ArticleHealth services research2022
From patient outcomes to system change: Evaluating the impact of VHA's implementation of the Whole Health System of Care.
Article in Health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
38 citing papers in PubMed, 1 synthesis or guideline pooled it, 59 citations in OpenAlex.
- Multisectoral interventions and health system performance: a systematic review.Bulletin of the World Health Organization · 2024Pooled it
- User-centered design of a patient-generated health data mobile application for primary care visits for older adults with chronic pain.JAMIA open · 2026Article
- Impact of Substance Use Navigators on Initiation of Treatment for Substance Use Disorders and 30-Day Unplanned Readmission.Journal of general internal medicine · 2026Observational
- Peer Support for Whole Health: R esults from a mixed methods two phase pilot study.Journal of behavioral medicine · 2026Article
- Employing Peer Outreach and Whole Health in Recovery (EMPOWER) for homeless-experienced veterans: protocol for a hybrid type 3 implementation trial.Implementation science : IS · 2026Article
- Personal Health Goals in Homeless-Experienced Veterans: Rates, Patterns, and Associations With Health-Related Needs.Medical care · 2026Article
- Preparing clinical champions for sustainable implementation of practice change within large healthcare systems.Implementation science communications · 2026Article
- Primary Care Clinician and Patient Knowledge, Interest, and Use of Integrative Treatment Options for Chronic Low Back Pain Management.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2026Article
- Health Care Journeys of Veterans With Gulf War Illness.Medical care · 2026Article
- Patient Journeys: A Qualitative Assessment Exploring Patient Availability and Interest in Whole Health Services.Journal of patient safety · 2026Article
- Whole health implementation lessons from the Veterans Health Administration, United States of America.Bulletin of the World Health Organization · 2025Article
- Promoting interactional health equity through (Complementary and Integrative Health) talk during clinical encounters.Patient education and counseling · 2025Article
- "It's more than a ride" veteran perceptions of peer specialist qualities and activities that were most valuable for post-incarceration reentry: a qualitative analysis.Health & justice · 2025Article
- Longitudinal Utilization of Invasive Pain Treatment Procedures Among Veterans with Chronic Pain Following Use of Whole Health Services and Complementary and Integrative Health Therapies.Journal of pain research · 2025Article
- Patient and Support Person Satisfaction Following a Whole Health-Informed Interdisciplinary Pain Team Meeting.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2024Article
- Diabetes distress in Veterans with type 2 diabetes mellitus: Qualitative descriptive study.Journal of health psychology · 2024Observational
- Co-designing a blueprint for spreading person-centered, Whole Health care to HIV specialty care settings: a mixed methods protocol.BMC health services research · 2024Article
- Advancing a new model of collaborative practice: a decade of Whole Health interprofessional education across Veterans Health Administration.BMC medical education · 2024Article
- Enhancing data practices for Whole Health: Strategies for a transformative future.Learning health systems · 2024Article
- Improving Veteran Engagement with Virtual Care Technologies: a Veterans Health Administration State of the Art Conference Research Agenda.Journal of general internal medicine · 2024Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 7 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo describe how a partnered evaluation of the Whole Health (WH) system of care-comprised of the WH pathway, clinical care, and well-being programs-produced patient outcomes findings, which informed Veterans Health Administration (VA) policy and system change. DATA SOURCES: Electronic health records (EHR)-based cohort of 1,368,413 patients and a longitudinal survey of Veterans receiving care at 18 WH pilot medical centers. STUDY
designIn partnership with VA operations, we focused the evaluation on the impact of WH services utilization on Veterans' (1) use of opioids and (2) care experiences, care engagement, and well-being. Outcomes were compared between Veterans who did and did not use WH services identified from the EHR. DATA COLLECTION: Pharmacy records and WH service data were obtained from the VA EHR, including WH coaching, peer-led groups, personal health planning, and complementary, integrative health therapies. We surveyed veterans at baseline and 6 months to measure patient-reported outcomes. PRINCIPAL
findingsOpioid use decreased 23% (31.5-6.5) to 38% (60.3-14.4) among WH users depending on level of WH use compared to a secular 11% (12.0-9.9) decrease among Veterans using Conventional Care. Compared to Conventional Care users, WH users reported greater improvements in perceptions of care (SMD = 0.138), engagement in health care (SMD = 0.118) and self-care (SMD = 0.1), life meaning and purpose (SMD = 0.152), pain (SMD = 0.025), and perceived stress (SMD = 0.191).
conclusionsEvidence developed through this partnership yielded key VA policy changes to increase Veteran access to WH services. Findings formed the foundation of a congressionally mandated report in response to the Comprehensive Addiction and Recovery Act, highlighting the value of WH and complementary, integrative health and well-being programs for Veterans with pain. Findings subsequently informed issuance of an Executive Decision Memo mandating the integration of WH into mental health and primary care across VA, now one lane of modernization for VA.
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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.