John Fortney
Datos Biográficos
| ID | 5542851 |
|---|---|
| NOMBRE | John Fortney |
| NOMBRES | John |
| APELLIDO | Fortney |
| FIRMA | FORTNEY J |
| AFILIACIONES | VA Health Services Research & Development, Denver Seattle Center of Innovation for Veteran‐Centered and Value‐Driven Care VA Puget Sound Healthcare System Seattle Washington |
| VERIFICADO | No |
| TOTAL DE OBRAS | 14 |
| TOTAL DE CITAS | 0 |
| TOTAL COMO AUTOR | 14 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1998 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 0 |
Health care access from the rural perspective
PURPOSE: Health care access has been described using several definitions and frameworks, but none are specific to rural populations. We describe ways access to care is measured using the model of access developed by Fortney et al., with a focus on the differential impact on rural populations. METHODS: We describe patient-centered access metrics in rural and urban populations using the Fortney model's five access dimensions: geographic, temporal, …
Association of Depression and Post-Traumatic Stress Disorder with Receipt of Minimally Invasive Hysterectomy for Uterine Fibroids
Differences in Receipt of Alcohol‐Related Care Across Rurality Among VA Patients Living With HIV With Unhealthy Alcohol Use
PURPOSE: It is unknown whether receipt of evidence-based alcohol-related care varies by rurality among people living with HIV (PLWH) with unhealthy alcohol use-a population for whom such care is particularly important. METHODS: All positive screens for unhealthy alcohol use (AUDIT-C ≥ 5) among PLWH were identified using Veterans Health Administration electronic health record data (10/1/09-5/30/13). Three domains of alcohol-related care were asses…
Patterns of Alcohol Use Among Patients Living With HIV in Urban, Large Rural, and Small Rural Areas
BACKGROUND: For people living with HIV (PLWH), alcohol use is harmful and may be influenced by unique challenges faced by PLWH living in rural areas. We describe patterns of alcohol use across rurality among PLWH. METHODS: Veterans Aging Cohort Study electronic health record data were used to identify patients with HIV (ICD-9 codes for HIV or AIDS) who completed AUDIT-C alcohol screening between February 1, 2008, and September 30, 2014. Regressio…
Change in social support while participating in behavioral activation for PTSD
BA may facilitate an increase in the perceived number of social supports available to veterans with PTSD, but treatment adaptation may be necessary to maintain these gains and to increase satisfaction with social support. (PsycINFO Database Record (c) 2019 APA, all rights reserved)
Improving Perinatal Mental Health Care for Women Veterans
VA Community Mental Health Service Providers’ Utilization of and Attitudes Toward Telemental Health Care
CONTEXT: Mental health (MH) providers in community-based outpatient clinics (CBOCs) are important stakeholders in the development of the Veterans Health Administration (VA) telemental health (TMH) system, but their perceptions of these technologies have not been systematically examined. PURPOSE: The purpose of this study was to investigate the attitudes of CBOC providers about TMH services, current utilization of these technologies in their clini…
Reliance on Veterans Affairs Outpatient Care by Medicare-eligible Veterans
OBJECTIVE: To examine longitudinal changes in Medicare-eligible veterans' reliance on the Department of Veterans Affairs (VA) healthcare system for primary and specialty care over 4 years. METHODS: We merged VA administrative and Medicare claims data to examine outpatient use during fiscal years (FY) 2001 to 2004 by 15,520 Medicare-eligible veterans who used VA primary care in FY2000. Reliance on VA outpatient care was defined as the proportion o…
Depression-Free Day to Utility-Weighted Score
BACKGROUND: Cost-utility analyses using formulas to convert depression-free days (DFDs) to utility-weighted scores are increasingly common. These formulas are based on linear extrapolation of data documenting the correlation between depression symptom severity and generic health-related quality of life. OBJECTIVE: We sought to examine the validity of formulas converting DFDs to utility weights. METHODS: We undertook an observational study with da…
Differential Effectiveness of Depression Disease Management for Rural and Urban Primary Care Patients
