Evidence map›Paper›PMID 25767985›Full record

ArticleMedical care2015

Access to mental health care among women Veterans: is VA meeting women's needs?

Rachel Kimerling, Joanne Pavao, Liberty Greene, Julie Karpenko, Allison Rodriguez, Meghan Saweikis, Donna L Washington

Abstract 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. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 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.

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

35 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Peer support during in vivo exposure homework increases likelihood of prolonged exposure therapy completion.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2025
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  15. Understanding Who Uses Whole Health Services: A Program Evaluation.Global advances in health and medicine · 2022
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  16. Psychometric evaluation of a patient-reported item bank for healthcare engagement.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021
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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

7 authors.

Rachel Kimerling*National Center for PTSD †Center for Innovation to Implementation, VA Palo Alto Health Care System, Menlo Park ‡VA Greater Los Angeles Health Services Research and Development Center for the Study of Healthcare Innovation, Implementation & Policy, Sepulveda §Department of Medicine, Geffen School of Medicine at University of California, Los Angeles, Los Angeles, CA.
Joanne Pavao
Liberty Greene
Julie Karpenko
Allison Rodriguez
Meghan Saweikis
Donna L Washington

Funding

Intramural VA VA999999
6 · The paper itself

Abstract

backgroundPatient-centered access to mental health describes the fit between patient needs and resources of the system. To date, little data are available to guide implementation of services to women veterans, an underrepresented minority within Department of Veteran Affairs (VA) health care. The current study examines access to mental health care among women veterans, and identifies gender-related indicators of perceived access to mental health care.

methodsA population-based sample of 6287 women veterans using VA primary care services participated in a survey of past year perceived need for mental health care, mental health utilization, and gender-related mental health care experiences. Subjective rating of how well mental health care met their needs was used as an indicator of perceived access.

resultsHalf of all women reported perceived mental health need; 84.3% of those women received care. Nearly all mental health users (90.9%) used VA services, although only about half (48.8%) reported that their mental health care met their needs completely or very well. Gender related experiences (availability of female providers, women-only treatment settings, women-only treatment groups, and gender-related comfort) were each associated with 2-fold increased odds of perceived access, and associations remained after adjusting for ease of getting care.

conclusionsWomen VA users demonstrate very good objective access to mental health services. Desire for, and access to specialized mental health services for women varies across the population and are important aspects of shared decision making in referral and treatment planning for women using VA primary care.

Indexed as

Health Services AccessibilityHealth Services Needs and DemandPrimary Health CareUnited States Department of Veterans AffairsVeterans HealthWomen's HealthAdolescentAdultCross-Sectional StudiesFemaleHumansMental DisordersSurveys and QuestionnairesUnited States

Identifiers

PMID25767985
PMCPMC7529478

What OpenQuestion holds

Textmetadata
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.