Differences in Burnout and Intent to Leave Between Women’s Health and General Primary Care Providers in the Veterans Health Administration

2021 ◽  
Author(s):  
Eric A. Apaydin ◽  
David C. Mohr ◽  
Alison B. Hamilton ◽  
Danielle E. Rose ◽  
Sally Haskell ◽  
...  
Keyword(s):  
Primary Care ◽  
Women’S Health ◽  
Women's Health ◽  
Intent To Leave ◽  
Primary Care Providers ◽  
Veterans Health Administration ◽  
Veterans Health ◽  
Health Administration ◽  
Care Providers

Design Concepts to Support Management of Outpatient Consultations in the Veterans Health Administration

2016 ◽  
Vol 60 (1) ◽  
pp. 1475-1476 ◽  
Author(s):  
Laura Militello ◽  
Julie Diiulio ◽  
Alissa Russ ◽  
April Savoy ◽  
Mindy Flanagan ◽  
...  
Keyword(s):  
Primary Care ◽  
Qualitative Analysis ◽  
Poster Session ◽  
Primary Care Providers ◽  
Veterans Health Administration ◽  
Veterans Health ◽  
Health Administration ◽  
Care Providers ◽  
Design Concepts ◽  
Present Design

This poster describes a project to improve understanding of the challenges associated with managing consultations in the Veterans Health Administration (VHA). We conducted interviews and observations with primary care providers and specialists at two VHA facilities. Using qualitative analysis, we identified cognitive requirements, challenges associated with each, and design seeds. During the poster session, we will present design concepts exploring interventions to support management of consultations.

scholarly journals Organizational Characteristics Associated with the Availability of Women's Health Clinics for Primary Care in the Veterans Health Administration

2007 ◽  
Vol 172 (8) ◽  
pp. 824-828 ◽  
Author(s):  
Bevanne A. Bean-Mayberry ◽  
Elizabeth M. Yano ◽  
Cynthia D. Caffrey ◽  
Lisa Altman ◽  
Donna L. Washington
Keyword(s):  
Primary Care ◽  
Women’S Health ◽  
Women's Health ◽  
Veterans Health Administration ◽  
Organizational Characteristics ◽  
Veterans Health ◽  
Health Administration ◽  
Health Clinics

Organization Complexity and Primary Care Providers’ Perceptions of Quality Improvement Culture Within the Veterans Health Administration

2014 ◽  
Vol 31 (2) ◽  
pp. 139-146 ◽  
Author(s):  
Danijela Korom-Djakovic ◽  
Anne Canamucio ◽  
Michele Lempa ◽  
Elizabeth M. Yano ◽  
Judith A. Long
Keyword(s):  
Primary Care ◽  
Quality Improvement ◽  
Primary Care Providers ◽  
Veterans Health Administration ◽  
Veterans Health ◽  
Health Administration ◽  
Care Providers

Evaluation of a national telemedicine initiative in the Veterans Health Administration: Factors associated with successful implementation

2016 ◽  
Vol 24 (3) ◽  
pp. 168-178 ◽  
Author(s):  
Lauren Stevenson ◽  
Sherry Ball ◽  
Leah M Haverhals ◽  
David C Aron ◽  
Julie Lowery
Keyword(s):  
Primary Care ◽  
Implementation Research ◽  
Primary Care Providers ◽  
Veterans Health Administration ◽  
Audit And Feedback ◽  
Successful Implementation ◽  
Veterans Health ◽  
Health Administration ◽  
Care Providers ◽  
Design Quality

