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    Coordinating women's preventive health care for rural veterans

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    Authors
    Kinney, Rebecca L.
    Haskell, Sally
    Relyea, Mark R.
    DeRycke, Eric C.
    Walker, Lorrie
    Bastian, Lori A.
    Mattocks, Kristin M.
    UMass Chan Affiliations
    Department of Population and Quantitative Health Sciences
    Document Type
    Journal Article
    Publication Date
    2021-07-26
    Keywords
    care coordination
    preventive screenings
    women veterans
    Health Communication
    Health Services Administration
    Health Services Research
    Military and Veterans Studies
    Preventive Medicine
    Women's Health
    
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    Link to Full Text
    https://doi.org/10.1111/jrh.12609
    Abstract
    PURPOSE: As the number of women veterans receiving care from the Veterans Health Administration (VHA) continues to increase, so does the need to access gender-specific preventive health care services through the VHA. In rural areas, women veterans are the numeric minority, so many preventive screenings are performed outside of the VA by community providers. As the numbers of veterans utilizing both VHA and non-VHA providers for their preventive care continue to increase, so does the need to coordinate this care. This research examines the role of the Women Veterans' Care Coordinator (WVCC) at rural facilities and their perceptions of coordinating preventive care. METHODS: Between March and July 2019, semi-structured telephone interviews were conducted with WVCCs at 26 rural VA facilities. Each interview was digitally recorded and transcribed verbatim. Transcripts were loaded into Atlas.ti for further analysis. Once the codes were refined, the investigators coded the 26 interviews independently and conferred to achieve consensus on the underlying themes. FINDINGS: Five themes arose from the WVCC interviews: (1) Rural women veterans have varying needs of coordination; (2) Fragmented communication between the VA and non-VA care settings hinders effective coordination; (3) Difficulties in prioritizing rural care coordination; (4) Care coordination impacts patient care; and (5) WVCC recommendations to improve rural care coordination. CONCLUSIONS: The recent addition of WVCCs to rural facilities has expanded the VA's reach to veterans living in the most rural areas. As a result, many of these women are now receiving timely, quality, and coordinated health care.
    Source

    Kinney RL, Haskell S, Relyea MR, DeRycke EC, Walker L, Bastian LA, Mattocks KM. Coordinating women's preventive health care for rural veterans. J Rural Health. 2021 Jul 26. doi: 10.1111/jrh.12609. Epub ahead of print. PMID: 34310743. Link to article on publisher's site

    DOI
    10.1111/jrh.12609
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/46962
    PubMed ID
    34310743
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    Link to Article in PubMed

    ae974a485f413a2113503eed53cd6c53
    10.1111/jrh.12609
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