnosed and underserved. Since its advancement in the 1990s, telemedicine has become a more prevalent means of delivering services for post-traumatic stress disorder among veterans in the United States, but its adoption is not ubiquitous.
Objective: To clarify the association of telemedicine and the treatment of veterans with post-traumatic stress disorder through identification of facilitators and barriers to the adoption of the modality.
Methods: Reviewers analysed articles from CINAHL and PubMed databases, using relative key words, selecting the 28 most germane to the study objective.
Results: The most common adoption facilitators were: improving access to rural populations of veterans (22%), effective treatment outcomes (16%), and decreased costs related to care (13%). The most prevalent barriers were: veterans lacking access to necessary modalities (25%), availability of physicians competent in post-traumatic stress disorder treatment (20%), and complications with technology (20%). Five themes surfaced for facilitators: accessibility, effectiveness, cost reduction, positive patient perception, and supportive community; and 5 themes for barriers: access to technology, technical complications, physician availability, negative patient perception, and uninformed patients.
Conclusion: This literature review identifies cost and outcomes-effectiveness. The association of telemedicine with the treatment of veterans with post-traumatic stress disorder is feasible, beneficial and effective.
|dc.format.medium||1 file (.pdf)|
|dc.publisher||Foundation for Rehabilitation Information||en_US|
|dc.source||Journal of Rehabilitation Medicine, 2018, Vol. 50, No. 5, pp. 385-392|
|dc.subject||Post-traumatic stress disorder|
|dc.title||Factors Influencing the Adoption of Telemedicine for Treatment of Military Veterans with Post-Traumatic Stress Disorder||en_US|