Evidence map›Paper›PMID 25767983›Full record

ArticleMedical care2015

Early lessons learned in implementing a women's health educational and virtual consultation program in VA.

Kristina M Cordasco, Jessica L Zuchowski, Alison B Hamilton, Susan Kirsh, Laure Veet, Joann O Saavedra, Lisa Altman, Herschel Knapp, Mark Canning, Donna L Washington

Registry-linked trialAbstract 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 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Gynecologist Supply Deserts Across the VA and in the Community.Journal of general internal medicine · 2022
    Article
  8. Article
  9. Article
  10. Review
  11. Understanding Gender Sensitivity of the Health Care Workforce at the Veterans Health Administration.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

10 authors.

Kristina M Cordasco*VA HSR&D Center for the Study of Healthcare Innovation, Implementation and Policy, North Hills †VA Greater Los Angeles Healthcare System Departments of ‡Medicine §Psychiatry and Biobehavioral Sciences, UCLA, Los Angeles, CA ∥VHA Specialty Care Services, Office of Patient Care Services, Veterans Health Administration, Washington, DC ¶Louis Stokes Cleveland VA Medical Center #Case Western Reserve University, Cleveland, OH **VHA Women's Health Services, Office of Patient Care Services, Veterans Health Administration, Washington, DC ††Department of Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA.
Jessica L Zuchowski
Alison B Hamilton
Susan Kirsh
Laure Veet
Joann O Saavedra
Lisa Altman
Herschel Knapp
Mark Canning
Donna L Washington

Funding

Controlled Trial of Tele-Support and Education for Womens Health Care in CBOCsI01HX000950 · VA · VA GREATER LOS ANGELES HEALTHCARE SYSTEM · PI WASHINGTON, DONNA · 2013 to 2016
–
HSRD VA I01 HX000950
6 · The paper itself

Abstract

backgroundMany Veterans Health Administration primary care providers (PCPs) have small female patient caseloads, making it challenging for them to build and maintain their women's health (WH) knowledge and skills. To address this issue, we implemented a longitudinal WH-focused educational and virtual consultation program using televideo conferencing.

objectiveTo perform a formative evaluation of the program's development and implementation. RESEARCH

designWe used mixed methods including participant surveys, semi-structured interviews, stakeholder meeting field notes, and participation logs. We conducted qualitative content analysis for interviews and field notes, and quantitative tabulation for surveys and logs. SUBJECTS: Veterans Health Administration WH PCPs.

resultsIn 53 postsession surveys received, 47(89%) agreed with the statement, "The information provided in the session would influence my patient care." Among 18 interviewees, all reported finding the program useful for building and maintaining WH knowledge. All interviewees also reported that sessions being conducted during their lunch hour limited consistent participation. Logs showed that PCPs participated more consistently in the 1 health care system that provided time specifically allocated for this program. Key stakeholder discussions revealed that rotating specialists and topics across the breadth of WH limited submission of cases.

conclusionsOur WH education and virtual consultation program is a promising modality for building and maintaining PCP knowledge of WH, and influencing patient care. However, allocated time for PCPs to participate is essential for robust and consistent participation. Narrowing the modality's focus to gynecology, rather than covering the breadth WH topics, may facilitate PCPs having active cased-based questions for sessions.

Indexed as

Health Knowledge, Attitudes, PracticeRemote ConsultationVeterans HealthWomen's HealthAdultData CollectionFemaleHospitals, VeteransHumansLongitudinal StudiesPractice Patterns, Physicians'Primary Health CareProgram DevelopmentProgram EvaluationUnited States

Identifiers

PMID25767983
PMCPMC4823135

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.