Academic literature on the topic 'Veterans Veterans Quality of Health Care'

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Journal articles on the topic "Veterans Veterans Quality of Health Care"

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Knopf-Amelung, Sarah, Margaret Brommelsiek, Jane Anthony Peterson, Zack Roman, and Tracy Lynn Graybill. "Developing a measure for health professionals’ attitudes toward veterans." Journal of Nursing Education and Practice 8, no. 7 (February 27, 2018): 60. http://dx.doi.org/10.5430/jnep.v8n7p60.

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U.S. veterans have complex healthcare needs that require professionals who are properly trained to address these issues. However, little is known about the attitudes that nurses and other professionals have toward veteran patients, particularly those working in community-based settings where it is unlikely training on veterans’ issues has occurred. Understanding health professionals’ attitudes toward caring for veterans is an important step in developing a workforce that is knowledgeable and willing to serve this complex and growing population. The purpose of this study was to develop and validate the Health Professionals’ Attitudes Toward Veterans (HPATV) scale, which explores attitudes regarding military cultural sensitivity and awareness, provision of care to veteran patients, and the prominent veterans’ health issues. The HPATV was developed across several phases, including review of existing measures and literature regarding veterans’ health and attitude structure, hypothesis of a factor structure, identification of a theoretical framework for attitude construction, item generation, 3-round Delphi survey to refine items and test content validity, piloting the measure among health professions students, and exploratory (EFA) and confirmatory factor analysis (CFA). Following CFA, the final 14-item scale revealed 3 latent factors to describe health professionals’ more nuanced attitudes toward working with veteran patients: culture, care, and health. The HPATV is a validated and readily available tool for needs assessment, quality improvement, and evaluation. Use of this tool will help increase understanding of these culture, care, and health domains and generate quality improvement initiatives based on them—ultimately benefiting veteran patients through more sensitive, patient-centered care.
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Erbes, Christopher R., Eric Kuhn, Melissa A. Polusny, Josef I. Ruzek, Michele Spoont, Laura A. Meis, Elizabeth Gifford, et al. "A Pilot Trial of Online Training for Family Well-Being and Veteran Treatment Initiation for PTSD." Military Medicine 185, no. 3-4 (October 17, 2019): 401–8. http://dx.doi.org/10.1093/milmed/usz326.

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Abstract Introduction Family members are important supports for veterans with Posttrauamtic Stress Disroder (PTSD), but they often struggle with their own distress and challenges. The Veterans Affairs—Community Reinforcement and Family Training (VA-CRAFT) website was designed to teach family members of veterans with PTSD effective ways to interact with their veterans to encourage initiation of mental health services as well as to care for themselves and improve their relationships. This article presents a pilot investigation of VA-CRAFT. Materials and Method Spouse/partners of veterans who had screened positive for PTSD but were not in mental health treatment were randomized to either use the VA-CRAFT website (n = 22) or to a waitlist control condition (n = 19) for 3 months. Veteran mental health service initiation was assessed posttreatment. Spouse/partner distress, caregiver burden, quality of life, and relationship quality were assessed pre and posttreatment. The study was approved by the Minneapolis VA Health Care System Institutional Review Board (IRB). Results Differences between groups on veteran treatment initiation were small (Phi = 0.17) and not statistically significant. VA-CRAFT participants reported large and statistically significantly greater decreases in overall caregiver burden (η2 = 0.10) and objective caregiver burden (η2 = 0.14) than control participants. Effects were larger for those with greater initial distress. Effects sizes for other partner outcomes were negligible (η2 = 0.01) to medium (η2 = 0.09) and not statistically significant. Postintervention interviews suggested that only 33% of the VA-CRAFT participants talked with their veterans about starting treatment for PTSD during the trial. Conclusion Results from this pilot trial suggest that VA-CRAFT holds initial promise in reducing caregiver burden and as such it could be a useful resource for family members of veterans with PTSD. However, VA-CRAFT does not enhance veteran treatment initiation. It may benefit from enhancements to increase effectiveness and caregiver engagement.
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Haro, Elizabeth, Michael Mader, Polly H. Noël, Hector Garcia, Dawne Vogt, Nancy Bernardy, Mary Bollinger, Mary Jo V. Pugh, and Erin P. Finley. "The Impact of Trust, Satisfaction, and Perceived Quality on Preference for Setting of Future Care Among Veterans With PTSD." Military Medicine 184, no. 11-12 (April 20, 2019): e708-e714. http://dx.doi.org/10.1093/milmed/usz078.

