Evidence map›Paper›PMID 25442706›Full record

ArticleWomen's health issues : official publication of the Jacobs Institute of Women's Health

Association between women veterans' experiences with VA outpatient health care and designation as a women's health provider in primary care clinics.

Lori A Bastian, Mark Trentalange, Terrence E Murphy, Cynthia Brandt, Bevanne Bean-Mayberry, Natalya C Maisel, Steven M Wright, Vera S Gaetano, Heather Allore, Melissa Skanderson and 4 more

Open access · greenAbstract read
In one paragraph

Article in Women's health issues : official publication of the Jacobs Institute of Women's Health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
9.0field-weighted citation impact, top 2% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 62 citations in OpenAlex.

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  20. Obesity and Health Care Experiences among Women and Men Veterans.Women's health issues : official publication of the Jacobs Institute of Women's Health · 2019
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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

14 authors at 7 institutions in 1 country.

Lori A BastianVA Connecticut Healthcare System, West Haven, Connecticut; University of Connecticut Health Center, Farmington, Connecticut. Electronic address: lori.bastian@va.gov.
Mark TrentalangeVA Connecticut Healthcare System, West Haven, Connecticut.
Terrence E MurphyVA Connecticut Healthcare System, West Haven, Connecticut.
Cynthia BrandtVA Connecticut Healthcare System, West Haven, Connecticut.
Bevanne Bean-MayberryVeterans Health Administration Health Services Research & Development Center for the Study of Healthcare Innovation, Implementation and Policy, VA Greater Los Angeles Healthcare System, Sepulveda, California.
Natalya C MaiselCenter for Innovation to Implementation, VA Palo Alto Health Care System, Menlo Park, California.
Steven M WrightOffice of Performance Measurement, Department of Veterans Affairs, Providence, Rhode Island.
Vera S GaetanoVA Connecticut Healthcare System, West Haven, Connecticut.
Heather AlloreUniversity of Connecticut Health Center, Farmington, Connecticut.
Melissa SkandersonDepartment of Veterans Affairs, Pittsburgh, Pennsylvania.
Evelyn Reyes-HarveyOffice of Performance Measurement, Office of Analytics & Business Intelligence, Durham, North Carolina.
Elizabeth M YanoVeterans Health Administration Health Services Research & Development Center for the Study of Healthcare Innovation, Implementation and Policy, VA Greater Los Angeles Healthcare System, Sepulveda, California; Department of Health Policy & Management, UCLA Fielding School of Public Health, Los Angeles, California.
Danielle RoseVeterans Health Administration Health Services Research & Development Center for the Study of Healthcare Innovation, Implementation and Policy, VA Greater Los Angeles Healthcare System, Sepulveda, California.
Sally HaskellWomen's Health Services, Patient Care Services, VA Central Office, VA Connecticut Healthcare System Yale School of Medicine, West Haven, Connecticut.
VA Connecticut Healthcare System · USHealth Services Research & Development · USProvidence College · USUCLA Health · USUConn Health · USVA Palo Alto Health Care System · USVeterans Research Foundation of Pittsburgh · US

Funding

Yale Study Support Suite (YES3): Dashboard and Web Portal Software Supporting Research Workflow through integrated, customizable REDCap External ModulesP30AG021342 · NIA · YALE UNIVERSITY · PI Denise Esserman · 2002 to 2026
$37.9M
NIA NIH HHS P30 AG021342
6 · The paper itself

Abstract

backgroundWomen veterans comprise a small percentage of Department of Veterans Affairs (VA) health care users. Prior research on women veterans' experiences with primary care has focused on VA site differences and not individual provider characteristics. In 2010, the VA established policy requiring the provision of comprehensive women's health care by designated women's health providers (DWHPs). Little is known about the quality of health care delivered by DWHPs and women veterans' experience with care from these providers.

methodsSecondary data were obtained from the VA Survey of Healthcare Experience of Patients (SHEP) using the Consumer Assessment of Healthcare Providers and Systems (CAHPS) patient-centered medical home (PCMH) survey from March 2012 through February 2013, a survey designed to measure patient experience with care and the DWHPs Assessment of Workforce Capacity that discerns between DWHPs versus non-DWHPs.

findingsOf the 28,994 surveys mailed to women veterans, 24,789 were seen by primary care providers and 8,151 women responded to the survey (response rate, 32%). A total of 3,147 providers were evaluated by the SHEP-CAHPS-PCMH survey (40%; n = 1,267 were DWHPs). In a multivariable model, patients seen by DWHPs (relative risk, 1.02; 95% CI, 1.01-1.04) reported higher overall experiences with care compared with patients seen by non-DWHPs.

conclusionsThe main finding is that women veterans' overall experiences with outpatient health care are slightly better for those receiving care from DWHPs compared with those receiving care from non-DWHPs. Our findings have important policy implications for how to continue to improve women veterans' experiences. Our work provides support to increase access to DWHPs at VA primary care clinics.

Indexed as

Ambulatory CarePatient SatisfactionQuality of Health CareWomen's HealthAdolescentAdultAgedAge FactorsCross-Sectional StudiesDelivery of Health CareFemaleHealth Care SurveysHospitals, VeteransHumansMaleMiddle Aged

Identifiers

PMID25442706
PMCPMC4740730
OpenAlexW2135069428

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.