Bradley V Watts
Dados Biográficos
| ID | 5547574 |
|---|---|
| NOME | Bradley V Watts |
| PRENOMES | Bradley V |
| SOBRENOME | Watts |
| ASSINATURA | WATTS B V |
| AFILIAÇÕES | Dartmouth College |
| ORCID | 0000-0003-2397-6359 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 14 |
| TOTAL DE CITAÇÕES | 0 |
| TOTAL COMO AUTOR | 14 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2021 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 0 |
Train Rural, Work Rural
Suicide prevention randomized controlled trial pilot
Objective: Suicide is a concern in rural veterans, particularly following acute mental health admission. Rural veterans can experience barriers accessing treatment, including mental health treatment. The MISSION Act of 2018 aims to alleviate some challenges through access to Community Care, which has since raised concerns about suicide prevention effort discrepancies and barriers between Veterans Affairs (VA) and non-VA providers. Despite concern…
Rural–urban disparities in access to interventional psychiatry treatments among U.S. Department of Veterans Affairs patients
Objective: While tele-mental health has improved access to standard medication management and psychotherapy for rural Veterans, implementation of interventional psychiatry treatments will require in-person care, potentially leading to the exacerbation of rural-urban disparities in access to mental health care. We studied the availability of interventional psychiatry treatments, delivered clinically or in the context of a research trial, to rural …
Using natural language processing to inform targeted rural and urban Hispanic U.S. Department of Veterans Affairs suicide prediction models
Objective: Rural Hispanic Veterans experience elevated suicide rates when compared to urban counterparts. Group differences remain poorly understood. This study evaluates a rurality-stratified sample of Hispanic Veterans Affairs (VA)-patients, leveraging unstructured electronic health record (EHR) data to refine population-specific suicide risk prediction metrics. Method: The study utilized a rural and urban Hispanic VA-patient dataset, including…
Evaluating rural healthcare workforce programs
PURPOSE: Healthcare workforce shortages are acute in rural areas. Using a holistic workforce retention framework, we examined evidence and identified gaps in recruitment and retention programs, using the Veterans Health Administration as a case study. METHODS: Rural workforce recruitment and retention initiatives were identified using VHA's 2023 Rural Recruitment and Hiring plan, and classified by rural focus, recruitment or retention, and streng…
Strengthening Rural Health Care
BACKGROUND: Despite nursing being the largest US health profession, only 16% of registered nurses (RNs) practice in rural areas, where health care access is limited. This significantly impacts rural residents, including over 2.7 million rural veterans receiving care at the Veterans Health Administration, leading to compromised health outcomes. Nurses are vital in primary care, improving coordination and management of chronic conditions. OBJECTIVE…
Mental health care quality across the Covid-19 pandemic in rural versus urban patients
This study reports on the quality of mental healthcare delivered to rural and urban Department of Veterans Affairs (VA) patients across COVID-19 pandemic. This is a retrospective study using VA medical records between 3/10/2019 and 9/22/2022. This study divided the COVID-19 pandemic into Eras based on significant historical events. Quality metrics represented core mental health services. Delivery modalities included on-site, telephone, and video.…
Curriculum mapping
INTRODUCTION: This short report introduces an application of curriculum mapping in a postgraduate health professions continuing education setting. Our focus is on the Health Professions Education Evaluation and Research (HPEER) Advanced Fellowship Program, a national interprofessional 2-year program offered through the Department of Veterans Affairs. METHODS: We designed an Excel-based tool to align HPEER domains and competencies with curricular …
Development of Health Professions Education Competencies for a National Fellowship Program
Health professions educators need knowledge, skills, and attitudes to provide high-quality education within dynamic clinical learning environments. Although postgraduate training opportunities in health professions education (HPE) have increased significantly, no shared competencies exist across the field. This article describes the systematic development of postgraduate HPE competencies for the Health Professions Education, Evaluation, and Resea…
Rural‐urban trends in health care utilization, treatment, and mortality among US veterans with congestive heart failure
