Article

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.
- Télérééducation

Langue : ANGLAIS