Article
Health Care Sciences & Services
Kate L. Sheahan, Karen M. Goldstein, Claire T. Than, Bevanne Bean-Mayberry, Catherine C. Chanfreau, Megan R. Gerber, Danielle E. Rose, Julian Brunner, Ismelda A. Canelo, Jill E. Darling Mshs, Sally Haskell, Alison B. Hamilton, Elizabeth M. Yano
Summary: The study surveyed 1,391 women Veterans who routinely use VA primary care, finding that they have significant multimorbid physical and mental health conditions and trauma histories, requiring continued investment in woman-centered primary care and emphasis on trauma-informed, age-specific care.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2022)
Article
Clinical Neurology
Elizabeth K. K. Seng, Brenda T. T. Fenton, Kaicheng Wang, Richard B. B. Lipton, John Ney, Teresa Damush, Amy S. S. Grinberg, Melissa Skanderson, Jason J. J. Sico
Summary: Migraine care is common among veterans in the Veterans Health Administration (VHA), with a higher prevalence in women. Men with migraine are more likely to have a traumatic brain injury (TBI) diagnosis, while women with migraine are more likely to report military sexual trauma. Primary care is the most common setting for headache care, but a significant number of veterans seek care in the emergency department. Overweight/obesity, nonheadache pain disorders, and mental health disorders are common comorbidities among veterans with diagnosed migraine.
Article
Medicine, General & Internal
Beverly P. Bergman, Daniel Mackay, J. P. Pell
Summary: This study found that UK military veterans have a slightly increased risk of type 2 diabetes compared to those with no record of service, particularly among older veterans and those with post-traumatic stress disorder (PTSD). However, there is no difference in the risk of diabetes between younger veterans and those with no record of service.
Article
Medicine, General & Internal
Kathryn M. Abel, Matthew J. Carr, Darren M. Ashcroft, Trudie Chalder, Carolyn A. Chew-Graham, Holly Hope, Navneet Kapur, Sally McManus, Sarah Steeg, Roger T. Webb, Matthias Pierce
Summary: This study found that SARS-CoV-2 infection was associated with an increased risk of fatigue and sleep problems. However, results from the negative control analysis suggest that unobserved confounding may be responsible for at least some of the positive association between COVID-19 and psychiatric morbidity.
Article
Clinical Neurology
DeLawnia Comer-HaGans, Shamly Austin, Zo Ramamonjiarivelo, Ledric D. Sherman
Summary: This study found that individuals with mental health stress are less likely to engage in self-management practices for diabetes, especially those with mild/moderate to severe mental health stress. Providing psychosocial services for this population may be beneficial in improving outcomes.
JOURNAL OF AFFECTIVE DISORDERS
(2022)
Review
Pediatrics
Samantha M. Imfeld, Dyan M. Darang, Mandy Neudecker, Molly K. McVoy
Summary: Pediatricians face challenges in treating children with mental health disorders, including limited access to specialized mental healthcare, inadequate training, and support. Some physicians may also hold biases towards mental health disorders, affecting the quality of patient care.
PEDIATRIC RESEARCH
(2021)
Article
Health Care Sciences & Services
Kara Zivin, Tony Van, Katerine Osatuke, Matt Boden, Paul N. Pfeiffer, Rebecca K. Sripada, Kristen M. Abraham, Jennifer Burgess, Hyungjin Myra Kim
Summary: While many studies have examined the predictors of provider burnout, there is limited evidence on the impact of burnout on patient outcomes, especially among behavioral health providers. This study aimed to assess the impact of burnout among psychiatrists, psychologists, and social workers on access-related quality measures in the Veterans Health Administration.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Article
Clinical Neurology
Premysl Velek, Marije J. Splinter, M. Kamran Ikram, M. Arfan Ikram, Maarten J. G. Leening, Johan van der Lei, Tim Olde Hartman, Lilian L. Peters, Huibert Tange, Frans H. Rutten, Henk van Weert, Frank J. Wolters, Patrick J. E. Bindels, Silvan Licher, Evelien I. T. de Schepper
Summary: Although acute cardiovascular events remained stable during the COVID-19 pandemic, diagnoses of cerebrovascular events declined substantially compared to pre-pandemic levels.
