Journal article
Non-VA primary care providers' perspectives on comanagement for rural veterans
Military medicine, Vol.179(11), pp.1236-1243
11/2014
DOI: 10.7205/MILMED-D-13-00342
PMID: 25373047
Abstract
Many veterans utilize health care services within and outside of the Department of Veterans Affairs (VA). There are limited VA care coordination resources for non-VA primary care providers (PCPs), and the non-VA provider perspective on caring for veterans is underrepresented. The VA requires Patient Aligned Care Teams to coordinate care for veterans across health systems.
To elicit perspectives of PCPs on caring for veterans who use both VA and non-VA health care.
Qualitative data from semistructured telephone interviews were interpreted in the context of quantitative survey results. Participants were PCPs in a practice-based research network in 2011. 67 non-VA PCPs completed surveys, and descriptive statistics were performed. 21 semistructured telephone interviews were transcribed and underwent thematic analysis.
Current communication with VA was viewed as poor, and many believed this led to poor patient outcomes. The veteran was identified as the main vehicle for information transfer between providers, which was viewed as undesirable. Non-VA providers felt they were interacting with VA as a system rather than with individual providers.
VA system barriers hinder communication between providers, possibly resulting in fragmented care. Addressing these barriers will potentially improve patient safety and satisfaction.
Details
- Title: Subtitle
- Non-VA primary care providers' perspectives on comanagement for rural veterans
- Creators
- Anne Gaglioti - Department of Family Medicine, University of Iowa Carver College of Medicine, 200 Hawkins Drive, Iowa City, IA 52242Ashley Cozad - VA Office of Rural Health (ORH), Veterans Rural Health Resource Center-Central Region (VRHRC-CR), Iowa City VA Health Care System, 601 Hwy 6 West, Iowa City, IA 52246Stacy Wittrock - VA Office of Rural Health (ORH), Veterans Rural Health Resource Center-Central Region (VRHRC-CR), Iowa City VA Health Care System, 601 Hwy 6 West, Iowa City, IA 52246Kenda Stewart - VA Office of Rural Health (ORH), Veterans Rural Health Resource Center-Central Region (VRHRC-CR), Iowa City VA Health Care System, 601 Hwy 6 West, Iowa City, IA 52246Michelle Lampman - VA Office of Rural Health (ORH), Veterans Rural Health Resource Center-Central Region (VRHRC-CR), Iowa City VA Health Care System, 601 Hwy 6 West, Iowa City, IA 52246Sarah Ono - VA Office of Rural Health (ORH), Veterans Rural Health Resource Center-Central Region (VRHRC-CR), Iowa City VA Health Care System, 601 Hwy 6 West, Iowa City, IA 52246Heather Schacht Reisinger - VA Office of Rural Health (ORH), Veterans Rural Health Resource Center-Central Region (VRHRC-CR), Iowa City VA Health Care System, 601 Hwy 6 West, Iowa City, IA 52246Mary E Charlton - VA Office of Rural Health (ORH), Veterans Rural Health Resource Center-Central Region (VRHRC-CR), Iowa City VA Health Care System, 601 Hwy 6 West, Iowa City, IA 52246
- Resource Type
- Journal article
- Publication Details
- Military medicine, Vol.179(11), pp.1236-1243
- DOI
- 10.7205/MILMED-D-13-00342
- PMID
- 25373047
- NLM abbreviation
- Mil Med
- ISSN
- 1930-613X
- eISSN
- 1930-613X
- Publisher
- England
- Language
- English
- Date published
- 11/2014
- Academic Unit
- Health Management and Policy; Epidemiology; Center for Social Science Innovation; Internal Medicine
- Record Identifier
- 9983996060402771
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