Leslie R M Hausmann
Dados Biográficos
| ID | 760198 |
|---|---|
| NOME | Leslie R M Hausmann |
| PRENOMES | Leslie R M |
| SOBRENOME | Hausmann |
| ASSINATURA | HAUSMANN L R M |
| AFILIAÇÕES | VA Pittsburgh Healthcare System |
| ORCID | 0000-0002-3909-6009 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 27 |
| TOTAL DE CITAÇÕES | 143 |
| TOTAL COMO AUTOR | 27 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2004 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2025 |
| ÍNDICE H | 8 |
Social needs and health outcomes in two rural Veteran populations
BACKGROUND: Addressing social needs is a priority for many health systems, including the Veterans Health Administration (VA). Nearly a quarter of Veterans reside in rural areas and experience a high social need burden. The purpose of this study was to assess the prevalence and association with health outcomes of social needs in two distinct rural Veteran populations. METHODS: We conducted a survey (n = 1150) of Veterans at 2 rural VA sites, 1 in …
Racial, Ethnic, and Sex Differences in Need and Receipt of Support for Social Needs Among Veterans
This study found that there was wide variation in the health-related social need domains in which VHA race, ethnicity, and sex subpopulations reported needing support. Applying an intersectional lens when evaluating social needs lays the groundwork for equity-guided social care interventions in the VHA
Understanding the Context for Incorporating Equity into Quality Improvement Throughout a National Health Care System
Purpose: Although health care systems aspire to deliver equitable care, practical tools that empower the health care workforce to weave equity throughout quality improvement (QI) processes are lacking. In this article, we report findings from context of use interviews that informed the development of a user-centered tool to support equity-focused QI. Methods: Semistructured interviews were conducted from February to April of 2019. Participants in…
National Media Coverage of the Veterans Affairs Waitlist Scandal
BACKGROUND: On April 23, 2014, US media outlets broadcast reports of excessive wait times and "secret" waitlists at some Veterans Affairs (VA) hospitals, precipitating legislation to increase Veterans' access to private sector health care. OBJECTIVE: The aims were to assess changes in Veterans' distrust in the VA health care system before and after the media coverage and explore sex and racial/ethnic differences in the temporal patterns. METHODS:…
Experiences of Perceived Gender-based Discrimination Among Women Veterans
One third of women Veterans perceived gender-based discrimination in VA. Obtaining most medical care from the same VA provider and having a women's health clinic at one's VA were associated with less perceived discrimination
Partner unmitigated communion moderates communal coping benefits in type 2 diabetes
The study goal was to determine whether partner's level of unmitigated communion moderated the relation of partner communal coping to patient health. Couples in which one person was recently diagnosed with type 2 diabetes ( n = 123) were interviewed separately and asked to discuss a diabetes-related problem. Communal coping behavior (from videotaped discussions) interacted with partner communal coping, such that partner communal coping was relate…
Providing Positive Primary Care Experiences for Homeless Veterans Through Tailored Medical Homes
BACKGROUND: In 2012, select Veterans Health Administration (VHA) facilities implemented a homeless-tailored medical home model, called Homeless Patient Aligned Care Teams (H-PACT), to improve care processes and outcomes for homeless Veterans. OBJECTIVE: The main aim of this study was to determine whether H-PACT offers a better patient experience than standard VHA primary care. RESEARCH DESIGN: We used multivariable logistic regressions to estimat…
An examination of the communal coping process in recently diagnosed diabetes
Communal coping, which involves a shared illness appraisal and engaging in collaboration when illness-related problems arise, is likely beneficial for individuals with type 2 diabetes. The purpose of this work was to examine the process by which communal coping may lead to such benefits. First, we hypothesized that illness-related interactions characterized by more communal coping would involve greater spouse support provision and greater patient…
Impact of Dual Use of Department of Veterans Affairs and Medicare Part D Drug Benefits on Potentially Unsafe Opioid Use