Background The Consolidated Framework for Implementation Research was used to evaluate implementation facilitators and barriers of Specialty Care Access Network-Extension for Community Healthcare Outcomes (SCAN-ECHO) within the Veterans Health Administration. SCAN-ECHO is a video teleconferencing-based programme where specialist teams train and mentor remotely-located primary care providers in providing routine speciality care for common chronic illnesses. The goal of SCAN-ECHO was to improve access to speciality care for Veterans. The aim of this study was to provide guidance and support for the implementation and spread of SCAN-ECHO. Methods Semi-structured telephone interviews with 55 key informants (primary care providers, specialists and support staff) were conducted post-implementation with nine sites and analysed using Consolidated Framework for Implementation Research constructs. Data were analysed to distinguish sites based on level of implementation measured by the numbers of SCAN-ECHO sessions. Surveys with all SCAN-ECHO sites further explored implementation information. Results Analysis of the interviews revealed three of 14 Consolidated Framework for Implementation Research constructs that distinguished between low and high implementation sites: design quality and packaging; compatibility; and reflecting and evaluating. The survey data generally supported these findings, while also revealing a fourth distinguishing construct – leadership engagement. All sites expressed positive attitudes toward SCAN-ECHO, despite struggling with the complexity of programme implementation. Conclusions Recommendations based on the findings include: (a) expend more effort in developing and distributing educational materials; (b) restructure the delivery process to improve programme compatibility; (c) establish an audit and feedback mechanism for monitoring and improving the programme; (d) engage in more upfront planning to reduce complexity; and (e) obtain local leadership support for providing primary care providers with dedicated time for participation.

scholarly journals Addressing Patients’ Veteran Status: Primary Care Providers’ Knowledge, Comfort, and Educational Needs

2018 ◽  
Vol 50 (6) ◽  
pp. 455-459 ◽  
Author(s):  
Bonnie M. Vest ◽  
Jessica Kulak ◽  
Victoria M. Hall ◽  
Gregory G. Homish
Keyword(s):  
Primary Care ◽  
New York ◽  
Military Service ◽  
Primary Care Providers ◽  
Veterans Health ◽  
Health Administration ◽  
Care Providers ◽  
Military Population ◽  
Veteran Status ◽  
Health Related

Background and Objectives: The military population is frequently overlooked in civilian primary care due to an assumption that they are treated at the Veterans Health Administration (VA). However, less than 50% of eligible veterans receive VA treatment. Primary care providers (PCPs) may need support in addressing veterans’ needs. This regional pilot study explored the current state of practice among primary care providers as it pertains to assessing patients’ veteran status and their knowledge of and comfort with treating common conditions in this population. Methods: An electronic survey was administered to PCPs (N=102) in Western New York. Survey questions asked about assessing military status, understanding of military-related health problems, and thoughts on the priority of addressing these issues in practice. Data were analyzed using descriptive summary statistics. Results: The majority (56%; n=54) of respondents indicated they never or rarely ask their patients about military service, and only 19% (n=18) said they often or always ask. Seventy-one percent (n=68) of providers agreed or strongly agreed it was important to know if their patient was a veteran. Participants indicated limited knowledge about military stressors, resources available for military populations, and common medical conditions impacting veterans. Conclusions: Our pilot results demonstrate that in a regional sample of primary care providers, providers rarely ask patients about their military history; however, they feel it is important information for patient care. While further study is needed, it may be necessary to provide education, specifically pertaining to military culture and health-related sequelae, to address barriers that may be limiting PCPs’ provision of care for this population.

scholarly journals Knowledge, Attitudes, and PrEP Prescribing Practices of Health Care Providers in Philadelphia, PA

2019 ◽  
Vol 10 ◽  
pp. 215013271987852 ◽  
Author(s):  
Margaret R. Carter ◽  
Erika Aaron ◽  
Tanner Nassau ◽  
Kathleen A. Brady
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Women’S Health ◽  
Women's Health ◽  
Health Care Providers ◽  
Primary Care Providers ◽  
Hiv Care ◽  
Care Providers ◽  
Prescribing Practices ◽  
Biomedical Intervention

