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Impacts of COVID-19 on Health and Healthcare for Rural Veterans in Home-Based Primary Care

Overview
Journal J Appl Gerontol
Date 2023 Oct 6
PMID 37801727
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Abstract

This qualitative study explored the impact of COVID-19 on older rural-dwelling veterans and their caregivers enrolled in home-based primary care (HBPC) through the Birmingham VA Health Care System (BVAHCS). Phone interviews were conducted with 16 veterans and/or their caregivers and rapid qualitative analysis of interview notes was performed. Average age of veterans was 77 (range = 69-97) and 93.7% were white males. Despite a significant number of co-morbidities, 68.8% reported minimal adverse impacts of COVID-19 on overall physical and mental health. Like many healthcare teams, the inter-disciplinary VA HBPC team incorporated Telehealth during COVID-19. Telehealth utilization varied among the 16 participants, with 50% using telehealth independently, 37.5% needing assistance, and 12% lacking access. Our findings are consistent with prior research that identifies resilient characteristics as potentially protective in this high-risk older veteran population during the COVID-19 pandemic.

References
1.
Padala K, Wilson K, Gauss C, Stovall J, Padala P . VA Video Connect for Clinical Care in Older Adults in a Rural State During the COVID-19 Pandemic: Cross-Sectional Study. J Med Internet Res. 2020; 22(9):e21561. PMC: 7537724. DOI: 10.2196/21561. View

2.
Pietrzak R, Levy B, Tsai J, Southwick S . Successful Aging in Older US Veterans: Results From the 2019-2020 National Health and Resilience in Veterans Study. Am J Geriatr Psychiatry. 2020; 29(3):251-256. PMC: 10697787. DOI: 10.1016/j.jagp.2020.08.006. View

3.
Gale N, Heath G, Cameron E, Rashid S, Redwood S . Using the framework method for the analysis of qualitative data in multi-disciplinary health research. BMC Med Res Methodol. 2013; 13:117. PMC: 3848812. DOI: 10.1186/1471-2288-13-117. View

4.
Ritchie C, Gallopyn N, Sheehan O, Sharieff S, Franzosa E, Gorbenko K . COVID Challenges and Adaptations Among Home-Based Primary Care Practices: Lessons for an Ongoing Pandemic from a National Survey. J Am Med Dir Assoc. 2021; 22(7):1338-1344. PMC: 8184288. DOI: 10.1016/j.jamda.2021.05.016. View

5.
Hogan J, Amspoker A, Walder A, Hamer J, Lindsay J, Ecker A . Differential Impact of COVID-19 on the Use of Tele-mental Health Among Veterans Living in Urban or Rural Areas. Psychiatr Serv. 2022; 73(12):1393-1396. DOI: 10.1176/appi.ps.202100363. View