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Research paper thumbnail of Challenges in Referral Communication Between VHA Primary Care and Specialty Care

Journal of general internal medicine, Jan 20, 2014

Poor communication between primary care providers (PCPs) and specialists is a significant problem... more Poor communication between primary care providers (PCPs) and specialists is a significant problem and a detriment to effective care coordination. Inconsistency in the quality of primary-specialty communication persists even in environments with integrated delivery systems and electronic medical records (EMRs), such as the Veterans Health Administration (VHA). The purpose of this study was to measure ease of communication and to characterize communication challenges perceived by PCPs and primary care personnel in the VHA, with a particular focus on challenges associated with referral communication. The study utilized a convergent mixed-methods design: online cross-sectional survey measuring PCP-reported ease of communication with specialists, and semi-structured interviews characterizing primary-specialty communication challenges. 191 VHA PCPs from one regional network were surveyed (54 % response rate), and 41 VHA PCPs and primary care staff were interviewed. PCP-reported ease of co...

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Research paper thumbnail of Prevalence, Predictors, and Patient Outcomes Associated with Physician Co-management: Findings from the Los Angeles Women's Health Study

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Research paper thumbnail of Association between women veterans' experiences with VA outpatient health care and designation as a women's health provider in primary care clinics

Women's health issues : official publication of the Jacobs Institute of Women's Health

Women veterans comprise a small percentage of Department of Veterans Affairs (VA) health care use... more Women veterans comprise a small percentage of Department of Veterans Affairs (VA) health care users. Prior research on women veterans' experiences with primary care has focused on VA site differences and not individual provider characteristics. In 2010, the VA established policy requiring the provision of comprehensive women's health care by designated women's health providers (DWHPs). Little is known about the quality of health care delivered by DWHPs and women veterans' experience with care from these providers. Secondary data were obtained from the VA Survey of Healthcare Experience of Patients (SHEP) using the Consumer Assessment of Healthcare Providers and Systems (CAHPS) patient-centered medical home (PCMH) survey from March 2012 through February 2013, a survey designed to measure patient experience with care and the DWHPs Assessment of Workforce Capacity that discerns between DWHPs versus non-DWHPs. Of the 28,994 surveys mailed to women veterans, 24,789 were s...

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Research paper thumbnail of Gender Differences in Smoking and Smoking Cessation Treatment: An Examination of the Organizational Features Related to Care

Women's Health Issues, 2011

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Research paper thumbnail of VA Location and Structural Factors Associated with On-Site Availability of Reproductive Health Services

Journal of General Internal Medicine, 2013

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Research paper thumbnail of Use of Interpreters by Physicians Treating Limited English Proficient Women with Breast Cancer: Results from the Provider Survey of the Los Angeles Women's Health Study

Health Services Research, 2010

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Research paper thumbnail of National Variations in VA Mental Health Care for Women Veterans

Women's Health Issues, 2011

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Research paper thumbnail of Challenges in Referral Communication Between VHA Primary Care and Specialty Care

Journal of general internal medicine, Jan 20, 2014

Poor communication between primary care providers (PCPs) and specialists is a significant problem... more Poor communication between primary care providers (PCPs) and specialists is a significant problem and a detriment to effective care coordination. Inconsistency in the quality of primary-specialty communication persists even in environments with integrated delivery systems and electronic medical records (EMRs), such as the Veterans Health Administration (VHA). The purpose of this study was to measure ease of communication and to characterize communication challenges perceived by PCPs and primary care personnel in the VHA, with a particular focus on challenges associated with referral communication. The study utilized a convergent mixed-methods design: online cross-sectional survey measuring PCP-reported ease of communication with specialists, and semi-structured interviews characterizing primary-specialty communication challenges. 191 VHA PCPs from one regional network were surveyed (54 % response rate), and 41 VHA PCPs and primary care staff were interviewed. PCP-reported ease of co...

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Research paper thumbnail of Prevalence, Predictors, and Patient Outcomes Associated with Physician Co-management: Findings from the Los Angeles Women's Health Study

Bookmarks Related papers MentionsView impact

Research paper thumbnail of Association between women veterans' experiences with VA outpatient health care and designation as a women's health provider in primary care clinics

Women's health issues : official publication of the Jacobs Institute of Women's Health

Women veterans comprise a small percentage of Department of Veterans Affairs (VA) health care use... more Women veterans comprise a small percentage of Department of Veterans Affairs (VA) health care users. Prior research on women veterans' experiences with primary care has focused on VA site differences and not individual provider characteristics. In 2010, the VA established policy requiring the provision of comprehensive women's health care by designated women's health providers (DWHPs). Little is known about the quality of health care delivered by DWHPs and women veterans' experience with care from these providers. Secondary data were obtained from the VA Survey of Healthcare Experience of Patients (SHEP) using the Consumer Assessment of Healthcare Providers and Systems (CAHPS) patient-centered medical home (PCMH) survey from March 2012 through February 2013, a survey designed to measure patient experience with care and the DWHPs Assessment of Workforce Capacity that discerns between DWHPs versus non-DWHPs. Of the 28,994 surveys mailed to women veterans, 24,789 were s...

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Research paper thumbnail of Gender Differences in Smoking and Smoking Cessation Treatment: An Examination of the Organizational Features Related to Care

Women's Health Issues, 2011

Bookmarks Related papers MentionsView impact

Research paper thumbnail of VA Location and Structural Factors Associated with On-Site Availability of Reproductive Health Services

Journal of General Internal Medicine, 2013

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Research paper thumbnail of Use of Interpreters by Physicians Treating Limited English Proficient Women with Breast Cancer: Results from the Provider Survey of the Los Angeles Women's Health Study

Health Services Research, 2010

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Research paper thumbnail of National Variations in VA Mental Health Care for Women Veterans

Women's Health Issues, 2011

Bookmarks Related papers MentionsView impact

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