Evidence map›Paper›PMID 38804072›Full record

ArticleHealth services research2024

"You want people to listen to you": Patient experiences of women's healthcare within the Veterans Health Administration.

Ashley C Mog, Samantha K Benson, Vyshnika Sriskantharajah, P Adam Kelly, Kristen E Gray, Lisa S Callegari, Ernest M Moy, Jodie G Katon

Abstract 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 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. 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

8 authors.

Ashley C MogSeattle-Denver Center of Innovation (COIN), VA Puget Sound Health Care System, Seattle, Washington, USA.ORCID 0000-0001-7622-3217
Samantha K BensonSeattle-Denver Center of Innovation (COIN), VA Puget Sound Health Care System, Seattle, Washington, USA.
Vyshnika SriskantharajahSeattle-Denver Center of Innovation (COIN), VA Puget Sound Health Care System, Seattle, Washington, USA.
P Adam KellySoutheast Louisiana Veterans Health Care System, New Orleans, Louisiana, USA.ORCID 0000-0002-0920-9228
Kristen E GraySeattle-Denver Center of Innovation (COIN), VA Puget Sound Health Care System, Seattle, Washington, USA.
Lisa S CallegariSeattle-Denver Center of Innovation (COIN), VA Puget Sound Health Care System, Seattle, Washington, USA.
Ernest M MoyOffice of Health Equity, Veterans Health Administration, Washington, District of Columbia, USA.
Jodie G KatonVA Greater Los Angeles Healthcare System, Los Angeles, California, USA.

Funding

HSRD VA I01 HX003449VA Health Systems Research (HSR) IIR 21-104
6 · The paper itself

Abstract

objectiveTo identify constructs that are critical in shaping Veterans' experiences with Veterans Health Administration (VA) women's healthcare, including any which have been underexplored or are not included in current VA surveys of patient experience. DATA SOURCES AND STUDY

settingFrom June 2022 to January 2023, we conducted 28 semi-structured interviews with a diverse, national sample of Veterans who use VA women's healthcare. STUDY

designUsing VA data, we divided Veteran VA-users identified as female into four groups stratified by age (dichotomized at age 45) and race/ethnicity (non-Hispanic White vs. all other). We enrolled Veterans continuously from each recruitment strata until thematic saturation was reached. DATA COLLECTION/EXTRACTION

methodsFor this qualitative study, we asked Veterans about past VA healthcare experiences. Interview questions were guided by a priori domains identified from review of the literature, including trust, safety, respect, privacy, communication and discrimination. Analysis occurred concurrently with interviews, using inductive and deductive content analysis. PRINCIPAL

findingsWe identified five themes influencing Veterans' experiences of VA women's healthcare: feeling valued and supported, bodily autonomy, discrimination, past military experiences and trauma, and accessible care. Each emergent theme was associated with multiple of the a priori domains we asked about in the interview guide.

conclusionsOur findings underscore the need for a measure of patient experience tailored to VA women's healthcare. Existing patient experience measures used within VA fail to address several aspects of experience highlighted by our study, including bodily autonomy, the influence of past military experiences and trauma on healthcare, and discrimination. Understanding distinct factors that influence women and gender-diverse Veterans' experiences with VA care is critical to advance efforts by VA to measure and improve the quality and equity of care for all Veterans.

Indexed as

Qualitative ResearchUnited States Department of Veterans AffairsAdultAgedCommunicationFemaleHumansInterviews as TopicMiddle AgedPatient SatisfactionUnited StatesVeteransVeterans Health ServicesWomen's HealthWomen's Health Servicesgendermeasure developmentpatient‐reported experiencequalitative researchVeteranswomen's health

Identifiers

PMID38804072
PMCPMC11622265

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.