Article
Public, Environmental & Occupational Health
Linda Baier Manwell, Melissa McNeil, Megan R. Gerber, Samina Iqbal, Sarina Schrager, Catherine Staropoli, Roger Brown, Laure Veet, Sally Haskell, Patricia Hayes, Molly Carnes
Summary: The training program successfully improved primary care providers' comfort in providing care for women Veterans, empowering them to implement institutional changes and enhance their provision of care to women.
JOURNAL OF WOMENS HEALTH
(2022)
Article
Geriatrics & Gerontology
Samuel T. Edwards, Allison O'Neill, Meike Niederhausen, Apoorva Salvi, Avery Laliberte, Somnath Saha, Denise M. Hynes, Steven Pizer, Bruce Kinosian
Summary: Veterans Affairs home-based primary care provides comprehensive care for patients with complex chronic disease. This study examines the care trajectories of newly enrolled patients in VA HBPC, finding variable trajectories with overall reductions in acute care use and a majority of time spent in non-institutional settings.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2023)
Review
Health Care Sciences & Services
Jack Tsai, John Havlik, Benjamin A. Howell, Erin Johnson, David Rosenthal
Summary: This narrative review examined the impact of the HPACT model on the health and healthcare outcomes of homeless veterans. The review found that HPACT is associated with reductions in emergency department utilization and improvements in primary care utilization and patient engagement. However, the methodological rigor of the included studies was low.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Article
Health Care Sciences & Services
Jan A. Lindsay, Alexandra Caloudas, Julianna Hogan, Anthony H. Ecker, Stephanie Day, Giselle Day, Samantha L. Connolly, Hilary Touchett, Kendra R. Weaver, Amber B. Amspoker
Summary: This study examined the gender differences and changes over time in mental health care utilization among veterans. The results showed that female veterans had a higher percentage of mental health care delivered via VA Video Connect (VVC) and that the use of VVC for mental health care increased during the COVID-19 pandemic. Younger age, urban residence, and Asian ethnicity were associated with a higher percentage of VVC encounters among female veterans. These findings suggest that VVC can reduce gender-specific access barriers for mental health care among women veterans.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2022)
Article
Clinical Neurology
Megan Feeney, John Duda, Amie Hiller, Jay Phillips, Christiana Evers, Nicole Yarab, Veronica Todaro, Lydia Rader, Sheera Rosenfeld
Summary: This study examines the healthcare utilization of Veterans living with Parkinson's disease (PD) in the United States. The findings show that only a small proportion of Veterans with PD receive care through the Veterans Health Administration (VHA), with mental health concerns being common among this population. Younger age, higher education level, and more falls are associated with VHA utilization. The study highlights the need for educational outreach and access to mental health resources for Veterans living with PD.
FRONTIERS IN NEUROLOGY
(2022)
Article
Health Care Sciences & Services
Martin P. Charns, Justin K. Benzer, Nathalie M. McIntosh, David C. Mohr, Sara J. Singer, Deborah Gurewich
Summary: This study aimed to understand providers' perspectives on care coordination for patients with multiple chronic diseases served by multiple providers. Warm handoffs, professional relationships, and physical proximity were identified as facilitators, while service agreements, reporting relationships, and staffing were identified as barriers. Primary care-mental health coordination was reported to be better than primary care-medical/surgical specialty coordination. The study highlighted the importance of professional relationships in care coordination.
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
Sara B. Peracca, Allene S. Fonseca, Olevie Lachica, George L. Jackson, Isis J. Morris, Heather A. King, Angelica Misitzis, John D. Whited, David C. Mohr, Rebecca P. Lamkin, Allen L. Gifford, Martin A. Weinstock, Dennis H. Oh
Summary: This study examines the Organizational Readiness for Change (ORC) in implementing a patient-facing asynchronous mobile teledermatology application in the Department of Veterans Affairs (VA). The findings show that participants support the intervention but have concerns about the disruption of clinical workflow. Strong leadership support and a clinical champion can minimize barriers and facilitate implementation.
