Readying the Workforce
Evaluation of VHA’s Comprehensive Women’s Health Primary Care Provider Initiative
Bibliographic Data
| ID | 9104537 |
|---|---|
| Authors | Natalya C Maisel (VA Palo Alto Health Care System, corresponding author), Sally G Haskell (0000-0002-2888-2637, Office of Patient Care Services), Sally Haskell, Patricia M Hayes (Office of Patient Care Services), Vidhya Balasubramanian (0000-0002-4254-3674, VA Palo Alto Health Care System, corresponding author), Anupama Torgal, Anupama H Torgal (Office of Patient Care Services), Lakshmi Ananth (0000-0002-0949-3695), Fay Saechao (VA Palo Alto Health Care System, corresponding author), Samina Iqbal (0000-0001-8412-6329, VA Palo Alto Health Care System), Ciaran S Phibbs (0000-0002-4353-3507, VA Palo Alto Health Care System, corresponding author), Susan M Frayne (0000-0002-4675-2270, VA Palo Alto Health Care System, corresponding author) |
| Year | 2015 |
| Volume | 53 |
| Issue | Supplement 4Suppl 1 |
| Pages | S39-S46 |
| Publication date | 2015-04-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/mlr.0000000000000298 |
| PMID | 25767974 |
| OpenAlex | W2326190565 |
| Language | EN |
| Citations received | 11 |
| References cited | 9 |
BACKGROUND: Veterans Health Administration (VHA) primary care providers (PCPs) often see few women, making it challenging to maintain proficiency in women's health (WH). Therefore, VHA in 2010 established Designated WH Providers, who would maintain proficiency in comprehensive WH care and be preferentially assigned women patients. OBJECTIVE: To evaluate early implementation of this national policy. METHODS: At each VHA health care system (N=140), the Women Veterans Program Manager completed a Fiscal Year 2012 workforce capacity assessment (response rate, 100%), representing the first time the national Designated WH Provider workforce had been identified. Assessment data were linked to administrative data. RESULTS: Of all VHA PCPs, 23% were Designated WH Providers; 100% of health care systems and 83% of community clinics had at least 1 Designated WH Provider. On average, women veterans comprised 19% (SD=27%) of the patients Designated WH Providers saw in primary care, versus 5% (SD=7%) for Other PCPs (P<0.001). For women veterans using primary care (N=313,033), new patients were less likely to see a Designated WH Provider than established women veteran patients (52% vs. 64%; P<0.001). CONCLUSIONS: VHA has achieved its goal of a Designated WH Provider in every health care system, and is approaching its goal of a Designated WH Provider at every hospital/community clinic. Designated WH Providers see more women than do Other PCPs. However, as the volume of women patients remains low for many providers, attention to alternative approaches to maintaining proficiency may prove necessary, and barriers to assigning new women patients to Designated WH Providers merit attention
Family medicine · Health care · Political science · Primary care · Workforce · Diversity and Career in Medicine · Medicine · Nursing · Primary Care and Health Outcomes · Sex and Gender in Healthcare
Associations between Pregnancy Intention, Attitudes, and Contraceptive Use among Women Veterans in the Ecuun Study
Creating a Roadmap for Delivering Gender-sensitive Comprehensive Care for Women Veterans
Menopause-Related Service Needs in Veterans Health Administration Medical Centers
Primary Care Providers' Perspectives on Providing Care to Women Veterans with Histories of Sexual Trauma
Development of Quality Indicators for the Care of Women with Abnormal Uterine Bleeding by Primary Care Providers in the Veterans Health Administration
Obesity and Health Care Experiences among Women and Men Veterans
Primary Care Providers with More Experience and Stronger Self-Efficacy Beliefs Regarding Women Veterans Screen More Frequently for Interpersonal Violence
Understanding Gender Sensitivity of the Health Care Workforce at the Veterans Health Administration
Characteristics and Health Care Preferences Associated with Cardiovascular Disease Risk among Women Veterans
Guideline Adherence of Veterans Health Administration Primary Care for Abnormal Uterine Bleeding
Why Women Veterans Do Not Use VA-Provided Health and Social Services
New Women Veterans in the VHA
Availability of comprehensive women’s health care through Department of Veterans Affairs Medical Center
The organization and delivery of women’s health care in Department of Veterans Affairs Medical Center
Association between Women Veterans' Experiences with VA Outpatient Health Care and Designation as a Women's Health Provider in Primary Care Clinics
Diffusion of innovation in women’s health care delivery
Gender Disparities in Veterans Health Administration Care
Veterans’ Access to and Use of Medicare and Veterans Affairs Health Care
| Unique citing works | 11 |
|---|---|
| Citations per year | 1 |
| Citation span | 2015 - 2025 (11) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 9 |