Evidence map›Paper›PMID 41385254›Full record

ArticleMedical care2026

Exposure-Informed Care: Why It's Important and How the Veterans Affairs Does It.

Lisa M McAndrew, Lucile Burgo-Black, Stephen C Hunt, Andrea Kossoudji, Kirsten C Mains, Eric Shuping, Maria D Llorente

Abstract read
In one paragraph

Article in Medical care, 2026. 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
–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

1 citing paper in PubMed.

  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

7 authors.

Lisa M McAndrewWar Related Illness and Injury Study Center, Veterans Affairs New Jersey Healthcare System, East Orange, NJ.ORCID 0000-0002-1350-8773
Lucile Burgo-BlackVA Connecticut Healthcare System, West Haven, CT.
Stephen C HuntDepartment of Veterans Affairs, Office of Primary Care, Washington DC.
Andrea KossoudjiWar Related Illness and Injury Study Center, Veterans Affairs New Jersey Healthcare System, East Orange, NJ.
Kirsten C MainsDepartment of Veterans Affairs, Office of Primary Care, Washington DC.
Eric ShupingDepartment of Veterans Affairs, Washington DC.
Maria D LlorenteDepartment of Veterans Affairs, Patient Care Services, Washington DC.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProviding care for individuals with environmental and occupational exposure health concerns is challenging. There is rarely exposure data to allow for verification of dose and duration of exposure, and even when there is, it is difficult to conclusively determine if or to what degree a health condition is associated with an exposure. This uncertainty can lead to disagreement between patients and providers, lowering trust and satisfaction. To address these issues the Veterans Affairs (VA) has developed, and is implementing, Exposure-Informed Care (EIC). EIC is a model of care that recognizes previous possible or known exposures to environmental factors may impact health and cause concern and seeks to create an environment that at every level is validating, transparent, and proactively addresses environmental exposures.

objectivesThis paper provides a framework for how the VA has implemented the core features of EIC that can be adapted by other health care systems.

resultsThe VA has implemented EIC through: (1) screening for potential exposures and integration of exposure-related information into clinical care, risk communications, and trust building; (2) trained clinicians to provide evaluations and consultation; (3) surveillance and research; (4) investment and commitment to workforce development by providing education and implementation support and evaluating the impact of these efforts; (5) leadership commitment to standardize institutional policies and create cultural change. DISCUSSION: While this paper focuses on a single health care system, EIC principles can and should be adapted to clinical settings outside of the VA. This is important for Veterans seen in community care as well as civilian populations who are likely to have been exposed to environmental hazards.

Indexed as

Environmental ExposureOccupational ExposureUnited States Department of Veterans AffairsHumansTrustUnited StatesVeteransenvironmental exposureinformed-careveterans

Identifiers

PMID41385254
PMCPMC12704665

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.