Context: Federally qualified health centers across the country are adopting depression disease management programs following federally mandated training; however, little is known about the relative effectiveness of depression disease management in rural versus urban patient populations. Purpose: To explore whether a depression disease management program has a comparable impact on clinical outcomes over 2 years in patients treated in rural and urb…
Treatment of Depression in Rural Arkansas
Policy‐makers have long suspected that greater barriers to care result in depressed rural residents being less likely to receive high‐quality treatment. This study recruited 470 depressed community residents in a 1992 telephone survey, followed 95 percent of them through one year, and abstracted additional data on their health care utilization from insurance claims, medical and pharmacy records. Bivariate and multivariate models demonstrated that…
The Impact of Geographic Accessibility on the Intensity and Quality of Depression Treatment
OBJECTIVES: For depression, this research measures the impact of travel time on visit frequency and the probability of receiving treatment in concordance with AHCPR guidelines. METHODS: The medical, insurance, and pharmacy records of a community-based sample of 435 subjects with current depression were abstracted to identify those treated for depression, to determine the number of depression visits made over a 6-month period, and to ascertain whe…
Rural-Urban Differences in Depression Treatment and Suicidality
OBJECTIVES: Because there are fewer per capita providers trained to deliver mental health services in rural areas, the authors hypothesized that depressed rural individuals would receive less outpatient treatment and report higher rates of hospital admittance and suicide attempts than their urban counterparts. METHODS: The authors recruited 74% of eligible participants (n = 470) from a 1992 telephone survey and followed up 95% of subjects for 1 y…
A Joint Choice Model of the Decision to Seek Depression Treatment and Choice of Provider Sector
OBJECTIVES: Using a community-based sample of currently depressed subjects, this research modeled the joint decision to seek depression treatment and choice of provider sector (primary care or specialty mental health). The objective was to identify those subject-specific case-mix factors and those provider sector-specific access measures that significantly impacted this joint decision. METHODS: A community-based sample of 435 Arkansans with curre…
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Rural-Urban Differences in Depression Treatment and Suicidality
OBJECTIVES: Because there are fewer per capita providers trained to deliver mental health services in rural areas, the authors hypothesized that depressed rural individuals would receive less outpatient treatment and report higher rates of hospital admittance and suicide attempts than their urban counterparts. METHODS: The authors recruited 74% of eligible participants (n = 470) from a 1992 telephone survey and followed up 95% of subjects for 1 y…
A Joint Choice Model of the Decision to Seek Depression Treatment and Choice of Provider Sector
OBJECTIVES: Using a community-based sample of currently depressed subjects, this research modeled the joint decision to seek depression treatment and choice of provider sector (primary care or specialty mental health). The objective was to identify those subject-specific case-mix factors and those provider sector-specific access measures that significantly impacted this joint decision. METHODS: A community-based sample of 435 Arkansans with curre…
Treatment of Depression in Rural Arkansas
Policy‐makers have long suspected that greater barriers to care result in depressed rural residents being less likely to receive high‐quality treatment. This study recruited 470 depressed community residents in a 1992 telephone survey, followed 95 percent of them through one year, and abstracted additional data on their health care utilization from insurance claims, medical and pharmacy records. Bivariate and multivariate models demonstrated that…
The Impact of Geographic Accessibility on the Intensity and Quality of Depression Treatment
OBJECTIVES: For depression, this research measures the impact of travel time on visit frequency and the probability of receiving treatment in concordance with AHCPR guidelines. METHODS: The medical, insurance, and pharmacy records of a community-based sample of 435 subjects with current depression were abstracted to identify those treated for depression, to determine the number of depression visits made over a 6-month period, and to ascertain whe…
