Article
Education & Educational Research
Claire Quilliam, Anna Wong Shee, Denise Corboy, Kristen Glenister, Olivia King, Kevin Mc Namara, Laura Alston, Drew Aras, Alison Beauchamp, Carol McKinstry
Summary: The aim of this study was to identify the characteristics of research training for rural health professionals in Victoria, Australia. The study found that the quality and relevance of research training varied, and barriers such as costs and lack of tailoring to the rural context were identified. Health service and government policies, structures, and processes also played a role in facilitating or hindering the implementation of research training.
BMC MEDICAL EDUCATION
(2023)
Article
Health Care Sciences & Services
Joya G. Chrystal, Karen E. Dyer, Cynthia E. Gammage, Ruth S. Klap, Diane Carney, Susan M. Frayne, Elizabeth M. Yano, Alison B. Hamilton
Summary: Increasing engagement of women Veterans in women's health research is important for improving their healthcare. Utilizing VA's patient-facing portals can help overcome barriers and promote meaningful participation, leading to better care for future generations of women Veterans.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2022)
Article
Medicine, General & Internal
Somporn Rungreangkulkij, Ameporn Ratinthorn, Pisake Lumbiganon, Rana Islamiah Zahroh, Claudia Hanson, Alexandre Dumont, Myriam de Loenzien, Ana Pilar Betran, Meghan A. Bohren
Summary: The study found that there is a positive attitude towards labour companionship among healthcare providers, women, and their relatives in Thailand. However, challenges related to training and space need to be addressed for successful implementation.
Article
Medicine, General & Internal
Tanya Robbins, Andrew Shennan, Jane Sandall, Tigist Eshetu Guangul, Rahel Demissew, Ahmed Abdella, Rosie Mayston, Charlotte Hanlon
Summary: This study identifies systemic barriers to providing quality, person-centered care for pre-eclampsia in Ethiopian hospitals. Inconsistent availability of resources and support undermine staff efforts, and the application of policies exacerbates inequities in care. Staff improvise with limited resources and knowledge, and social hierarchies and punitive cultures challenge communication, documentation, and supportive environments for quality improvement.
Article
Public, Environmental & Occupational Health
Cathy Green, Paula Quigley, Tendayi Kureya, Caroline Barber, Ernest Chanda, Busisiwe Moyo, Bernard Mpande, Kenneth Mubuyaeta, Mutinta Mudenda, Likando Mundia, Ruth Nyirenda, Auxilia Piringondo, Hans Rietveld, Sebastian Simpasa, Dennis Simuyuni, Garikai Zinumwe
Summary: The study aimed to determine the effectiveness of the rectal artesunate administration at the community level in reducing severe malaria deaths among young children in Zambia. The results showed that the intervention significantly reduced the reported deaths from severe malaria in both the demonstration districts and scale-up districts.
BULLETIN OF THE WORLD HEALTH ORGANIZATION
(2023)
Review
Medicine, General & Internal
Rebecca Lengnick-Hall, Enola K. Proctor, Alicia C. Bunger, Donald R. Gerke
Summary: This study aims to compare the progress in the field of implementation outcomes research with the originally proposed research agenda from 2011 and provide recommendations for the next decade. The methods include assessing the extent of investigation on each implementation outcome, describing the relationship between implementation strategies and outcomes, and identifying studies that empirically evaluate relationships among implementation and/or service and client outcomes.
Article
Nutrition & Dietetics
Rachelle Lee, Elesa T. Crowley, Surinder K. Baines, Susan Heaney, Leanne J. Brown
Summary: This study focused on adults with coeliac disease accessing dietetic services in a rural setting, highlighting key themes and issues identified using a qualitative inductive approach. Difficulties in coeliac disease management and the potential impact of dietetic consultation were emphasized, suggesting further research is needed to inform dietetic practice in rural settings.
Article
Medicine, General & Internal
Mochamad Muska Nataliansyah, Xi Zhu, Thomas Vaughn, Keith Mueller
Summary: This study aims to understand the motivations and strategies of rural hospitals in engaging in community health improvement efforts. Through semi-structured interviews with key leaders from four rural hospitals in a US Midwestern state, the study found that internal values, economic conditions, and social responsibilities are the three types of motivations driving rural hospitals' community health improvement efforts. Three categories of strategies were identified: building capacity, building relationships, and building programs, to address community health issues.