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Abstract Introduction Among US veterans, posttraumatic stress disorder (PTSD) is a high-prevalence condition; more than a million veterans of all combat eras are service-connected for this condition. Research on factors driving veterans’ decision-making regarding preferred setting for PTSD care has been limited. The purpose of this study was to understand factors associated with preferences for setting of future PTSD care among veterans service-connected for PTSD. Materials and Methods We conducted a cross-sectional mailed survey among veterans with service connection for PTSD in Texas and Vermont identified from the Veterans Services Network Corporate Mini Master File (VETSNET). Survey items were intended to elucidate PTSD healthcare decision-making and queried utilization, perceived need for care, and satisfaction and preferences for VA, community, and/or military setting for receipt of future PTSD care. Logistic regression was used to identify factors associated with preference for care setting. UT Health San Antonio’s Institutional Review Board determined this quality improvement project to be non-research. Results Veterans (n = 2,327) were surveyed with an overall response rate of 37.1%. Most veterans (72.4%) identified VA as a preferred site for their future PTSD care; a substantial, but smaller, number of veterans identified being interested in receiving care in community (39.9%) and military (12.7%) settings. Factors associated with preferences for future care setting included demographics (e.g., ethnicity, income), availability of healthcare coverage, prior experiences of care, and attitudes related to perceived quality of care and trust in VA. Conclusions These findings suggest that it is important to retain foundational mental health services within VA, as well as to continue to invest in building provider and network capacity in community settings, to ensure alignment with veteran preferences for care setting.
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Peterson, Jane, Margaret Brommelsiek, and Sarah Knopf Amelung. "An Interprofessional Education Project to Address Veterans’ Healthcare Needs." International Journal of Higher Education 6, no. 1 (November 3, 2016): 1. http://dx.doi.org/10.5430/ijhe.v6n1p1.

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Background/Objective: The number of veterans and their families seeking healthcare and support within civilian communities is increasing worldwide. There is a need for healthcare providers to provide sensitive, comprehensive care for veterans with both physical and behavioral health conditions. Many civilian providers are unfamiliar with veterans’ issues and need training on military culture and combat experiences in order to provide compassionate, high quality care. An interprofessional (IPE) course to increase health professional students’ understanding of military culture and the associated health problems of veterans was implemented and evaluated. Methods: An 8-week IPE immersion course was offered for students with clinical experience at a Veterans’ Health primary care clinic and a didactic component. The class content included military culture, behavioral and physical health disorders common among veterans, and the related behavioral and pharmacological treatments. Faculty-led discussions with students in IPE teams used veteran-focused case studies and standardized patients to prepare students to work in IPE teams in the clinical care of veterans. Results: This educational project was evaluated using quantitative surveys and qualitative reflection questions and focus groups. Students scored high for readiness for interprofessional learning pre-course. Post-course students reported valuing the team approach to veterans care and students engaged in high levels of communication and collaboration within the team. Students’ knowledge scores increased related to understanding of military culture and their patient advocate role. Conclusions: Students learned about military culture and the provision of humanistic, high quality care for military veterans in this clinical and didactic immersion IPE course.
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Wilson, Sarah M., Alyssa M. Medenblik, Julia M. Neal, Jennifer L. Strauss, J. Murray McNiel, Warren E. Christian, Jean C. Beckham, and Patrick S. Calhoun. "Lifetime Smoking Patterns and Preferences for Smoking Cessation Among Women Veterans Receiving Veterans Health Administration Care." Qualitative Health Research 29, no. 14 (July 16, 2019): 2096–107. http://dx.doi.org/10.1177/1049732319857536.