PURPOSE: To compare longitudinal rates of health care utilization, evidence-based treatment, and mortality between rural and urban-dwelling patients with congestive heart failure (CHF). METHODS: We used electronic medical record data from the Veterans Health Administration (VHA) to identify adult patients with CHF from 2012 through 2017. We stratified our cohort using left ventricular ejection fraction percentage at diagnosis ( 50% = preserved ej…
Examination of increasing suicide rates among rural Hispanic VA patients
PURPOSE: Death by suicide is increasing more rapidly among Hispanics than non-Hispanics who use United States Department of Veterans Affairs (VA) health services, and the increase is most rapid among those living in rural areas. Our goal was to identify characteristics of rural Hispanic VA patients that contribute to this emerging disparity. METHODS: We linked electronic medical records from the VA, personnel data from the US Department of Defens…
Influence of contextual factors on death by suicide in rural and urban settings
PURPOSE: To examine the association between contextual factors, represented by geographic and community health variables, and suicide among rural and urban Department of Veterans Affairs health care users (VA users). METHODS: We performed a retrospective cohort study of 12,700,847 VA users between 2003 and 2017. We assigned contextual factors based on individuals' home address at the ZIP Code (area deprivation), county (sunlight exposure, altitud…
Evaluating policies to improve access to mental health services in rural areas
PURPOSE: The United States Department of Veterans Affairs (VA) has gradually implemented policies to increase access to mental health care outside of VA medical centers. Most notably, this included requirements to offer mental health services at VA-administered community-based clinics in 2008 and increased access to VA-paid care in the community beginning in 2014. Our objective was to understand how mental health service use patterns changed for …
A pandemic of Body, Mind, and Spirit
Death by suicide is a serious problem in the United States and rural communities are disproportionally affected by these tragedies.1 According to the National Vital Statistics System (NVSS), suicide rates in rural communities have risen significantly over the past few decades.1 The gap between the suicide rates in rural and urban communities is broadening and suicide rates are increasing at a faster rate in rural communities than they are in urba…
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A pandemic of Body, Mind, and Spirit
Death by suicide is a serious problem in the United States and rural communities are disproportionally affected by these tragedies.1 According to the National Vital Statistics System (NVSS), suicide rates in rural communities have risen significantly over the past few decades.1 The gap between the suicide rates in rural and urban communities is broadening and suicide rates are increasing at a faster rate in rural communities than they are in urba…
Influence of contextual factors on death by suicide in rural and urban settings
PURPOSE: To examine the association between contextual factors, represented by geographic and community health variables, and suicide among rural and urban Department of Veterans Affairs health care users (VA users). METHODS: We performed a retrospective cohort study of 12,700,847 VA users between 2003 and 2017. We assigned contextual factors based on individuals' home address at the ZIP Code (area deprivation), county (sunlight exposure, altitud…
Evaluating policies to improve access to mental health services in rural areas
PURPOSE: The United States Department of Veterans Affairs (VA) has gradually implemented policies to increase access to mental health care outside of VA medical centers. Most notably, this included requirements to offer mental health services at VA-administered community-based clinics in 2008 and increased access to VA-paid care in the community beginning in 2014. Our objective was to understand how mental health service use patterns changed for …
Rural‐urban trends in health care utilization, treatment, and mortality among US veterans with congestive heart failure
PURPOSE: To compare longitudinal rates of health care utilization, evidence-based treatment, and mortality between rural and urban-dwelling patients with congestive heart failure (CHF). METHODS: We used electronic medical record data from the Veterans Health Administration (VHA) to identify adult patients with CHF from 2012 through 2017. We stratified our cohort using left ventricular ejection fraction percentage at diagnosis ( 50% = preserved ej…
Examination of increasing suicide rates among rural Hispanic VA patients