Article
Health Care Sciences & Services
Mary Patzel, Chrystal Barnes, NithyaPriya Ramalingam, Rose Gunn, Erin S. Kenzie, Sarah S. Ono, Melinda M. Davis
Summary: The MISSION Act aimed to improve rural veteran access to care by expanding coverage for services in the community. However, this solution relies on clinics willing to navigate VA administrative processes, posing challenges and opportunities for high-quality, equitable care access and delivery.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Article
Health Care Sciences & Services
Matthew P. Dizon, Kenneth W. Kizer, Michael K. Ong, Ciaran S. Phibbs, Megan E. Vanneman, Emily P. Wong, Yue Zhang, Jean Yoon
Summary: This study analyzed the changes in utilization of acute inpatient care in Veterans Health Administration (VHA) and non-VHA hospitals by rural and urban Veterans, following the expansion of eligibility for VHA-paid community hospitalization. The findings showed that the probability of VHA-paid community hospitalization increased more for rural Veterans than urban Veterans, especially for elective inpatient care.
JOURNAL OF RURAL HEALTH
(2023)
Article
Education & Educational Research
Kimberley Fox, Amanda Burgess, Martha Elbaum Williamson, John Massey, George Shaler, Karen Pearson, Jennifer K. Mackenzie, Kimberly Merchant, Xi Zhu, Marcia Ward
Summary: This study found that key barriers to implementing telehealth programs in rural schools include technology, reimbursement, and gaining acceptance among school staff, clinicians, parents, and students. Strategies to facilitate program implementation included technology training, marketing efforts, and integration into existing school processes. To ensure greater adoption and sustainability of rural, school-based telehealth, reimbursement from Medicaid and private insurers is crucial.
JOURNAL OF SCHOOL HEALTH
(2022)
Article
Management
Michael W. Carter, Carolyn R. Busby
Summary: This paper summarizes the critical challenges of healthcare implementation based on the keynote address given by the paper's first author at EURO 2021. The authors draw on their experience over more than three decades to identify five general characteristics that should be considered for any healthcare project that requires implementation. These characteristics include the need for an internal champion, addressing current critical issues, understanding cultural dynamics, having appropriate data, and managing expectations. The authors provide examples of successes, failures, and mixed results and suggest steps that the operational research community can take to improve these areas.
EUROPEAN JOURNAL OF OPERATIONAL RESEARCH
(2023)
Article
Social Sciences, Interdisciplinary
Sara E. Golden, Megan Lafferty, Anna Tyzik, Diana Govier, Jennifer Barton, Alan R. Teo, Samuel T. Edwards, Sarah S. Ono, Denise M. Hynes, Christopher G. Slatore
Summary: This study conducted interviews with clinicians and staff to evaluate their experiences with Veterans' decisions on healthcare and identify areas for improvement. Insufficient time and knowledge were found to be barriers to assisting Veterans in making decisions about community care. Concerns about quality of community care and lack of patient understanding also emerged. Clinicians need decision support that integrates informational needs, referral process clarity, and improved quality measurement and description methods. While new initiatives have been established, the rollout is complex and ongoing.
Article
Public, Environmental & Occupational Health
Daniel P. Lakin, Kyaw Soe Win, Htin Aung, Khin Nyein Chan Soe, Bo Kyi, Arik V. Marcell, Wietse A. Tol, Judith K. Bass
Summary: The study found that male former political prisoners primarily considered masculinity, self-reliance, morality, and honesty when accepting or declining psychotherapy. Unfamiliarity with psychological therapy and differences in available treatments such as astrologists were connected to stigma surrounding mental health treatment.
Article
Health Care Sciences & Services
Nancy C. Bernardy, Lisa-Ann J. Cuccurullo, Macgregor Montano, Michelle Bowen, Kristen Breen, Rebecca Matteo, Bernard Cole
Summary: This study aims to increase the reach of recommended posttraumatic stress disorder (PTSD) treatments in rural health care systems of the Department of Veterans Affairs (VA) through implementation facilitation. After 6 months of facilitation, the delivery of evidence-based psychotherapies (EBPs) for PTSD more than doubled in the intervention clinics, while the control clinic experienced a decrease in EBP reach. The use of academic detailing as part of the intervention also positively impacted care.
