Heather Davila
Datos Biográficos
| ID | 4018068 |
|---|---|
| NOMBRE | Heather Davila |
| NOMBRES | Heather |
| APELLIDO | Davila |
| FIRMA | DAVILA H |
| AFILIACIONES | University of Iowa |
| ORCID | 0000-0003-1832-7901 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 10 |
| TOTAL DE CITAS | 0 |
| TOTAL COMO AUTOR | 10 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2021 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 0 |
Understanding the impact of socioeconomic deprivation on inpatient surgical care delivery costs in the Veterans Health Administration
The impact of living in high neighborhood-level socioeconomic deprivation on inpatient surgery cost is not well known. This retrospective cohort study examines the relationship between the Area Deprivation Index (ADI) and non-cardiac inpatient surgery costs in the Veterans Health Administration (VHA). Patients aged ≥65 years undergoing non-cardiac inpatient surgery during 2013-2019 were identified in Veterans Affairs Surgical Quality Improvement …
“This Is What I Acquired in the Military, I Want to Keep It at the VA”
PURPOSE: American Indian and Alaska Native (AI/AN) women use VA healthcare and reside in rural areas at higher proportions than other women Veterans. To support an investigation of ways to improve healthcare access and outcomes among rural AI/AN women Veterans, we conducted listening sessions on healthcare experiences, needs, and preferences. METHODS: We conducted in-person, group interview-style listening sessions using a qualitative descriptive…
Examining Differences in Wait Times for Primary Care in the Veterans Health Administration by Race and Ethnicity
BACKGROUND: Prior studies at the national level indicate that primary care wait times exceeded the 20-day veterans Health Administration (VA) wait time standards set for primary care. Longer wait times were also reported for Black and Hispanic versus White veterans. OBJECTIVES: Examine variation in wait time for primary care at the facility level by race and ethnicity over time and determine whether differences are due to within-facility differen…
Home health utilization in the Veterans Health Administration
PURPOSE: Growing numbers of older adults need home health care, yhese services may be more difficult to access for rural Veterans, who represent one-third of Veterans Health Administration (VA) enrollees. Our objective was to examine whether home health use differs within VA based on rurality. METHODS: We examined national VA administrative data for 2019-2021 (January 1, 2019 to December 31, 2021) among Veterans ages ≥65 years. Using descriptive …
Changing rural‐urban and racial patterns in VA tele‐mental health use among women Veterans, 2019–2022
PURPOSE: To assess whether women veterans accessed synchronous video telehealth for mental health (SVT-MH) similarly by (1) rurality, (2) race, and (3) race within rural and urban settings. METHODS: This retrospective cohort study used VA administrative data to examine temporal trends in outpatient VA mental health use from January 1, 2019, through December 31, 2022-a period spanning the pre- and post-COVID-19 pandemic. The cohort included VA-enr…
The Invisible and Racialized Labor of Culturally Sensitive Care
Racial and Ethnic and Rural Variations in Access to Primary Care for Veterans Following the Mission Act
The results of this cross-sectional study suggest that additional research should explore the determinants and implications of utilization differences among Black and Hispanic veterans compared with White veterans. Efforts to promote equitable primary care access for all veterans are needed so that policy changes can be more effective in ensuring timely access to care for all veterans
Using the Kitagawa Decomposition to Measure Overall—and Individual Facility Contributions to—Within-facility and Between-facility Differences
BACKGROUND: Identifying whether differences in health care disparities are due to within-facility or between-facility differences is key to disparity reductions. The Kitagawa decomposition divides the difference between 2 means into within-facility differences and between-facility differences that are measured on the same scale as the original disparity. It also enables the identification of facilities that contribute most to within-facility diff…
Rural Veterans’ Experiences With Outpatient Care in the Veterans Health Administration Versus Community Care
BACKGROUND: The 2014 Veterans Access, Choice and Accountability Act was intended to improve Veterans' access to timely health care by expanding their options to receive community care (CC) paid for by the Veterans Health Administration (VA). Although CC could particularly benefit rural Veterans, we know little about rural Veterans' experiences with CC. OBJECTIVE: The objective of this study was to compare rural Veterans' experiences with CC and V…
Did Access to Care Improve Since Passage of the Veterans Choice Act
BACKGROUND: The 2014 Veterans Choice Program aimed to improve care access for Veterans through expanded availability of community care (CC). Increased access to CC could particularly benefit rural Veterans, who often face obstacles in obtaining medical care at the Veterans Health Administration (VHA). However, whether Veterans Choice Program improved timely access to care for this vulnerable population is understudied. OBJECTIVES: To examine wait…
