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The VA examples GRECC Connect and Clinical Resource Hubs depend on referring clinicians understanding geriatricians’ roles and valuing interdisciplinary geriatric care. Qualitative interviews (2020–2024) explored barriers and facilitators for setting up virtual geriatric services and sustaining adoption. Users often found services beneficial, yet many potential referrers were unsure about added value, requiring ongoing education and marketing to spoke sites to maintain use. Promoting clarity on services is key to ensuring evidence-based access for rural Veterans.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/uncertainty-about-geriatricians-roles-limits-access-to-essential-care-for-rural-veterans-abstract/428776/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/uncertainty-about-geriatricians-roles-limits-access-to-essential-care-for-rural-veterans-abstract/428776.png","ImageObject",300,407,{"name":92,"@type":93},"Mafia Boss","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":52},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Why are tele-health hub-and-spoke models used for rural Veterans?","Question",{"text":112,"@type":113},"They address the shortage of specialty care clinicians by connecting rural patients with urban specialists through telemedicine platforms.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What programs in the VA support access to geriatrics via telemedicine?",{"text":117,"@type":113},"GRECC Connect (GC) provides access to multidisciplinary geriatrics teams, and Clinical Resource Hubs (CRH) provide remote access to primary, specialty, and mental health clinicians.",{"name":119,"@type":110,"acceptedAnswer":120},"What challenge limited adoption of virtual geriatric services?",{"text":121,"@type":113},"Many potential referring clinicians and spoke-site staff were unsure what value geriatricians or geriatric teams would add beyond their existing knowledge.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},428776,1790794056,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":52,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":81,"preview_page_count":4},962090760730,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","364 Innovation in Aging, 2025, Vol. 9, No. S2  \nAbstract citation ID: igaf122.1229  \nUNCERTAINTY ABOUT GERIATRICIANS’ ROLES  \nLIMITS ACCESS TO ESSENTIAL CARE FOR RURAL  \nVETERANS  \nEileen Dryden1, Jessica Riley2, Lauren Moo3, Meaghan Kennedy4, Camilla Pimentel4, and William Hung5, 1. Veterans Health Administration, Bedford, Massachusetts, United States,  \n2. Veterans Health Administration, Quincy, Massachusetts, United States, 3. VA Bedford Healthcare System, Bedford, Massachusetts, United States, 4. VA Bedford Health Care System, Bedford, Massachusetts, United States, 5. James J Peters VA Medical Center, New York, New York, United States  \nTele-health hub-and-spoke models, where urban specialists provide care for rural patients via telemedicine platforms, are oneway to address the dearth of specialty care clinicians in rural areas.  \nTwo examples at the VA are GRECC Connect (GC), a program that provides rural patients access to multidisciplinary geriatrics teams, and Clinical Resource Hubs (CRH), a program that provides remote access to individual primary, specialty, and mental health clinicians. Both rely on clinicians making referrals to them for their older, medically complex patients. Built into this model is the assumption that referring clinicians understand what geriatricians do and place value on interdisciplinary geriatric care. As part of an ongoing evaluation of GC, between 2020-2024 we conducted qualitative interviews with directors, clinicians, and staff from 17 GC hub sites, four CRHs, and 13 referring clinics about these geriatric telemedicine services. We explored barriersand facilitators to establishing virtual geriatric services, promoting their uptake, and sustaining their use. While those that had used geriatric services for their patients generally found them beneficial, many potential referring clinicians and staff from ‘spoke’ sites seemed unsure what value geriatricians or geriatric teams would provide beyond their own knowledge. Given this, clinicians and staff from the CRH and GC‘hubs’ provided substantial amounts of ongoing geriatric education and marketing to‘spoke’ clinicians and staff to maintain use of their geriatric services. Promoting understanding of what geriatric services are and how they can benefit patients is essential for ensuring older, rural Veterans have access to evidenced-based geriatric services.","cbCaipfZdfz1pcGw","https://ap.wps.com/l/cbCaipfZdfz1pcGw","pdf",366822,"English","# Abstract\n## Background\n## VA Programs and Assumptions\n## Methods (2020–2024 Interviews)\n## Findings (Barriers and Facilitators)\n## Implications for Access to Evidence-Based Care","[{\"question\":\"Why are tele-health hub-and-spoke models used for rural Veterans?\",\"answer\":\"They address the shortage of specialty care clinicians by connecting rural patients with urban specialists through telemedicine platforms.\"},{\"question\":\"What programs in the VA support access to geriatrics via telemedicine?\",\"answer\":\"GRECC Connect (GC) provides access to multidisciplinary geriatrics teams, and Clinical Resource Hubs (CRH) provide remote access to primary, specialty, and mental health clinicians.\"},{\"question\":\"What challenge limited adoption of virtual geriatric services?\",\"answer\":\"Many potential referring clinicians and spoke-site staff were unsure what value geriatricians or geriatric teams would add beyond their existing knowledge.\"}]","Uncertainty About Geriatricians’ Roles - Limits Access to Essential Care for Rural Veterans - Abstract | PDF",1790647647]