Karin M Nelson
Dados Biográficos
| ID | 237584 |
|---|---|
| NOME | Karin M Nelson |
| PRENOMES | Karin M |
| SOBRENOME | Nelson |
| ASSINATURA | NELSON K M |
| AFILIAÇÕES | VA Puget Sound Health Care System |
| ORCID | 0000-0003-4901-6751 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 15 |
| TOTAL DE CITAÇÕES | 20 |
| TOTAL COMO AUTOR | 15 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2002 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2025 |
| ÍNDICE H | 2 |
Relationship between neighborhood walkability, perceived neighborhood features, and depression among treatment-seeking veterans
A population health perspective in mental health shifts attention from interventions delivered at the individual level to broad determinants, such as neighborhood characteristics, that impact the mental health of communities. The walkability of an environment has emerged as a potentially important determinant of mental health, but little research has explored relationships between walkable environments and depression. Additionally, though PTSD sy…
Burnout and Turnover Among Veterans Health Administration Primary Care Providers From Fiscal Years 2017–2021
OBJECTIVES: We examined how individual-level turnover among Veterans Health Administration primary care providers (PCPs) from fiscal years 2017 to 2021 was associated with health care system-level burnout and turnover intent. BACKGROUND: Burnout among PCPs has been well documented in recent studies, but less is known about the potential relationship between burnout and turnover. METHODS: We identified a national cohort of 6444 PCPs (physicians, n…
Perspectives on Training and Working in the VHA
PURPOSE: The primary care physician shortage in the United States presents significant challenges for health systems seeking to maintain a sufficient primary care workforce. Perspectives on training or working in primary care in the Veterans Health Administration (VHA) may yield insights into strategic recruitment to make the VHA and other health systems more attractive to primary care physicians. The authors sought to understand the experiences …
Understanding Women Veterans’ Family Planning Counseling Experiences and Preferences to Inform Patient-Centered Care
Response to The Methodological Challenges of Using Veterans Benefits Administration Disability Codes to Ascertain Agent Orange Exposure Among Vietnam Theater Veterans With Service-connected Disabiliti…
Maynard, Charles PhD*,†; Batten, Adam BA‡; Liu, Chuan-Fen PhD*,†; Nelson, Karin MD, MSHS*,†,‡,§; Fihn, Stephan D. MD, MPH†,§ Author Information
A First Look at PCMH Implementation for Minority Veterans
BACKGROUND: Implementation of Patient Aligned Care Teams (PACT), a patient-centered medical home model, has been inconsistent among the >900 primary care facilities in the Veterans Health Administration. OBJECTIVE: Estimate if the degree of PACT implementation at a facility varied with the percentage of minority veteran patients at the facility. RESEARCH DESIGN: Cross-sectional, facility-level analysis of PACT implementation measures in 2012. SUB…
Using a Single Item to Measure Burnout in Primary Care Staff
Reproductive Life Planning in Primary Care
Prevalence, Comorbidity, and Prognosis of Mental Health Among US Veterans
Objectives. We evaluated the association of mental illnesses with clinical outcomes among US veterans and evaluated the effects of Primary Care–Mental Health Integration (PCMHI). Methods. A total of 4 461 208 veterans were seen in the Veterans Health Administration’s patient-centered medical homes called Patient Aligned Care Teams (PACT) in 2010 and 2011, of whom 1 147 022 had at least 1 diagnosis of depression, posttraumatic stress disorder (PTS…
Individual and contextual correlates of physical activity among a clinical sample of United States Veterans
Patient-Centered Medical Home Implementation and Primary Care Provider Turnover
BACKGROUND: The Veterans Health Administration (VHA) began implementing a patient-centered medical home (PCMH) model of care delivery in April 2010 through its Patient Aligned Care Team (PACT) initiative. PACT represents a substantial system reengineering of VHA primary care and its potential effect on primary care provider (PCP) turnover is an important but unexplored relationship. This study examined the association between a system-wide PCMH i…
Post-traumatic Stress Disorder, Race/Ethnicity, and Coronary Artery Disease Among Older Patients with Depression
Health and Health Behavior Differences
Alcohol Consumption Among Urban, Suburban, and Rural Veterans Affairs Outpatients
Purpose: United States rural residents tend toward poorer health than urban residents. Although alcohol use is associated with multiple medical conditions and can be reduced via brief primary care‐based interventions, it is unknown whether alcohol consumption differs by rurality among primary care patients. We sought to describe alcohol consumption among urban, suburban, and rural Veterans Affairs (VA) outpatients. Methods: Outpatients from 7 VA …
Do Patient Consent Procedures Affect Participation Rates in Health Services Research
BACKGROUND: Few studies have examined the effects of Institutional Review Board (IRB) requirements to contact potential research participants. OBJECTIVE: To examine the association between requirements to contact potential research subjects and participation rates in a multisite health services research study. RESEARCH DESIGN, SUBJECTS: Prospective observational study of survey participation by 2673 individuals with diabetes and 1974 individuals …
Prevalence, Comorbidity, and Prognosis of Mental Health Among US Veterans
