Evidence map›Paper›PMID 36042076›Full record

ArticleJournal of general internal medicine2022

Women Veterans' Healthcare Needs, Utilization, and Preferences in Veterans Affairs Primary Care Settings.

Kate L Sheahan, Karen M Goldstein, Claire T Than, Bevanne Bean-Mayberry, Catherine C Chanfreau, Megan R Gerber, Danielle E Rose, Julian Brunner, Ismelda A Canelo, Jill E Darling Mshs and 3 more

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of general internal medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
10.0field-weighted citation impact, top 1% 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.

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

28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.

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  9. "Sitting on the Porch Just Hearing the Crickets": Rural Living and Mental Well-Being Among Veterans in the U.S. South.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026
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  20. I*DEA in the VA: Optimizing the Physician Workforce to Enhance Quality of Care.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2024
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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

13 authors at 9 institutions in 1 country.

Kate L SheahanJSI, Inc., 2733 Crystal Dr 4th floor, Arlington, VA, 22202, USA. kate_sheahan@jsi.com.ORCID 0000-0001-5473-3646
Karen M GoldsteinJSI, Inc., 2733 Crystal Dr 4th floor, Arlington, VA, 22202, USA.
Claire T ThanVA HSR&D Center for the Study of Healthcare Innovation, Implementation and Policy, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
Bevanne Bean-MayberryVA HSR&D Center for the Study of Healthcare Innovation, Implementation and Policy, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
Catherine C ChanfreauVA HSR&D Center for the Study of Healthcare Innovation, Implementation and Policy, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
Megan R GerberAlbany Stratton VA Medical Center, Albany, NY, USA.
Danielle E RoseVA HSR&D Center for the Study of Healthcare Innovation, Implementation and Policy, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
Julian BrunnerVA HSR&D Center for the Study of Healthcare Innovation, Implementation and Policy, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
Ismelda A CaneloVA HSR&D Center for the Study of Healthcare Innovation, Implementation and Policy, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
Jill E Darling MshsCenter for Economic and Social Research (CESR), University of Southern California, Los Angeles, CA, USA.
Sally HaskellPain Research, Informatics, Multi-morbidities, and Education (PRIME) Center, VA Connecticut Healthcare System, West Haven, CT, USA.
Alison B HamiltonVA HSR&D Center for the Study of Healthcare Innovation, Implementation and Policy, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
Elizabeth M YanoVA HSR&D Center for the Study of Healthcare Innovation, Implementation and Policy, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
Center for the Study of Healthcare Provider Behavior · USUniversity of California, Los Angeles · USAlbany Stratton VA Medical Center Albany · USCrystal Research (United States) · USDuke University · USNeurobehavioral Systems · USUniversity of Southern California · USVA Salt Lake City Healthcare System · USVeterans Health Administration · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
HSRD VA SDR 10-012NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

backgroundThe Veterans Health Administration (VA) is the largest integrated health system in the US and provides access to comprehensive primary care. Women Veterans are the fastest growing segment of new VA users, yet little is known about the characteristics of those who routinely access VA primary care in general or by age group.

objectiveDescribe healthcare needs, utilization, and preferences of women Veterans who routinely use VA primary care.

participants1,391 women Veterans with 3+ primary care visits within the previous year in 12 VA medical centers (including General Primary Care Clinics, General Primary Care Clinics with designated space for women, and Comprehensive Women's Health Centers) in nine states.

methodsCross-sectional survey (45% response rate) of sociodemographic characteristics, health status (including chronic disease, mental health, pain, and trauma exposure), utilization, care preferences, and satisfaction. Select utilization data were extracted from administrative data. Analyses were weighted to the population of routine users and adjusted for non-response in total and by age group. KEY

resultsWhile 43% had health coverage only through VA, 62% received all primary care in VA. In the prior year, 56% used VA mental healthcare and 78% used VA specialty care. Common physical health issues included hypertension (42%), elevated cholesterol (39%), pain (35%), and diabetes (16%). Many screened positive for PTSD (41%), anxiety (32%), and depression (27%). Chronic physical and mental health burdens varied by age. Two-thirds (62%) had experienced military sexual trauma. Respondents reported satisfaction with VA women's healthcare and preference for female providers.

conclusionsWomen Veterans who routinely utilize VA primary care have significant multimorbid physical and mental health conditions and trauma histories. Meeting women Veterans' needs across the lifespan will require continued investment in woman-centered primary care, including integrated mental healthcare and emphasis on trauma-informed, age-specific care, guided by women's provider preferences.

Indexed as

VeteransCross-Sectional StudiesDelivery of Health CareFemaleHumansPainPrimary Health Caremental healthprimary caretraumaVeteranswomen’s health

Identifiers

PMID36042076
PMCPMC9481772
OpenAlexW4293858457

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.