Introduction: Preexposure prophylaxis (PrEP) is an effective biomedical intervention that has the potential to dramatically decrease the incidence of HIV but remains an underutilized method of HIV prevention. The Philadelphia Department of Public Health administered an online survey to health care providers in the Philadelphia area with the aim of characterizing PrEP attitudes, knowledge, and prescribing practices. Methods: Online surveys were distributed to 1000 providers who were recruited through distribution lists of Philadelphia medical providers between September and December 2017. A Likert-type response scale was utilized to analyze participant self-reported responses. Participant practice settings included HIV/ID, family and internal medicine, women’s health, and pediatric/adolescent clinics. Results and Discussion: The response rate of the survey was 9%. Of 81 complete responses, 75% (N = 61) felt comfortable providing PrEP and 77% (N = 62) had ever written a PrEP prescription. Compared with primary care providers, HIV care providers were significantly more knowledgeable about required laboratory testing for prescribing PrEP ( P = .03) and were more likely to have prescribed PrEP to more than 10 patients ( P = .006). Women’s health and pediatric providers reported feeling less comfortable providing PrEP to their patients ( P = .0003). Conclusion: The majority of health care providers in the Philadelphia area who responded to the survey reported experience with providing PrEP to their patients. In the present study, HIV care providers were significantly more comfortable and knowledgeable about prescribing PrEP compared with providers in primary care, women’s health, and/or adolescent/pediatric medicine. Results were limited by sampling bias, as providers who responded to the survey may have prior experience with PrEP. Future Health Department educational trainings need to target primary and preventive care providers, providers who have never prescribed PrEP, and providers who see few patients living with HIV.

scholarly journals Retaining VA Women’s Health Primary Care Providers: Work Setting Matters

2020 ◽  
Author(s):  
Rachel Schwartz ◽  
Susan M. Frayne ◽  
Sarah Friedman ◽  
Yasmin Romodan ◽  
Eric Berg ◽  
...  
Keyword(s):  
Primary Care ◽  
Women’S Health ◽  
Women's Health ◽  
Primary Care Providers ◽  
Work Setting ◽  
Care Providers

scholarly journals 849. Impact of a Combined Education and Data Driven Intervention on PrEP Uptake at the Veterans Health Administration

2021 ◽  
Vol 8 (Supplement_1) ◽  
pp. S514-S515
Author(s):  
Lewis Musoke ◽  
Kristen A Allen ◽  
Kaylee Bray ◽  
Erin J Lea ◽  
Janet Briggs ◽  
...  
Keyword(s):  
Primary Care ◽  
Primary Care Providers ◽  
Veterans Health ◽  
Health Administration ◽  
Care Providers ◽  
Intervention Period ◽  
Post Intervention ◽  
Chi Square ◽  
Pertinent Data ◽  
The Impact

Abstract Background Despite proven efficacy, uptake of pre-exposure prophylaxis (PrEP) for HIV prevention in the US remains suboptimal. Whether electronic medical record (EMR) driven data tools increase PrEP uptake is unknown. Our study sought to understand the impact of education and an EMR data tool to increase PrEP uptake at the Veterans Northeast Ohio Healthcare System (VANEOHS). Methods Using EMR data we identified persons at the VANEOHS with a diagnosis of bacterial Sexually Transmitted Illness (STI) as defined by a positive syphilis, gonorrhea or chlamydia test in the past 6 months. Beginning October 2020 Infectious Diseases (ID) staff launched an intensive PrEP education campaign for Primary care providers (PCP) and the emergency room (ER). During a 6-week intervention period, a ‘PrEP candidacy’ note was placed for the PCP in selected patients’ charts with recommendations for PrEP initiation and STI co-testing if appropriate. We measured the impact of the intervention on PrEP initiations from 3/1/21-5/31/21 and compared it to a pre-intervention period of 7/1/20-9/30/20 when candidates were identified in primary care only. We extracted pertinent data through the EMR and presented descriptive statistics as means and percentages. We compared outcomes using Chi-square test with simulated p-values due to small expected values. Results Forty-two potential PrEP candidates were identified during post-intervention period compared to 6 in the pre-intervention period. The post-intervention candidates included cis-gender women (5/42, 12%) and ER referrals (6/42, 14%), both absent from the pre-intervention cohort. Compared to the pre-intervention period there was an increase in PrEP consults to ID (6 vs. 16; p=0.003) and PrEP starts (4 vs. 9; p=0.04). We observed increased rates of STI (69% vs. 50%) and HIV co-testing (79% vs. 67%) from pre to post intervention but these were not statistically different. Of the 42 candidates, 24 had been identified using the STI data tool. Of these, only 4 were referred for PrEP and none were initiated on PrEP by the end of our observation period. Conclusion The use of the data tool had no direct impact on PrEP uptake. Instead, the doubling of PrEP starts was attributable to education. Further studies are needed to maximize the utility of data tools to increase PrEP uptake. Disclosures All Authors: No reported disclosures

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