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Rural Veterans’ Experiences With Outpatient Care in the Veterans Health Administration Versus Community Care
BACKGROUND: The 2014 Veterans Access, Choice and Accountability Act was intended to improve Veterans' access to timely health care by expanding their options to receive community care (CC) paid for by the Veterans Health Administration (VA). Although CC could particularly benefit rural Veterans, we know little about rural Veterans' experiences with CC. OBJECTIVE: The objective of this study was to compare rural Veterans' experiences with CC and V…
Did Access to Care Improve Since Passage of the Veterans Choice Act
BACKGROUND: The 2014 Veterans Choice Program aimed to improve care access for Veterans through expanded availability of community care (CC). Increased access to CC could particularly benefit rural Veterans, who often face obstacles in obtaining medical care at the Veterans Health Administration (VHA). However, whether Veterans Choice Program improved timely access to care for this vulnerable population is understudied. OBJECTIVES: To examine wait…
Using the Kitagawa Decomposition to Measure Overall—and Individual Facility Contributions to—Within-facility and Between-facility Differences
BACKGROUND: Identifying whether differences in health care disparities are due to within-facility or between-facility differences is key to disparity reductions. The Kitagawa decomposition divides the difference between 2 means into within-facility differences and between-facility differences that are measured on the same scale as the original disparity. It also enables the identification of facilities that contribute most to within-facility diff…
Racial and Ethnic and Rural Variations in Access to Primary Care for Veterans Following the Mission Act
The results of this cross-sectional study suggest that additional research should explore the determinants and implications of utilization differences among Black and Hispanic veterans compared with White veterans. Efforts to promote equitable primary care access for all veterans are needed so that policy changes can be more effective in ensuring timely access to care for all veterans
Home health utilization in the Veterans Health Administration
PURPOSE: Growing numbers of older adults need home health care, yhese services may be more difficult to access for rural Veterans, who represent one-third of Veterans Health Administration (VA) enrollees. Our objective was to examine whether home health use differs within VA based on rurality. METHODS: We examined national VA administrative data for 2019-2021 (January 1, 2019 to December 31, 2021) among Veterans ages ≥65 years. Using descriptive …
Changing rural‐urban and racial patterns in VA tele‐mental health use among women Veterans, 2019–2022
PURPOSE: To assess whether women veterans accessed synchronous video telehealth for mental health (SVT-MH) similarly by (1) rurality, (2) race, and (3) race within rural and urban settings. METHODS: This retrospective cohort study used VA administrative data to examine temporal trends in outpatient VA mental health use from January 1, 2019, through December 31, 2022-a period spanning the pre- and post-COVID-19 pandemic. The cohort included VA-enr…
The Invisible and Racialized Labor of Culturally Sensitive Care
Understanding the impact of socioeconomic deprivation on inpatient surgical care delivery costs in the Veterans Health Administration
The impact of living in high neighborhood-level socioeconomic deprivation on inpatient surgery cost is not well known. This retrospective cohort study examines the relationship between the Area Deprivation Index (ADI) and non-cardiac inpatient surgery costs in the Veterans Health Administration (VHA). Patients aged ≥65 years undergoing non-cardiac inpatient surgery during 2013-2019 were identified in Veterans Affairs Surgical Quality Improvement …
“This Is What I Acquired in the Military, I Want to Keep It at the VA”
PURPOSE: American Indian and Alaska Native (AI/AN) women use VA healthcare and reside in rural areas at higher proportions than other women Veterans. To support an investigation of ways to improve healthcare access and outcomes among rural AI/AN women Veterans, we conducted listening sessions on healthcare experiences, needs, and preferences. METHODS: We conducted in-person, group interview-style listening sessions using a qualitative descriptive…
Examining Differences in Wait Times for Primary Care in the Veterans Health Administration by Race and Ethnicity
BACKGROUND: Prior studies at the national level indicate that primary care wait times exceeded the 20-day veterans Health Administration (VA) wait time standards set for primary care. Longer wait times were also reported for Black and Hispanic versus White veterans. OBJECTIVES: Examine variation in wait time for primary care at the facility level by race and ethnicity over time and determine whether differences are due to within-facility differen…
Health care (8 obras) · Primary Care and Health Outcomes (7 obras) · Healthcare Policy and Management (5 obras) · Medicine (5 obras) · Gerontology (4 obras) · Rural area (4 obras) · Veterans Affairs (4 obras) · Ambulatory care (3 obras) · Chronic Disease Management Strategies (3 obras) · Environmental health (3 obras)