PURPOSE: Death by suicide is increasing more rapidly among Hispanics than non-Hispanics who use United States Department of Veterans Affairs (VA) health services, and the increase is most rapid among those living in rural areas. Our goal was to identify characteristics of rural Hispanic VA patients that contribute to this emerging disparity. METHODS: We linked electronic medical records from the VA, personnel data from the US Department of Defens…
Development of Health Professions Education Competencies for a National Fellowship Program
Health professions educators need knowledge, skills, and attitudes to provide high-quality education within dynamic clinical learning environments. Although postgraduate training opportunities in health professions education (HPE) have increased significantly, no shared competencies exist across the field. This article describes the systematic development of postgraduate HPE competencies for the Health Professions Education, Evaluation, and Resea…
Mental health care quality across the Covid-19 pandemic in rural versus urban patients
This study reports on the quality of mental healthcare delivered to rural and urban Department of Veterans Affairs (VA) patients across COVID-19 pandemic. This is a retrospective study using VA medical records between 3/10/2019 and 9/22/2022. This study divided the COVID-19 pandemic into Eras based on significant historical events. Quality metrics represented core mental health services. Delivery modalities included on-site, telephone, and video.…
Curriculum mapping
INTRODUCTION: This short report introduces an application of curriculum mapping in a postgraduate health professions continuing education setting. Our focus is on the Health Professions Education Evaluation and Research (HPEER) Advanced Fellowship Program, a national interprofessional 2-year program offered through the Department of Veterans Affairs. METHODS: We designed an Excel-based tool to align HPEER domains and competencies with curricular …
Train Rural, Work Rural
Suicide prevention randomized controlled trial pilot
Objective: Suicide is a concern in rural veterans, particularly following acute mental health admission. Rural veterans can experience barriers accessing treatment, including mental health treatment. The MISSION Act of 2018 aims to alleviate some challenges through access to Community Care, which has since raised concerns about suicide prevention effort discrepancies and barriers between Veterans Affairs (VA) and non-VA providers. Despite concern…
Rural–urban disparities in access to interventional psychiatry treatments among U.S. Department of Veterans Affairs patients
Objective: While tele-mental health has improved access to standard medication management and psychotherapy for rural Veterans, implementation of interventional psychiatry treatments will require in-person care, potentially leading to the exacerbation of rural-urban disparities in access to mental health care. We studied the availability of interventional psychiatry treatments, delivered clinically or in the context of a research trial, to rural …
Using natural language processing to inform targeted rural and urban Hispanic U.S. Department of Veterans Affairs suicide prediction models
Objective: Rural Hispanic Veterans experience elevated suicide rates when compared to urban counterparts. Group differences remain poorly understood. This study evaluates a rurality-stratified sample of Hispanic Veterans Affairs (VA)-patients, leveraging unstructured electronic health record (EHR) data to refine population-specific suicide risk prediction metrics. Method: The study utilized a rural and urban Hispanic VA-patient dataset, including…
Evaluating rural healthcare workforce programs
PURPOSE: Healthcare workforce shortages are acute in rural areas. Using a holistic workforce retention framework, we examined evidence and identified gaps in recruitment and retention programs, using the Veterans Health Administration as a case study. METHODS: Rural workforce recruitment and retention initiatives were identified using VHA's 2023 Rural Recruitment and Hiring plan, and classified by rural focus, recruitment or retention, and streng…
Strengthening Rural Health Care
BACKGROUND: Despite nursing being the largest US health profession, only 16% of registered nurses (RNs) practice in rural areas, where health care access is limited. This significantly impacts rural residents, including over 2.7 million rural veterans receiving care at the Veterans Health Administration, leading to compromised health outcomes. Nurses are vital in primary care, improving coordination and management of chronic conditions. OBJECTIVE…
Medicine (8 obras) · Health care (7 obras) · Global Health Workforce Issues (5 obras) · Veterans Affairs (5 obras) · Environmental health (4 obras) · Injury prevention (4 obras) · Mental health (4 obras) · Mental Health Treatment and Access (4 obras) · Occupational safety and health (4 obras) · Poison control (4 obras)