Evidence map›Paper›PMID 24715395›Full record

ReviewJournal of general internal medicine2014

Delivery of gender-sensitive comprehensive primary care to women veterans: implications for VA Patient Aligned Care Teams.

Elizabeth M Yano, Sally Haskell, Patricia Hayes

Registry-linked trialOpen access · bronzeAbstract readReview
In one paragraph

Review in Journal of general internal medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02039856 (Implementation of VA Womens Health Patient Aligned Care Teams WH-PACTs), which is not on this map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
17.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02039856 nacompletednot on this map

Implementation of VA Womens Health Patient Aligned Care Teams WH-PACTs

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2014 to 2018Enrolled3,900ConditionsPatient-centered Medical Home ImplementationArmsMultilevel stakeholder engagement, Quality improvement (QI) education/training, Technical support, Formative feedback, External practice facilitation
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 87 citations in OpenAlex.

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  17. Which veterans enroll in a VA health information exchange program?Journal of the American Medical Informatics Association : JAMIA · 2017
    Article
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  20. Challenges with Implementing a Patient-Centered Medical Home Model for Women Veterans.Women's health issues : official publication of the Jacobs Institute of Women's Health
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 1 country.

Elizabeth M YanoVA HSR&D Center for the Study of Healthcare Innovation, Implementation and Policy, VA Greater Los Angeles Healthcare System, Sepulveda, CA, USA, Elizabeth.yano@va.gov.
Sally Haskell
Patricia Hayes
Office of Patient Care Services · USVA Greater Los Angeles Healthcare System · USYale University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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 team-based 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.

Indexed as

VeteransDelivery of Health CareFemaleHumansPatient Care TeamPrimary Health CareUnited StatesUnited States Department of Veterans AffairsWomen's Health

Identifiers

PMID24715395
PMCPMC4070234
OpenAlexW1983018857

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.