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The objective of this study was to identify common themes among women veterans who smoke or recently quit and had used smoking cessation treatment within the Veterans Health Administration (VHA). The study built upon previous research by utilizing in-depth interviews to encourage disclosure of potentially stigmatized topics. Twenty women veterans enrolled in VHA care engaged in a quality improvement project focused on improving smoking cessation services. Qualitative analysis of de-identified interviews used a combination of content analysis and thematic analysis within the sociopharmacological model of tobacco addiction. Findings revealed that participants’ smoking was influenced by woman veteran identity and by several gender-related contextual factors, including military sexual trauma and gender discrimination. Findings also highlighted other contextual factors, such as personal autonomy, emotional smoking triggers, and chronic mental health concerns. Findings are interpreted within the context of cultural power imbalances, and recommendations are provided for VHA smoking cessation for women veterans.
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Tuepker, Anaïs, Summer Newell, Christina Nicolaidis, Marie-Elena Reyes, Maria Carolina González-Prats, Eleni Skaperdas, and Devan Kansagara. "Veteran Patient Perspectives and Experiences During Implementation of a Patient-Centered Medical Home Model." Journal of Patient Experience 5, no. 2 (October 6, 2017): 107–13. http://dx.doi.org/10.1177/2374373517731602.

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Background: The Veterans Health Administration (VA) has implemented the largest shift to a patient-centered medical home (PCMH) model of care in the United States to date. Objective: We interviewed veterans about their experiences of primary care to understand whether they observed changes in care during this period as well as to learn which characteristics of care mattered most to their experiences. Method: Qualitative interviews were conducted with 32 veterans receiving primary care at 1 of 8 VA clinics in the northwest United States. Interviews were analyzed using an inductive–deductive hybrid approach by an interdisciplinary team that included a veteran patient. Result: Participants noticed recent positive changes, including improved communications and shorter waits in clinic, but rarely were aware of VA’s PCMH initiative; a strong relationship with the primary care provider and feeling cared for/respected by everyone involved in care delivery were key components of quality care. The needs of the veteran community as a whole also shaped discussion of care expectations. Conclusion: The PCMH model may provide benefits even when invisible to patients. Veteran awareness of population needs suggests a promising role for veteran involvement in further PCMH transformation efforts.
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Nayar, Preethy, Diptee Ojha, Ann Fetrick, and Anh T. Nguyen. "Applying Lean Six Sigma to improve medication management." International Journal of Health Care Quality Assurance 29, no. 1 (February 8, 2016): 16–23. http://dx.doi.org/10.1108/ijhcqa-02-2015-0020.

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Purpose – A significant proportion of veterans use dual care or health care services within and outside the Veterans Health Administration (VHA). In this study conducted at a VHA medical center in the USA, the authors used Lean Six Sigma principles to develop recommendations to eliminate wasteful processes and implement a more efficient and effective process to manage medications for dual care veteran patients. The purpose of this study is to: assess compliance with the VHA’s dual care policy; collect data and describe the current process for co-management of dual care veterans’ medications; and draft recommendations to improve the current process for dual care medications co-management. Design/methodology/approach – Input was obtained from the VHA patient care team members to draw a process map to describe the current process for filling a non-VHA prescription at a VHA facility. Data were collected through surveys and direct observation to measure the current process and to develop recommendations to redesign and improve the process. Findings – A key bottleneck in the process that was identified was the receipt of the non-VHA medical record which resulted in delays in filling prescriptions. The recommendations of this project focus on the four domains of: documentation of dual care; veteran education; process redesign; and outreach to community providers. Research limitations/implications – This case study describes the application of Lean Six Sigma principles in one urban Veterans Affairs Medical Center (VAMC) in the Mid-Western USA to solve a specific organizational quality problem. Therefore, the findings may not be generalizable to other organizations. Practical implications – The Lean Six Sigma general principles applied in this project to develop recommendations to improve medication management for dual care veterans are applicable to any process improvement or redesign project and has valuable lessons for other VAMCs seeking to improve care for their dual care veteran patients. Originality/value – The findings of this project will be of value to VA providers and policy makers and health care managers who plan to apply Lean Six Sigma techniques in their organizations to improve the quality of care for their patients.
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Boucher, Nathan A., Karen E. Steinhauser, and Kimberly S. Johnson. "Older, Seriously Ill Veterans’ Views on the Role of Religion and Spirituality in Health-Care Delivery." American Journal of Hospice and Palliative Medicine® 35, no. 7 (April 1, 2018): 921–28. http://dx.doi.org/10.1177/1049909118767113.

