Integration of Women Veterans into VA Quality Improvement Research Efforts: What Researchers Need to Know

Yano, Elizabeth M.; Hayes, Patricia M.; Wright, Steve; Schnurr, Paula P.; Lipson, Linda; Bean-Mayberry, Bevanne; Washington, Donna L.

doi:10.1007/s11606-009-1116-4

Cited by 104 publications

(78 citation statements)

References 31 publications

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“…PACT outcomes should be reported by gender to identify intervention opportunities for reducing gender disparities in care. 36 Gender-sensitive measures of women veterans' experiences with PACT care should also be used to tailor PC to meet their needs. 37,38 Research-clinical partnerships may also help accelerate testing of innovative approaches to delivering the fundamental tenets of PACT to special populations, bringing evidence-based approaches to bear on these issues.…”

Section: Resultsmentioning

confidence: 99%

Delivery of Gender-Sensitive Comprehensive Primary Care to Women Veterans: Implications for VA Patient Aligned Care Teams

2014

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The Veterans Health Administration (VA) has undertaken a major initiative to transform primary care delivery through implementation of Patient Aligned Care Teams (PACTs). Based on the patient-centered medical home concept, PACTs aim to improve access, continuity, coordination, and comprehensiveness using teambased care that is patient driven and patient centered. However, how PACT principles should be applied to meet the needs of special populations, including women veterans, is not entirely clear. While historical differences in military participation meant women veterans were rarely seen in VA healthcare settings, they now represent the fastest growing segment of new VA users. They also have complex healthcare needs, adding gender-specific services and other needs to the spectrum of services that the VA must deliver. These trends are changing the VA landscape, introducing challenges to how VA care is organized, how VA providers need to be trained, and how VA considers implementation of new initiatives, such as PACT. We briefly describe the evolution of VA primary care delivery for women veterans, review VA policy for delivering gender-sensitive comprehensive primary care for women, and discuss the challenges that women veterans' needs pose in the context of PACT implementation. We conclude with recommendations for addressing some of these challenges moving forward.KEY WORDS: primary care; women's health; veterans.

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Section: Resultsmentioning

confidence: 99%

Delivery of Gender-Sensitive Comprehensive Primary Care to Women Veterans: Implications for VA Patient Aligned Care Teams

2014

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“…Female Veterans, whose use of VA healthcare has almost doubled in the last decade, are the fastest growing subset of the Veteran population [2]. It is projected that women will comprise 10 percent of the population treated in the VA by 2018 and over 14 percent by 2033 [3]. Female Veterans are younger on average than men, with 42 percent between the ages of 18 and 44, while only 13 percent of males are under 45 [2].…”

Section: Introductionmentioning

confidence: 99%

Sex differences between Veterans participating in interdisciplinary chronic pain rehabilitation

2016

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Abstract-The improved management of pain among the growing number of female Veterans receiving care through the Veterans Health Administration has been established as a priority, but studies suggest that females may respond differently to pain treatment. This study explored differences between female and male Veterans engaged in a Chronic Pain Rehabilitation Program and determined how female and male Veterans change following participation. Veterans (N = 324) in a 3 wk inpatient program completed self-report measures at admission, discharge, and 3 mo follow-up. Participants were 21% female (n = 67) and 79% male (n = 257). Compared with males, females were younger and less likely to be white or married/partnered. Females reported shorter pain duration and were more likely to have primary head or limb pain. At admission, fewer females were prescribed opioids than males and at lower doses. After opioid cessation in the program, however, there were no significant differences in use between the sexes at follow-up. Improvements in a range of domains were sustained at follow-up for both sexes, but females did not maintain gains in pain intensity or sleep while males reported more painrelated fear at discharge and follow-up. This study adds to the literature on sex-specific variations in chronic pain and implications for treatment.

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“…There are at present more than 1.8 million U.S. female veterans, comprising 8% of the total veteran population. [4][5][6] By 2036, it is projected that the proportion of female veterans will reach 15% (Fig. 1).…”

Section: Introductionmentioning

confidence: 99%

High-Risk Behavior and Sexually Transmitted Infections Among U.S. Active Duty Servicewomen and Veterans

Goyal

Mattocks

Sadler

2012

Journal of Women's Health

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The number of women who are active duty service members or veterans of the U.S. military is increasing. Studies among young, unmarried, active duty servicewomen who are sexually active indicate a high prevalence of risky sexual behaviors, including inconsistent condom use, multiple sexual partners, and binge drinking, that lead to unintended and unsafe sex. These high-risk sexual practices likely contribute to chlamydia infection rates that are higher than the rates in the U.S. general population. Human papillomavirus (HPV) infection and cervical dysplasia may also be higher among young, active duty servicewomen. Little is known about the sexual practices and rates of sexually transmitted infections among older servicewomen and women veterans; however, women veterans with a history of sexual assault may be at high risk for HPV infection and cervical dysplasia. To address the reproductive health needs of military women, investigations into the prevalence of unsafe sexual behaviors and consequent infection among older servicewomen and women veterans are needed. Direct comparison of military and civilian women is needed to determine if servicewomen are a truly high-risk group. Additionally, subgroups of military women at greatest risk for these adverse reproductive health outcomes need to be identified.

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Integration of Women Veterans into VA Quality Improvement Research Efforts: What Researchers Need to Know

Cited by 104 publications

References 31 publications

Delivery of Gender-Sensitive Comprehensive Primary Care to Women Veterans: Implications for VA Patient Aligned Care Teams

Delivery of Gender-Sensitive Comprehensive Primary Care to Women Veterans: Implications for VA Patient Aligned Care Teams

Sex differences between Veterans participating in interdisciplinary chronic pain rehabilitation

High-Risk Behavior and Sexually Transmitted Infections Among U.S. Active Duty Servicewomen and Veterans

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