Evidence map›Paper›PMID 38258302›Full record

ArticleHealth services research2024

Participation of Veterans Affairs Medical Centers in veteran-centric community-based service navigation networks: A mixed methods study.

Leslie R M Hausmann, David E Goodrich, Keri L Rodriguez, Nicole Beyer, Zachary Michaels, Gilly Cantor, Nicholas Armstrong, Johanne Eliacin, Deborah A Gurewich, Alicia J Cohen and 1 more

Open access · greenAbstract read
In one paragraph

Article in Health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.7field-weighted citation impact, top 17% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

11 authors at 6 institutions in 1 country.

Leslie R M HausmannCenter for Health Equity Research and Promotion, Veterans Affairs (VA) Pittsburgh Healthcare System, Pittsburgh, Pennsylvania, USA.ORCID 0000-0002-3909-6009
David E GoodrichCenter for Health Equity Research and Promotion, Veterans Affairs (VA) Pittsburgh Healthcare System, Pittsburgh, Pennsylvania, USA.
Keri L RodriguezCenter for Health Equity Research and Promotion, Veterans Affairs (VA) Pittsburgh Healthcare System, Pittsburgh, Pennsylvania, USA.
Nicole BeyerCenter for Health Equity Research and Promotion, Veterans Affairs (VA) Pittsburgh Healthcare System, Pittsburgh, Pennsylvania, USA.
Zachary MichaelsCenter for Health Equity Research and Promotion, Veterans Affairs (VA) Pittsburgh Healthcare System, Pittsburgh, Pennsylvania, USA.ORCID 0000-0002-8112-996X
Gilly CantorD'Aniello Institute for Veterans and Military Families, Syracuse University, Syracuse, New York, USA.
Nicholas ArmstrongD'Aniello Institute for Veterans and Military Families, Syracuse University, Syracuse, New York, USA.
Johanne EliacinNational Center for PTSD, VA Boston Healthcare System, Boston, Massachusetts, USA.
Deborah A GurewichCenter for Healthcare Implementation and Research (CHOIR), VA Boston Health Care System, Bedford, Massachusetts, USA.ORCID 0000-0002-9398-7646
Alicia J CohenCenter of Innovation in Long Term Services and Supports (LTSS-COIN), VA Providence Healthcare System, Providence, Rhode Island, USA.
Maria K MorCenter for Health Equity Research and Promotion, Veterans Affairs (VA) Pittsburgh Healthcare System, Pittsburgh, Pennsylvania, USA.
VA Pittsburgh Healthcare System · USSyracuse University · USUniversity of Pittsburgh · USBoston University · USBrown University · USVA Boston Healthcare System · US

Funding

Developing Cross-Sector Collaborations to Meet the Social Needs of VeteransI01HX003386 · VA · VETERANS HEALTH ADMINISTRATION · PI HAUSMANN, LESLIE R · 2021 to 2023
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Implementing a Clinical-Community Partnered Intervention to Address Food Insecurity Among High-Risk VeteransIK2HX003013 · VA · PROVIDENCE VA MEDICAL CENTER · PI Alicia Cohen · 2020 to 2026
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HSRD VA I01 HX003386HSRD VA IK2 HX003013
6 · The paper itself

Abstract

objectiveTo understand the determinants and benefits of cross-sector partnerships between Veterans Affairs Medical Centers (VAMCs) and geographically affiliated AmericaServes Network coordination centers that address Veteran health-related social needs. DATA SOURCES AND

settingSemi-structured interviews were conducted with AmericaServes and VAMC staff across seven regional networks. We matched administrative data to calculate the percentage of AmericaServes referrals that were successfully resolved (i.e., requested support was provided) in each network overall and stratified by whether clients were also VAMC patients. STUDY

designConvergent parallel mixed-methods study guided by Himmelman's Developmental Continuum of Change Strategies (DCCS) for interorganizational collaboration. DATA COLLECTION: Fourteen AmericaServes staff and 17 VAMC staff across seven networks were recruited using snowball sampling and interviewed between October 2021 and April 2022. Rapid qualitative analysis methods were used to characterize the extent and determinants of VAMC participation in networks. PRINCIPAL

findingsOn the DCCS continuum of participation, three networks were classified as networking, two as coordinating, one as cooperating, and one as collaborating. Barriers to moving from networking to collaborating included bureaucratic resistance to change, VAMC leadership buy-in, and not having VAMCs staff use the shared technology platform. Facilitators included ongoing communication, a shared mission of serving Veterans, and having designated points-of-contact between organizations. The percentage of referrals that were successfully resolved was lowest in networks engaged in networking (65.3%) and highest in cooperating (85.6%) and collaborating (83.1%) networks. For coordinating, cooperating, and collaborating networks, successfully resolved referrals were more likely among Veterans who were also VAMC patients than among Veterans served only by AmericaServes.

conclusionsVAMCs participate in AmericaServes Networks at varying levels. When partnerships are more advanced, successful resolution of referrals is more likely, especially among Veterans who are dually served by both organizations. Although challenges to establishing partnerships exist, this study highlights effective strategies to overcome them.

Indexed as

United States Department of Veterans AffairsCommunity Health ServicesCommunity NetworksHospitals, VeteransHumansInterinstitutional RelationsInterviews as TopicPatient NavigationQualitative ResearchUnited StatesVeteranshealth care organizations and systemsorganization theoryreferrals and referral networkssocial determinants of healthVA health care system

Identifiers

PMID38258302
PMCPMC11063092
OpenAlexW4391144254

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.