Evidence map›Paper›PMID 25767971›Full record

ArticleMedical care2015

Creating a roadmap for delivering gender-sensitive comprehensive care for women Veterans: results of a national expert panel.

Miriam deKleijn, Antoine L M Lagro-Janssen, Ismelda Canelo, Elizabeth M Yano

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Medical care, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01918072 (Controlled Trial of Tele-Support and Education for Womens Health Care in CBOCs), which is not on this map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
11.0field-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.

NCT01918072 completednot on this map

Controlled Trial of Tele-Support and Education for Womens Health Care in CBOCs

TypeobservationalSponsorVA Office of Research and DevelopmentRan2013 to 2018Enrolled202ConditionsMetrorrhagia, Urinary Incontinence, Remote Consultation, VideoconferencingArmsClinical innovation
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 61 citations in OpenAlex.

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  15. Gender Differences in Demographic and Health Characteristics of the Million Veteran Program Cohort.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

4 authors at 3 institutions in 2 countries.

Miriam deKleijn*Department of Primary and Community Care, Gender and Women's Health Unit, Radboud University Medical Center, Nijmegen, The Netherlands †VA HSR&D Center for the Study of Healthcare Innovation, Implementation and Policy, VA Greater Los Angeles, Sepulveda ‡Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, CA.
Antoine L M Lagro-Janssen
Ismelda Canelo
Elizabeth M Yano
Center for the Study of Healthcare Provider Behavior · USRadboud University Medical Center · NLRadboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWomen Veterans are a significant minority of users of the VA healthcare system, limiting provider and staff experience meeting their needs in environments historically designed for men. The VA is nonetheless committed to ensuring that women Veterans have access to comprehensive care in environments sensitive to their needs.

objectivesWe sought to determine what aspects of care need to be tailored to the needs of women Veterans in order for the VA to deliver gender-sensitive comprehensive care. RESEARCH

designModified Delphi expert panel process. SUBJECTS: Eleven clinicians and social scientists with expertise in women's health, primary care, and mental health. MEASURES: Importance of tailoring over 100 discrete aspects of care derived from the Institute of Medicine's definition of comprehensive care and literature-based domains of sex-sensitive care on a 5-point scale.

resultsPanelists rated over half of the aspects of care as very-to-extremely important (median score 4+) to tailor to the needs of women Veterans. The panel arrived at 14 priority recommendations that broadly encompassed the importance of (1) the design/delivery of services sensitive to trauma histories, (2) adapting to women's preferences and information needs, and (3) sex awareness and cultural transformation in every facet of VA operations.

conclusionsWe used expert panel methods to arrive at consensus on top priority recommendations for improving delivery of sex-sensitive comprehensive care in VA settings. Accomplishment of their breadth will require national, regional, and local strategic action and multilevel stakeholder engagement, and will support VA's national efforts at improving customer service for all Veterans.

Indexed as

United States Department of Veterans AffairsVeterans HealthWomen's HealthComprehensive Health CareDelphi TechniqueFemaleHumansOrganizational PolicyUnited States

Identifiers

PMID25767971
PMCPMC4379113
OpenAlexW1995335093

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.