Differential Effectiveness of Depression Disease Management for Rural and Urban Primary Care Patients
Context: Federally qualified health centers across the country are adopting depression disease management programs following federally mandated training; however, little is known about the relative effectiveness of depression disease management in rural versus urban patient populations. Purpose: To explore whether a depression disease management program has a comparable impact on clinical outcomes over 2 years in patients treated in rural and urb…
Depression-Free Day to Utility-Weighted Score
BACKGROUND: Cost-utility analyses using formulas to convert depression-free days (DFDs) to utility-weighted scores are increasingly common. These formulas are based on linear extrapolation of data documenting the correlation between depression symptom severity and generic health-related quality of life. OBJECTIVE: We sought to examine the validity of formulas converting DFDs to utility weights. METHODS: We undertook an observational study with da…
VA Community Mental Health Service Providers’ Utilization of and Attitudes Toward Telemental Health Care
CONTEXT: Mental health (MH) providers in community-based outpatient clinics (CBOCs) are important stakeholders in the development of the Veterans Health Administration (VA) telemental health (TMH) system, but their perceptions of these technologies have not been systematically examined. PURPOSE: The purpose of this study was to investigate the attitudes of CBOC providers about TMH services, current utilization of these technologies in their clini…
Reliance on Veterans Affairs Outpatient Care by Medicare-eligible Veterans
OBJECTIVE: To examine longitudinal changes in Medicare-eligible veterans' reliance on the Department of Veterans Affairs (VA) healthcare system for primary and specialty care over 4 years. METHODS: We merged VA administrative and Medicare claims data to examine outpatient use during fiscal years (FY) 2001 to 2004 by 15,520 Medicare-eligible veterans who used VA primary care in FY2000. Reliance on VA outpatient care was defined as the proportion o…
Improving Perinatal Mental Health Care for Women Veterans
Differences in Receipt of Alcohol‐Related Care Across Rurality Among VA Patients Living With HIV With Unhealthy Alcohol Use
PURPOSE: It is unknown whether receipt of evidence-based alcohol-related care varies by rurality among people living with HIV (PLWH) with unhealthy alcohol use-a population for whom such care is particularly important. METHODS: All positive screens for unhealthy alcohol use (AUDIT-C ≥ 5) among PLWH were identified using Veterans Health Administration electronic health record data (10/1/09-5/30/13). Three domains of alcohol-related care were asses…
Patterns of Alcohol Use Among Patients Living With HIV in Urban, Large Rural, and Small Rural Areas
BACKGROUND: For people living with HIV (PLWH), alcohol use is harmful and may be influenced by unique challenges faced by PLWH living in rural areas. We describe patterns of alcohol use across rurality among PLWH. METHODS: Veterans Aging Cohort Study electronic health record data were used to identify patients with HIV (ICD-9 codes for HIV or AIDS) who completed AUDIT-C alcohol screening between February 1, 2008, and September 30, 2014. Regressio…
Change in social support while participating in behavioral activation for PTSD
BA may facilitate an increase in the perceived number of social supports available to veterans with PTSD, but treatment adaptation may be necessary to maintain these gains and to increase satisfaction with social support. (PsycINFO Database Record (c) 2019 APA, all rights reserved)
Association of Depression and Post-Traumatic Stress Disorder with Receipt of Minimally Invasive Hysterectomy for Uterine Fibroids
Health care access from the rural perspective
PURPOSE: Health care access has been described using several definitions and frameworks, but none are specific to rural populations. We describe ways access to care is measured using the model of access developed by Fortney et al., with a focus on the differential impact on rural populations. METHODS: We describe patient-centered access metrics in rural and urban populations using the Fortney model's five access dimensions: geographic, temporal, …
Medicine (11 obras) · Family medicine (7 obras) · Health care (7 obras) · Mental Health Treatment and Access (7 obras) · Psychiatry (7 obras) · Internal Medicine (6 obras) · Primary Care and Health Outcomes (5 obras) · Depression (economics) (4 obras) · Mental health (4 obras) · Rural area (4 obras)