Objectives. To estimate the prevalence and consequences of receiving prescription opioids from both the Department of Veterans Affairs (VA) and Medicare Part D. Methods. Among US veterans enrolled in both VA and Part D filling 1 or more opioid prescriptions in 2012 (n = 539 473), we calculated 3 opioid safety measures using morphine milligram equivalents (MME): (1) proportion receiving greater than 100 MME for 1 or more days, (2) mean days receiv…
Differences in Experiences With Care Between Homeless and Nonhomeless Patients in Veterans Affairs Facilities With Tailored and Nontailored Primary Care Teams
BACKGROUND: Homeless patients describe poor experiences with primary care. In 2012, the Veterans Health Administration (VHA) implemented homeless-tailored primary care teams (Homeless Patient Aligned Care Team, HPACTs) that could improve the primary care experience for homeless patients. OBJECTIVE: To assess differences in primary care experiences between homeless and nonhomeless Veterans receiving care in VHA facilities that had HPACTs available…
Associations Between Perceived Race-based Discrimination and Contraceptive Use Among Women Veterans in the Ecuun Study
OBJECTIVE: To describe perceived race-based discrimination in Veterans Affairs (VA) health care settings and assess its associations with contraceptive use among a sample of women Veterans. METHODOLOGY: This study used data from a national telephone survey of women Veterans aged 18-44 receiving health care in VA who were at risk of unintended pregnancy. Participants were asked about their perceptions of race-based discrimination while seeking VA …
Harnessing Implementation Science to Increase the Impact of Health Equity Research
BACKGROUND: Health disparities are differences in health or health care between groups based on social, economic, and/or environmental disadvantage. Disparity research often follows 3 steps: detecting (phase 1), understanding (phase 2), and reducing (phase 3), disparities. Although disparities have narrowed over time, many remain. OBJECTIVES: We argue that implementation science could enhance disparities research by broadening the scope of phase …
Implicit and explicit communal coping in couples with recently diagnosed type 2 diabetes
When an individual in a close relationship is diagnosed with a chronic illness, coping can be the responsibility of the patient or couple members can cope communally. Communal coping reflects a shared appraisal of a stressor (our problem instead of my problem) and collaborative efforts to address the stressor. The current study examined whether patients' and partners' communal coping levels were associated with relational and health functioning a…
Patterns of Sex and Racial/Ethnic Differences in Patient Health Care Experiences in US Veterans Affairs Hospitals
BACKGROUND: Few studies have assessed sex or racial/ethnic differences in inpatient experiences in the Veterans Affairs (VA) Healthcare System. OBJECTIVES: This study aimed to compare inpatient experiences by sex and race/ethnicity within and between VA hospitals. RESEARCH DESIGN: We used mixed-effects multinomial regression to assess within-facility and between-facility sex and racial/ethnic differences in the 2010 VA Survey of Healthcare Experi…
Understanding Racial and Ethnic Differences in Patient Experiences With Outpatient Health Care in Veterans Affairs Medical Centers
BACKGROUND: Racial and ethnic differences in patient health care experiences have not been well examined in the Veterans Affairs (VA) Healthcare System. OBJECTIVES: To examine racial/ethnic differences in outpatient health care experiences within and between VA medical facilities. RESEARCH DESIGN: We assessed within-facility and between-facility racial/ethnic differences in responses to the 2010 VA Survey of Healthcare Experiences of Patients usi…
Perceived Racial Discrimination in Health Care and Race Differences in Physician Trust
Impact of Perceived Discrimination in Healthcare on Patient-Provider Communication
BACKGROUND: The impact of patients' perceptions of discrimination in healthcare on patient-provider interactions is unknown. OBJECTIVE: To examine association of past perceived discrimination with subsequent patient-provider communication. RESEARCH DESIGN: Observational cross-sectional study. SUBJECTS: African-American (N=100) and white (N=253) patients treated for osteoarthritis by orthopedic surgeons (N=63) in 2 Veterans Affairs facilities. MEA…
Dimensions of Perceived Racism and Self-Reported Health
Our results suggest that noxious effects of race-related exclusion and threat transcend between-group differences in discriminatory experiences. The effects of race-related exclusion and threat on health, however, may operate through different mechanisms
Intergroup friendships on campus
