Cultural Transformation in Healthcare: How Well Does the Veterans Health Administration Vision for Whole Person Care Fit the Needs of Patients at an Academic Rehabilitation Center?

[摘要] Background: The Veterans Health Administration is undergoing a cultural transformation toward person-driven care referredto as the Whole Health System of Care.Objective: This pilot study evaluated whether the Whole Health model resonates with patients of a large public universityrehabilitation clinic.Methods: Thirty participants completed the Veterans Health Administration’s Personal Health Inventory (PHI), and sixattended the course “Taking Charge of My Life and Health.” Researchers analyzed PHI responses and post-course focus grouptranscripts. A short post-PHI survey and post-course evaluation were collected.Results: Participants agreed the PHI is a simple, useful tool. The course, while well attended, did not meet participants’expectations. Participants wanted access to integrative therapies and opportunities to contribute to healthcare transformation.Conclusion: Rehabilitation patients resonated with the Whole Health vision. They expressed enthusiasm for the culturaltransformation represented by the model along with frustration that standard healthcare experiences fall short of this vision.

[学科分类] 林业科学

[关键词] whole health;mind-body;health care;holistic care;integrative medicine;lifestyle;transformation