Objectives. We evaluated the association of mental illnesses with clinical outcomes among US veterans and evaluated the effects of Primary Care–Mental Health Integration (PCMHI). Methods. A total of 4 461 208 veterans were seen in the Veterans Health Administration’s patient-centered medical homes called Patient Aligned Care Teams (PACT) in 2010 and 2011, of whom 1 147 022 had at least 1 diagnosis of depression, posttraumatic stress disorder (PTS…
Individual and contextual correlates of physical activity among a clinical sample of United States Veterans
Post-traumatic Stress Disorder, Race/Ethnicity, and Coronary Artery Disease Among Older Patients with Depression
Do Patient Consent Procedures Affect Participation Rates in Health Services Research
BACKGROUND: Few studies have examined the effects of Institutional Review Board (IRB) requirements to contact potential research participants. OBJECTIVE: To examine the association between requirements to contact potential research subjects and participation rates in a multisite health services research study. RESEARCH DESIGN, SUBJECTS: Prospective observational study of survey participation by 2673 individuals with diabetes and 1974 individuals …
Health and Health Behavior Differences
Alcohol Consumption Among Urban, Suburban, and Rural Veterans Affairs Outpatients
Purpose: United States rural residents tend toward poorer health than urban residents. Although alcohol use is associated with multiple medical conditions and can be reduced via brief primary care‐based interventions, it is unknown whether alcohol consumption differs by rurality among primary care patients. We sought to describe alcohol consumption among urban, suburban, and rural Veterans Affairs (VA) outpatients. Methods: Outpatients from 7 VA …
Patient-Centered Medical Home Implementation and Primary Care Provider Turnover
BACKGROUND: The Veterans Health Administration (VHA) began implementing a patient-centered medical home (PCMH) model of care delivery in April 2010 through its Patient Aligned Care Team (PACT) initiative. PACT represents a substantial system reengineering of VHA primary care and its potential effect on primary care provider (PCP) turnover is an important but unexplored relationship. This study examined the association between a system-wide PCMH i…
Post-traumatic Stress Disorder, Race/Ethnicity, and Coronary Artery Disease Among Older Patients with Depression
Using a Single Item to Measure Burnout in Primary Care Staff
Reproductive Life Planning in Primary Care
Prevalence, Comorbidity, and Prognosis of Mental Health Among US Veterans
Objectives. We evaluated the association of mental illnesses with clinical outcomes among US veterans and evaluated the effects of Primary Care–Mental Health Integration (PCMHI). Methods. A total of 4 461 208 veterans were seen in the Veterans Health Administration’s patient-centered medical homes called Patient Aligned Care Teams (PACT) in 2010 and 2011, of whom 1 147 022 had at least 1 diagnosis of depression, posttraumatic stress disorder (PTS…
Individual and contextual correlates of physical activity among a clinical sample of United States Veterans
A First Look at PCMH Implementation for Minority Veterans
BACKGROUND: Implementation of Patient Aligned Care Teams (PACT), a patient-centered medical home model, has been inconsistent among the >900 primary care facilities in the Veterans Health Administration. OBJECTIVE: Estimate if the degree of PACT implementation at a facility varied with the percentage of minority veteran patients at the facility. RESEARCH DESIGN: Cross-sectional, facility-level analysis of PACT implementation measures in 2012. SUB…
Understanding Women Veterans’ Family Planning Counseling Experiences and Preferences to Inform Patient-Centered Care
Response to The Methodological Challenges of Using Veterans Benefits Administration Disability Codes to Ascertain Agent Orange Exposure Among Vietnam Theater Veterans With Service-connected Disabiliti…
Maynard, Charles PhD*,†; Batten, Adam BA‡; Liu, Chuan-Fen PhD*,†; Nelson, Karin MD, MSHS*,†,‡,§; Fihn, Stephan D. MD, MPH†,§ Author Information
Perspectives on Training and Working in the VHA
PURPOSE: The primary care physician shortage in the United States presents significant challenges for health systems seeking to maintain a sufficient primary care workforce. Perspectives on training or working in primary care in the Veterans Health Administration (VHA) may yield insights into strategic recruitment to make the VHA and other health systems more attractive to primary care physicians. The authors sought to understand the experiences …
Relationship between neighborhood walkability, perceived neighborhood features, and depression among treatment-seeking veterans
A population health perspective in mental health shifts attention from interventions delivered at the individual level to broad determinants, such as neighborhood characteristics, that impact the mental health of communities. The walkability of an environment has emerged as a potentially important determinant of mental health, but little research has explored relationships between walkable environments and depression. Additionally, though PTSD sy…
Burnout and Turnover Among Veterans Health Administration Primary Care Providers From Fiscal Years 2017–2021
OBJECTIVES: We examined how individual-level turnover among Veterans Health Administration primary care providers (PCPs) from fiscal years 2017 to 2021 was associated with health care system-level burnout and turnover intent. BACKGROUND: Burnout among PCPs has been well documented in recent studies, but less is known about the potential relationship between burnout and turnover. METHODS: We identified a national cohort of 6444 PCPs (physicians, n…
Medicine (14 obras) · Family medicine (8 obras) · Nursing (6 obras) · Demography (5 obras) · Gerontology (5 obras) · Primary Care and Health Outcomes (5 obras) · Psychiatry (5 obras) · Veterans Affairs (5 obras) · Environmental health (4 obras) · Logistic regression (4 obras)