Intergroup friendships have been linked to important outcomes such as reduced prejudice, increased empathy for outgroups, and lower intergroup anxiety. However, little is known about the factors facilitating such friendships. This longitudinal study therefore examined factors associated with the development of friendships between White and African American freshmen at a predominantly White university. African American (vs. White) and male (vs. fe…
Sense of Belonging and Persistence in White and African American First-Year Students
Racial and Ethnic Disparities in Pneumonia Treatment and Mortality
BACKGROUND: The extent to which racial/ethnic disparities in pneumonia care occur within or between hospitals is unclear. OBJECTIVE: Examine within and between-hospital racial/ethnic disparities in quality indicators and mortality for patients hospitalized for pneumonia. RESEARCH DESIGN: Retrospective cohort study. SUBJECTS: A total of 1,183,753 non-Hispanic white, African American, and Hispanic adults hospitalized for pneumonia between January 2…
Perceived Racial Discrimination in Health Care
Perceived racial discrimination in health care was equally prevalent among veterans and nonveterans and among veterans who used the Veterans Affairs health care system and those who did not
Perceived Discrimination in Health Care and Health Status in a Racially Diverse Sample
BACKGROUND: Despite the surge of recent research on the association between perceived discrimination and health-related outcomes, few studies have focused on race-based discrimination encountered in health care settings. This study examined the prevalence of such discrimination, and its association with health status, for the 3 largest race/ethnic groups in the United States. METHODS: Data were drawn from the 2004 Behavioral Risk Factor Surveilla…
Communication and Group Perception
The saying-is-believing (SIB) effect occurs when tailoring a message to suit an audience influences a communicator's subsequent memories and impressions about the communication topic. Previous studies were restricted to one-person audiences and individuals as the communication topic. The present studies explored the SIB effect with multiple-person audiences and groups as the communication topic. In Study 1, the SIB effect occurred with a 1-person…
Barriers to Obtaining Diagnostic Testing for Coronary Artery Disease Among Veterans
Objectives. We sought to identify factors associated with appointment nonattendance for diagnostic testing of coronary artery disease among veterans. For patients with possible heart disease, appointment nonattendance may seriously compromise short- and long-term outcomes. Understanding factors associated with nonattendance may help improve care while reducing inefficiency in service delivery. Methods. We surveyed patients who attended (n = 240) …
Dimensions of Perceived Racism and Self-Reported Health
Our results suggest that noxious effects of race-related exclusion and threat transcend between-group differences in discriminatory experiences. The effects of race-related exclusion and threat on health, however, may operate through different mechanisms
Implicit and explicit communal coping in couples with recently diagnosed type 2 diabetes
When an individual in a close relationship is diagnosed with a chronic illness, coping can be the responsibility of the patient or couple members can cope communally. Communal coping reflects a shared appraisal of a stressor (our problem instead of my problem) and collaborative efforts to address the stressor. The current study examined whether patients' and partners' communal coping levels were associated with relational and health functioning a…
An examination of the communal coping process in recently diagnosed diabetes
Communal coping, which involves a shared illness appraisal and engaging in collaboration when illness-related problems arise, is likely beneficial for individuals with type 2 diabetes. The purpose of this work was to examine the process by which communal coping may lead to such benefits. First, we hypothesized that illness-related interactions characterized by more communal coping would involve greater spouse support provision and greater patient…
Perceived Racial Discrimination in Health Care
Perceived racial discrimination in health care was equally prevalent among veterans and nonveterans and among veterans who used the Veterans Affairs health care system and those who did not
Intergroup friendships on campus