TELEMEDICINE AND E-HEALTH
(2023)
Article
Gerontology
Katherine A. Kennedy, David C. Mohr
Summary: This study examines the reasons for nursing home staff's intent to quit and assesses the roles of job characteristics and job satisfaction. The results show that improving job satisfaction, the quality of supervision, safety culture, and increasing schedule control and decision-making power can help reduce the intent to quit among employees.
Article
Health Care Sciences & Services
Omonyele L. Adjognon, Adena Cohen-Bearak, Jenesse Kaitz, Barbara G. G. Bokhour, Leslie Chatelain, Martin P. P. Charns, David C. C. Mohr
Summary: This study evaluated the Employee Whole Health (EWH) program implemented in the Veterans Health Administration (VA) and identified key factors that affect its implementation, including EWH initiatives, multilevel leadership support, alignment, integration, employee engagement, communication, staffing, culture, and the impact of the COVID-19 pandemic. The findings can help existing programs overcome implementation barriers and guide new sites in leveraging known facilitators, addressing barriers, and implementing the EWH program effectively at the organizational, process, and employee levels.
BMC HEALTH SERVICES RESEARCH
(2023)
Article
Public, Environmental & Occupational Health
Katherine Linsenmeyer, David Mohr, Kalpana Gupta, Sucheta Doshi, Allen L. Gifford, Michael E. Charness
Summary: A survey of healthcare workers with symptomatic COVID-19 found that 49.8% of them still went to work, increasing the risk of nosocomial infection. The prevalence of sickness presenteeism did not differ among healthcare workers based on COVID-19 symptoms or direct patient care.
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY
(2023)
Article
Endocrinology & Metabolism
Paul R. Conlin, Libin Zhang, Donglin Li, Richard E. Nelson, Julia C. Prentice, David C. Mohr
Summary: The treatment goals for hemoglobin A1c (A1c) in older adults should be personalized to balance risks and benefits. It is uncertain if stability of A1c within target ranges affects adverse outcomes.
BMJ OPEN DIABETES RESEARCH & CARE
(2023)
Article
Health Care Sciences & Services
Micah B. B. Aaron, Michaela Kerrissey, Zhanna Novikov, Maike V. V. Tietschert, Adam Scherling, Hassina Bahadurzada, Russell S. S. Phillips, Anna D. D. Sinaiko, Sara J. J. Singer
Summary: The study aims to analyze the relationship between care integration and care quality, and to examine if the relationship varies by patient risk. The findings suggest that social integration matters for improving the quality of care and that the relationship of integration to quality is not uniform for all patients.