JOURNAL OF RURAL HEALTH
(2023)
Letter
Medicine, General & Internal
Neda Ratanawongsa, George Y. Matta, Courtney R. Lyles, Christopher J. Koenig, Jennifer L. Barton, Kaylin Yu, Dean Schillinger
JAMA INTERNAL MEDICINE
(2017)
Article
Health Care Sciences & Services
Christopher J. Koenig, Matthew Wenger, Glenn D. Graham, Steven Asch, Catherine Rongey
JOURNAL OF TELEMEDICINE AND TELECARE
(2019)
Article
Rheumatology
Jennifer L. Barton, Elizabeth Hulen, Allison Schue, Edward H. Yelin, Sarah S. Ono, Anais Tuepker, Christopher J. Koenig
ARTHRITIS CARE & RESEARCH
(2018)
Article
Health Care Sciences & Services
Samantha L. Connolly, Christopher J. Miller, Christopher J. Koenig, Kara A. Zamora, Patricia B. Wright, Regina L. Stanley, Jeffrey M. Pyne
JMIR MHEALTH AND UHEALTH
(2018)
Article
Health Care Sciences & Services
Ann M. Cheney, Christopher J. Koenig, Christopher J. Miller, Kara Zamora, Patricia Wright, Regina Stanley, John Fortney, James F. Burgess, Jeffrey M. Pyne
BMC HEALTH SERVICES RESEARCH
(2018)
Article
Health Care Sciences & Services
Andrea L. Nevedal, Todd H. Wagner, Laura S. Ellerbe, Steven M. Asch, Christopher J. Koenig
JOURNAL OF GENERAL INTERNAL MEDICINE
(2019)
Article
Health Care Sciences & Services
Veronica Yank, Randall C. Gale, Andrea Nevedal, Leonore Okwara, Christopher J. Koenig, Ranak B. Trivedi, Nancy J. Dupke, Margaret Kabat, Steven M. Asch
Summary: This study found that robust outreach and marketing strategies and support for local staff were critical to the implementation success of the web-based psychoeducational workshop for caregivers of veterans. Other health systems may want to deploy these strategies when implementing their web-based programs.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2021)
Article
Health Care Sciences & Services
Karen H. Seal, Jeffrey M. Pyne, Jennifer K. Manuel, Yongmei Li, Christopher J. Koenig, Kara A. Zamora, Traci H. Abraham, Marie M. Mesidor, Coleen Hill, Madeline Uddo, Michelle Hamilton, Brian Borsari, Daniel Bertenthal, James J. Casey, P. Adam Kelly
Summary: The study found that telephone motivational coaching delivered by veteran peers did not significantly enhance mental health treatment engagement among veterans, but instead had positive effects on improving depression, posttraumatic stress disorder, quality of life indicators, and adoption of self-care strategies.
JOURNAL OF RURAL HEALTH
(2021)
Article
Psychology, Clinical
Jeffrey M. Pyne, P. Adam Kelly, Ellen P. Fischer, Christopher J. Miller, Samantha L. Connolly, Patricia Wright, Kara Zamora, Christopher J. Koenig, Karen H. Seal, John C. Fortney
Summary: This study examines the validity of the Perceived Access Inventory (PAI), a questionnaire developed to understand veterans' perspective on mental health care access. The results show significant correlations between PAI scores and measures of access and patient satisfaction, suggesting its potential for improving mental health care access and satisfaction.
PSYCHOLOGICAL SERVICES
(2022)
Review
Communication
Christopher J. Koenig, Taylor S. Vasquez, Emily B. Peterson, Easton N. Wollney, Carma L. Bylund, Evelyn Y. Ho
Summary: Complementary and integrative health (CIH) use is widespread worldwide. This systematic review examined observational studies on CIH communication in biomedical settings. Results showed that observational methods were rarely used, but had important insights into the process of CIH communication and its health outcomes.
HEALTH COMMUNICATION
(2023)
Article
Communication
Krista Hoffmann-Longtin, Anna M. Kerr, Sara Shaunfield, Christopher J. Koenig, Carma L. Bylund, Margaret F. Clayton
Summary: This paper examines the role of health communication boundary spanners, who possess unique skills and identities that contribute significantly to addressing health problems and transcending disciplinary boundaries.
HEALTH COMMUNICATION
(2022)
Article
Psychology, Clinical
Jeffrey M. Pyne, P. Adam Kelly, Ellen P. Fischer, Christopher J. Miller, Patricia Wright, Kara Zamora, Christopher J. Koenig, Regina Stanley, Karen Seal, James F. Burgess, John C. Fortney
PSYCHOLOGICAL SERVICES
(2020)
Article
Psychology, Clinical
Michelle J. Bovin, Christopher J. Miller, Christopher J. Koenig, Jessica M. Lipschitz, Kara A. Zamora, Patricia B. Wright, Jeffrey M. Pyne, James F. Burgess
PSYCHOLOGICAL SERVICES
(2019)
Review
Medicine, General & Internal
Joseph W. Frank, Travis I. Lovejoy, William C. Becker, Benjamin J. Morasco, Christopher J. Koenig, Lilian Hoffecker, Hannah R. Dischinger, Steven K. Dobscha, Erin E. Krebs
ANNALS OF INTERNAL MEDICINE
(2017)
Article
Health Care Sciences & Services
Christopher J. Miller, James F. Burgess, Ellen P. Fischer, Deborah J. Hodges, Lindsay K. Belanger, Jessica M. Lipschitz, Siena R. Easley, Christopher J. Koenig, Regina L. Stanley, Jeffrey M. Pyne
BMC MEDICAL RESEARCH METHODOLOGY
(2017)