Intergroup friendships have been linked to important outcomes such as reduced prejudice, increased empathy for outgroups, and lower intergroup anxiety. However, little is known about the factors facilitating such friendships. This longitudinal study therefore examined factors associated with the development of friendships between White and African American freshmen at a predominantly White university. African American (vs. White) and male (vs. fe…
Perceived Racial Discrimination in Health Care and Race Differences in Physician Trust
Communication and Group Perception
The saying-is-believing (SIB) effect occurs when tailoring a message to suit an audience influences a communicator's subsequent memories and impressions about the communication topic. Previous studies were restricted to one-person audiences and individuals as the communication topic. The present studies explored the SIB effect with multiple-person audiences and groups as the communication topic. In Study 1, the SIB effect occurred with a 1-person…
School Desegregation and Social Science Research
Research on the effects of school desegregation, once quite common in psychology and related fields, has declined considerably since the mid-1980s. Factors contributing to changes in the quantity and focus of such research since the Brown v. Board of Education (1954) decision are discussed, with an emphasis on those related to the decline of this research in the last 2 decades. These factors include the nation's retreat from the policy of school …
Partner unmitigated communion moderates communal coping benefits in type 2 diabetes
The study goal was to determine whether partner's level of unmitigated communion moderated the relation of partner communal coping to patient health. Couples in which one person was recently diagnosed with type 2 diabetes ( n = 123) were interviewed separately and asked to discuss a diabetes-related problem. Communal coping behavior (from videotaped discussions) interacted with partner communal coping, such that partner communal coping was relate…
Barriers to Obtaining Diagnostic Testing for Coronary Artery Disease Among Veterans
Objectives. We sought to identify factors associated with appointment nonattendance for diagnostic testing of coronary artery disease among veterans. For patients with possible heart disease, appointment nonattendance may seriously compromise short- and long-term outcomes. Understanding factors associated with nonattendance may help improve care while reducing inefficiency in service delivery. Methods. We surveyed patients who attended (n = 240) …
School Desegregation and Social Science Research
Research on the effects of school desegregation, once quite common in psychology and related fields, has declined considerably since the mid-1980s. Factors contributing to changes in the quantity and focus of such research since the Brown v. Board of Education (1954) decision are discussed, with an emphasis on those related to the decline of this research in the last 2 decades. These factors include the nation's retreat from the policy of school …
Sense of Belonging as a Predictor of Intentions to Persist Among African American and White First-Year College Students
Perceived Discrimination in Health Care and Health Status in a Racially Diverse Sample
BACKGROUND: Despite the surge of recent research on the association between perceived discrimination and health-related outcomes, few studies have focused on race-based discrimination encountered in health care settings. This study examined the prevalence of such discrimination, and its association with health status, for the 3 largest race/ethnic groups in the United States. METHODS: Data were drawn from the 2004 Behavioral Risk Factor Surveilla…
Communication and Group Perception
The saying-is-believing (SIB) effect occurs when tailoring a message to suit an audience influences a communicator's subsequent memories and impressions about the communication topic. Previous studies were restricted to one-person audiences and individuals as the communication topic. The present studies explored the SIB effect with multiple-person audiences and groups as the communication topic. In Study 1, the SIB effect occurred with a 1-person…
Barriers to Obtaining Diagnostic Testing for Coronary Artery Disease Among Veterans
Objectives. We sought to identify factors associated with appointment nonattendance for diagnostic testing of coronary artery disease among veterans. For patients with possible heart disease, appointment nonattendance may seriously compromise short- and long-term outcomes. Understanding factors associated with nonattendance may help improve care while reducing inefficiency in service delivery. Methods. We surveyed patients who attended (n = 240) …
Sense of Belonging and Persistence in White and African American First-Year Students