HEALTH SERVICES RESEARCH
(2023)
Article
Health Care Sciences & Services
Olivia S. Jung, Fahima Begum, Andrea Dorbu, Sara J. Singer, Patricia Satterstrom
Summary: Through organizational innovation contests, frontline clinicians and staff have generated numerous ideas for improvement, focusing on standardization, staffing, patient experience, staff training, and workplace perks. These issues are crucial for enhancing the quality of care in healthcare organizations.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Article
Health Care Sciences & Services
Brianne Molloy-Paolillo, David Mohr, Deborah R. Levy, Sarah L. Cutrona, Ekaterina Anderson, Justin Rucci, Christian Helfrich, George Sayre, Seppo T. Rinne
Summary: The study examined EHR usability and uptake at a VA site transitioning to a new EHR system, finding that EHR use metrics improved over time, yet healthcare workers expressed ongoing concerns about usability and inefficiencies up to a year post-transition. The integration of quantitative and qualitative data provided a nuanced understanding of EHR adoption and use patterns during transitions.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Article
Health Care Sciences & Services
Julian Brunner, Ekaterina Anderson, David C. Mohr, Adena Cohen-Bearak, Seppo T. Rinne
Summary: This study aims to identify the impacts of adopting single-vendor, integrated EHR systems on the institutional EHR workforce. The findings indicate that transitions to integrated EHR systems can have significant implications for the autonomy and professional functions of the EHR workforce.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Article
Health Care Sciences & Services
Seppo T. Rinne, Julian Brunner, David C. Mohr, Adena-Cohen Bearak, Ekaterina Anderson
Summary: This study identifies specific organizational practices that support successful electronic health record (EHR) transitions, based on interviews with clinicians and staff end users. The recommendations cover different stages of implementation, including pre-go-live, go-live, and post-go-live.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Article
Medicine, General & Internal
Alex H. Krist, Jeannette E. South Paul, Shawna Hudson, Marc Meisnere, Sara J. Singer, Harold Kudler
MEDICAL CLINICS OF NORTH AMERICA
(2023)
Article
Health Care Sciences & Services
Lauren A. Taylor, Emma-Louise Aveling, Jane Roberts, Nazmim Bhuiya, Amy Edmondson, Sara Singer
Summary: Businesses are increasingly seeking partnerships with nonprofit organizations for the benefit of their communities. However, differences between these organizations can hinder their ability to adapt to changing economic and public health conditions. Through a study of multiple partnerships in Boston, we found that acknowledging and embracing these differences was crucial for successful collaborations. Organizations that had the capacity to respond to each other without trying to control one another were able to derive value from their unique assets.
FRONTIERS IN HEALTH SERVICES
(2023)
Article
Health Care Sciences & Services
Denise M. Hynes, Diana J. Govier, Meike Niederhausen, Anais Tuepker, Avery Z. Laliberte, Holly McCready, Alex Hickok, Mazhgan Rowneki, Dylan Waller, Kristina M. Cordasco, Sara J. Singer, Kathryn M. McDonald, Christopher G. Slatore, Kathleen C. Thomas, Matthew Maciejewski, Catherine Battaglia, Lisa Perla
Summary: For patients with complex health and social needs, care coordination is crucial for improving their access to care, clinical outcomes, care experiences, and controlling their healthcare costs. However, evidence is inconsistent regarding the core elements of care coordination interventions, and lack of standardized processes for assessing patients' needs has made it challenging for providers to optimize care coordination based on patient needs and preferences. Ensuring providers have reliable and timely means of communicating about care plans, patients' full spectrum of needs, and transitions in care is important for overcoming potential care fragmentation.
FRONTIERS IN HEALTH SERVICES
(2023)
Article
Health Care Sciences & Services
Emma-Louise Aveling, Jane E. Roberts, Lauren A. Taylor, Nazmim Bhuiya, Sara J. Singer
Summary: Efforts to address complex public health challenges can benefit from cross-sector collaboration in the form of business-nonprofit hybrid organizing. However, determining the most effective form of collaboration is a difficult task. This study explores two forms of hybrid organizing, Appended and Blended forms, and emphasizes the importance of allowing these forms to evolve in order to optimize benefits and ensure resilient collaborations.
FRONTIERS IN HEALTH SERVICES
(2023)
Article
Respiratory System
Griffin H. Olsen, Perry M. Gee, Doug Wolfe, Carrie Winberg, Lori Carpenter, Chris Jones, Jason R. Jacobs, Lindsay Leither, Ithan D. Peltan, Sara J. Singer, Steven M. Asch, Colin K. Grissom, Rajendu Srivastava, Andrew J. Knighton
Summary: This study examined the variation in routine daily use of coordinated spontaneous awakening and breathing trials (SAT/SBT) across 15 intensive care units (ICUs) within an integrated, community-based health system. The study identified implementation determinants, including knowledge deficits, challenges in workflow coordination, and the lack of performance measurement. Implementation strategies addressing these barriers should be tested in future trials to increase adherence to daily use of coordinated SAT/SBT and minimize harm related to prolonged mechanical ventilation and sedation.
ANNALS OF THE AMERICAN THORACIC SOCIETY
(2023)