ArticleWomen's health issues : official publication of the Jacobs Institute of Women's Health
Challenges with Implementing a Patient-Centered Medical Home Model for Women Veterans.
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. 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 17 papers, 1 of them a synthesis that pooled it.
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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.
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.
Implementation of VA Womens Health Patient Aligned Care Teams WH-PACTs
Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- An Evidence Map of the Women Veterans' Health Literature, 2016 to 2023: A Systematic Review.JAMA network open · 2025Pooled it
- Engaging multilevel stakeholders in an implementation trial of evidence-based quality improvement in VA women's health primary care.Translational behavioral medicine · 2017Trial
- Comparing Work Experiences of Internal Medicine Physicians in Veterans Affairs and Non-Federal Hospitals: A National Survey.Journal of general internal medicine · 2026Article
- Comprehensiveness in Primary Care: A Scoping Review.The Milbank quarterly · 2025Article
- Enhancing Mental and Physical Health of Women through Engagement and Retention (EMPOWER) 2.0 QUERI: study protocol for a cluster-randomized hybrid type 3 effectiveness-implementation trial.Implementation science communications · 2023Article
- Outpatient nurse staffing relationship with organizational, nurse and patient outcomes: A scoping review.International journal of nursing studies advances · 2022Article
- Implementation experience and initial assessment of a rural women's health training program in support of the U.S. Department of Veterans Affairs as a learning health system.Learning health systems · 2022Article
- Exploring Challenges and Strategies in Partnering With Community-Based Organizations to Advance Intervention Development and Implementation With Older Adults.The Gerontologist · 2022Article
- Differences in Burnout and Intent to Leave Between Women's Health and General Primary Care Providers in the Veterans Health Administration.Journal of general internal medicine · 2022Article
- Preventing Suicide Among Women Veterans: Gender-Sensitive, Trauma-Informed Conceptualization.Current treatment options in psychiatry · 2022Review
- Pregnancy Risk Screening and Counseling for Women Veterans: Piloting the One Key Question in the Veterans Healthcare Administration.Southern medical journal · 2021Observational
- Association Between Difficulty with VA Patient-Centered Medical Home Model Components and Provider Emotional Exhaustion and Intent to Remain in Practice.Journal of general internal medicine · 2020Article
- Dynamic waitlisted design for evaluating a randomized trial of evidence-based quality improvement of comprehensive women's health care implementation in low-performing VA facilities.Implementation science communications · 2020Article
- Women Veterans' Perspectives on Suicide Prevention in Reproductive Health Care Settings: An Acceptable, Desired, Unmet Opportunity.Women's health issues : official publication of the Jacobs Institute of Women's HealthArticle
- It's Time to Eliminate Racism and Fragmentation in Women's Health Care.Women's health issues : official publication of the Jacobs Institute of Women's HealthArticle
- Bridging the Chasm between Pregnancy and Health over the Life Course: A National Agenda for Research and Action.Women's health issues : official publication of the Jacobs Institute of Women's HealthArticle
- 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 HealthArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
backgroundThe Veterans Health Administration (VA) Patient Aligned Care Team (PACT) initiative aims to ensure that all patients receive care consistent with medical home principles. Women veterans' unique care needs and minority status within the VA pose challenges to delivery of equitable, comprehensive primary care for this population. Currently, little is known about whether and/or how PACT should be tailored to better meet women veterans' needs.
methodsIn 2014, we conducted semistructured interviews with 73 primary care providers and staff to examine facilitators and barriers encountered in providing PACT-principled care to women veterans. Respondents were located in eight VA medical centers in eight different states across the United States.
resultsRespondents perceived PACT as improving continuity of care for patients and as increasing ability of nursing staff to practice at the top of their license. However, the implementation of core medical home features and team huddles was inconsistent and varied both within and across medical centers. Short staffing, inclusion of part-time providers on teams, balancing performance requirements for continuity and same-day access, and space constraints were identified as ongoing barriers to PACT implementation. Challenges unique to care of women veterans included a higher prevalence of psychosocial needs, the need for specialized training of primary care personnel, and short staffing owing to additional sharing of primary care support staff with specialist providers.
conclusionProviders and staff face unique challenges in delivering comprehensive primary care to women veterans that may require special policy, practice, and management action if benefits of PACT are to be fully realized for this population.
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