Racial and Ethnic Disparities in Pneumonia Treatment and Mortality
BACKGROUND: The extent to which racial/ethnic disparities in pneumonia care occur within or between hospitals is unclear. OBJECTIVE: Examine within and between-hospital racial/ethnic disparities in quality indicators and mortality for patients hospitalized for pneumonia. RESEARCH DESIGN: Retrospective cohort study. SUBJECTS: A total of 1,183,753 non-Hispanic white, African American, and Hispanic adults hospitalized for pneumonia between January 2…
Perceived Racial Discrimination in Health Care
Perceived racial discrimination in health care was equally prevalent among veterans and nonveterans and among veterans who used the Veterans Affairs health care system and those who did not
Intergroup friendships on campus
Intergroup friendships have been linked to important outcomes such as reduced prejudice, increased empathy for outgroups, and lower intergroup anxiety. However, little is known about the factors facilitating such friendships. This longitudinal study therefore examined factors associated with the development of friendships between White and African American freshmen at a predominantly White university. African American (vs. White) and male (vs. fe…
Impact of Perceived Discrimination in Healthcare on Patient-Provider Communication
BACKGROUND: The impact of patients' perceptions of discrimination in healthcare on patient-provider interactions is unknown. OBJECTIVE: To examine association of past perceived discrimination with subsequent patient-provider communication. RESEARCH DESIGN: Observational cross-sectional study. SUBJECTS: African-American (N=100) and white (N=253) patients treated for osteoarthritis by orthopedic surgeons (N=63) in 2 Veterans Affairs facilities. MEA…
Dimensions of Perceived Racism and Self-Reported Health
Our results suggest that noxious effects of race-related exclusion and threat transcend between-group differences in discriminatory experiences. The effects of race-related exclusion and threat on health, however, may operate through different mechanisms
Understanding Racial and Ethnic Differences in Patient Experiences With Outpatient Health Care in Veterans Affairs Medical Centers
BACKGROUND: Racial and ethnic differences in patient health care experiences have not been well examined in the Veterans Affairs (VA) Healthcare System. OBJECTIVES: To examine racial/ethnic differences in outpatient health care experiences within and between VA medical facilities. RESEARCH DESIGN: We assessed within-facility and between-facility racial/ethnic differences in responses to the 2010 VA Survey of Healthcare Experiences of Patients usi…
Perceived Racial Discrimination in Health Care and Race Differences in Physician Trust
Patterns of Sex and Racial/Ethnic Differences in Patient Health Care Experiences in US Veterans Affairs Hospitals
BACKGROUND: Few studies have assessed sex or racial/ethnic differences in inpatient experiences in the Veterans Affairs (VA) Healthcare System. OBJECTIVES: This study aimed to compare inpatient experiences by sex and race/ethnicity within and between VA hospitals. RESEARCH DESIGN: We used mixed-effects multinomial regression to assess within-facility and between-facility sex and racial/ethnic differences in the 2010 VA Survey of Healthcare Experi…
Associations Between Perceived Race-based Discrimination and Contraceptive Use Among Women Veterans in the Ecuun Study
OBJECTIVE: To describe perceived race-based discrimination in Veterans Affairs (VA) health care settings and assess its associations with contraceptive use among a sample of women Veterans. METHODOLOGY: This study used data from a national telephone survey of women Veterans aged 18-44 receiving health care in VA who were at risk of unintended pregnancy. Participants were asked about their perceptions of race-based discrimination while seeking VA …
Harnessing Implementation Science to Increase the Impact of Health Equity Research
BACKGROUND: Health disparities are differences in health or health care between groups based on social, economic, and/or environmental disadvantage. Disparity research often follows 3 steps: detecting (phase 1), understanding (phase 2), and reducing (phase 3), disparities. Although disparities have narrowed over time, many remain. OBJECTIVES: We argue that implementation science could enhance disparities research by broadening the scope of phase …
Implicit and explicit communal coping in couples with recently diagnosed type 2 diabetes
