scholarly journals Maximizing the US Department of Veterans Affairs' Reserve Role in National Health Care Emergency Preparedness—The Fourth Mission

JAMA Surgery ◽  
2020 ◽  
Vol 155 (10) ◽  
pp. 913
Author(s):  
Nader N. Massarweh ◽  
Kamal M. F. Itani ◽  
Thomas C. Tsai
2006 ◽  
Vol 1 (2) ◽  
pp. 99-105 ◽  
Author(s):  
Jonathan B. Perlin

Ten years ago, it would have been hard to imagine the publication of an issue of a scholarly journal dedicated to applying lessons from the transformation of the United States Department of Veterans Affairs Health System to the renewal of other countries' national health systems. Yet, with the recent publication of a dedicated edition of the Canadian journal Healthcare Papers (2005), this actually happened. Veterans Affairs health care also has been similarly lauded this past year in the lay press, being described as ‘the best care anywhere’ in the Washington Monthly, and described as ‘top-notch healthcare’ in US News and World Report's annual health care issue enumerating the ‘Top 100 Hospitals’ in the United States (Longman, 2005; Gearon, 2005).


2005 ◽  
Vol 18 (3) ◽  
pp. 175-185 ◽  
Author(s):  
Jian Gao ◽  
Ying Wang ◽  
Joseph Engelhardt

Currently, the US Department of Veterans Affairs provides medical care to more than four million veterans across the nation. Given the limited resources and increasing demand, the US Department of Veterans Affairs Health Administration (VA) is required by law to ensure that veterans with similar economic status and eligibility priority have similar access to VA health care, regardless of where they reside. This study, using descriptive statistics and logistic regression techniques, examines the factors that affect veterans' eligibility-status changes. This study found that veterans' demographics are correlated with the likelihood of eligibility-status conversion. More importantly, this study concludes that eligibility-status changes have a geographic pattern. These findings are important and useful in planning workload, as well as improving equal access of health care.


Author(s):  
Claudia Der-Martirosian ◽  
Michelle D. Balut ◽  
Aram Dobalian

Abstract Objective: To examine the effects of household preparedness on perceptions of workplace preparedness during a pandemic among all employees at the US Department of Veterans Affairs (VA) medical facilities. Methods: The VA Preparedness Survey (October–December 2018, Los Angeles, CA) used a stratified simple random, web-based survey. Multivariate statistical analyses examined the effect of household preparedness on perceptions of workforce preparedness during a pandemic: institutional readiness; desire for additional training; and understanding their role and its importance. Results: VA employees totaling 4026 participated. For a pandemic, 55% were confident in their VA medical facility’s ability to respond, 63% would like additional training, 49% understood their role during a response, and 68% reported their role as important. Only 23% reported being “well prepared” at home during major disasters. After controlling for study-relevant factors, household preparedness was positively associated with perceptions of workforce preparedness during a pandemic. Conclusions: Efforts to increase household preparedness for health care employees could bolster workforce preparedness during pandemics. Organizations should consider robust policies and strategies, such as flexible work arrangements, in order to mitigate factors that may serve as barriers to household preparedness.


2018 ◽  
Author(s):  
Bruce L Hall

A picture of the overall structure of the US health care industry can be garnered by examining national health expenditures. In 2015, US national health expenditures grew to $3.2 trillion (US), outpacing growth in gross domestic product. Valuable insights are found by examining categories of spending, sources of funds, and target areas of spending, raising questions about the logic and performance of the US system. These perspectives can inform deeper consideration of healthcare policy and reform. This review contains 3 tables and 20 references. Key Words: health economics, health policy, Medicaid, Medicare, national health expenditures, opportunity cost, projections


2001 ◽  
Vol 27 (2) ◽  
pp. 191-211 ◽  
Author(s):  
Steven M. Farmer ◽  
Donald B. Fedor

Despite the fact that over half of the people in the US volunteer each year, there is little theoretical or empirical understanding of volunteer performance. In response, this study examined executive-level volunteers’ multiple contributions of personal resources to a national health care advocacy organization. We expected higher contributions when demands from volunteer roles do not exceed desired levels of contribution, interaction with other volunteers is higher, role investments are higher, and motives to join are consistent with organization’s mission. Regression analyses supported the relation of contributions to social interaction, role investments, and volunteer motives. Suggestions for enhancing the level of volunteer contributions to the organization are made.


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