When an individual in a close relationship is diagnosed with a chronic illness, coping can be the responsibility of the patient or couple members can cope communally. Communal coping reflects a shared appraisal of a stressor (our problem instead of my problem) and collaborative efforts to address the stressor. The current study examined whether patients' and partners' communal coping levels were associated with relational and health functioning a…
Impact of Dual Use of Department of Veterans Affairs and Medicare Part D Drug Benefits on Potentially Unsafe Opioid Use
Objectives. To estimate the prevalence and consequences of receiving prescription opioids from both the Department of Veterans Affairs (VA) and Medicare Part D. Methods. Among US veterans enrolled in both VA and Part D filling 1 or more opioid prescriptions in 2012 (n = 539 473), we calculated 3 opioid safety measures using morphine milligram equivalents (MME): (1) proportion receiving greater than 100 MME for 1 or more days, (2) mean days receiv…
Differences in Experiences With Care Between Homeless and Nonhomeless Patients in Veterans Affairs Facilities With Tailored and Nontailored Primary Care Teams
BACKGROUND: Homeless patients describe poor experiences with primary care. In 2012, the Veterans Health Administration (VHA) implemented homeless-tailored primary care teams (Homeless Patient Aligned Care Team, HPACTs) that could improve the primary care experience for homeless patients. OBJECTIVE: To assess differences in primary care experiences between homeless and nonhomeless Veterans receiving care in VHA facilities that had HPACTs available…
Providing Positive Primary Care Experiences for Homeless Veterans Through Tailored Medical Homes
BACKGROUND: In 2012, select Veterans Health Administration (VHA) facilities implemented a homeless-tailored medical home model, called Homeless Patient Aligned Care Teams (H-PACT), to improve care processes and outcomes for homeless Veterans. OBJECTIVE: The main aim of this study was to determine whether H-PACT offers a better patient experience than standard VHA primary care. RESEARCH DESIGN: We used multivariable logistic regressions to estimat…
An examination of the communal coping process in recently diagnosed diabetes
Communal coping, which involves a shared illness appraisal and engaging in collaboration when illness-related problems arise, is likely beneficial for individuals with type 2 diabetes. The purpose of this work was to examine the process by which communal coping may lead to such benefits. First, we hypothesized that illness-related interactions characterized by more communal coping would involve greater spouse support provision and greater patient…
Experiences of Perceived Gender-based Discrimination Among Women Veterans
One third of women Veterans perceived gender-based discrimination in VA. Obtaining most medical care from the same VA provider and having a women's health clinic at one's VA were associated with less perceived discrimination
Partner unmitigated communion moderates communal coping benefits in type 2 diabetes
The study goal was to determine whether partner's level of unmitigated communion moderated the relation of partner communal coping to patient health. Couples in which one person was recently diagnosed with type 2 diabetes ( n = 123) were interviewed separately and asked to discuss a diabetes-related problem. Communal coping behavior (from videotaped discussions) interacted with partner communal coping, such that partner communal coping was relate…
National Media Coverage of the Veterans Affairs Waitlist Scandal
BACKGROUND: On April 23, 2014, US media outlets broadcast reports of excessive wait times and "secret" waitlists at some Veterans Affairs (VA) hospitals, precipitating legislation to increase Veterans' access to private sector health care. OBJECTIVE: The aims were to assess changes in Veterans' distrust in the VA health care system before and after the media coverage and explore sex and racial/ethnic differences in the temporal patterns. METHODS:…
Understanding the Context for Incorporating Equity into Quality Improvement Throughout a National Health Care System
Purpose: Although health care systems aspire to deliver equitable care, practical tools that empower the health care workforce to weave equity throughout quality improvement (QI) processes are lacking. In this article, we report findings from context of use interviews that informed the development of a user-centered tool to support equity-focused QI. Methods: Semistructured interviews were conducted from February to April of 2019. Participants in…
Medicine (19 obras) · Psychology (14 obras) · Health care (12 obras) · Veterans Affairs (10 obras) · Ethnic group (8 obras) · Family medicine (8 obras) · Social Psychology (8 obras) · Social Psychology (8 obras) · Demography (7 obras) · Internal Medicine (7 obras)