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Objectives: To describe older Veteran’s perspectives on the current delivery of religious or spiritual (R/S) care. Methods: Semi-structured interviews with older veterans with advanced stage cancer, heart failure, or pulmonary disease to elicit views on when, how, and by whom religious and spiritual care is preferred. Results: The sample (n = 17) was largely male (94%), non-Hispanic white (52.9%), Christian (82.3%), and most had at least some college education (64.7%). Participants shared diagnoses of cancer (47%), heart failure (35.2%), or chronic obstructive pulmonary disease (17.6%). As a group, participants had moderate religiosity. Themes relevant to the study goal of improving VA care delivery are as follows: (1) process of R/S engagement, (2) timing of R/S engagement, and (3) awareness of services. Veterans discussed the need for VA providers to accommodate diverse spiritual beliefs, importance of screening for spiritual needs, inclusion of family spiritual support, need for higher visibility of services, use of nonchaplains for R/S support, and times when R/S is important. Discussion: Veterans recognize the diversity of their fellow veterans and note the opportunities and challenges in providing R/S support in the VA care setting. The findings have implications for quality improvement in VA care including efforts focused on enhanced outreach to veterans, bolstered education for staff, and more nuanced approaches to R/S support.
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Ortmeyer and Robey. "Companion Dog Foster Caregiver Program for Older Veterans at the VA Maryland Health Care System: A Feasibility Study." International Journal of Environmental Research and Public Health 16, no. 21 (November 4, 2019): 4285. http://dx.doi.org/10.3390/ijerph16214285.

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Veterans experience mental health conditions at a disproportionate rate compared to their civilian counterparts, and approximately 60% of older veterans who receive their care through the United States Department of Veterans Affairs (VA) do not meet physical activity (PA) recommendations. We tested the Veterans as Foster Ambassadors program at the VA Maryland Health Care System to examine whether fostering a companion dog would improve PA and function, heart rate variability (HRV), balance, and quality of life (QOL) in older veterans. Participants wore an accelerometer for ≥10 days during each phase (30 day baseline vs. 60 day foster period) to measure daily PA (n = 4). Six-minute walk (6MW) and balance testing (n = 4) and 24 h heart rate (HR) and HRV (n = 2) were determined at baseline and during the foster period. Compared to baseline, there were significant increases in (a) distance during the 6MW, (b) daily steps, and (c) time spent in moderate activity during the foster period. 24 h HR decreased and time- and frequency-domain measures of HRV significantly increased in a veteran with post-traumatic stress disorder during the foster period compared to baseline. All veterans offered positive feedback about the program and indicated that it was beneficial to them. The results from this pilot study provide evidence that fostering a companion dog can improve PA, health, and QOL in older veterans. Future research conducted with a larger sample size to validate the results is warranted.
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Seaman, Aaron T., Samantha Solimeo, and Byron Bair. "ENHANCING ACCESS AND QUALITY OF RURAL VETERANS’ CARE THROUGH TELEMEDICINE IMPLEMENTATION." Innovation in Aging 3, Supplement_1 (November 2019): S607. http://dx.doi.org/10.1093/geroni/igz038.2262.

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Abstract Telemedicine, a promising approach for clinicians to provide care to patients who are unable to attend face-to-face encounters, has been embraced by the Veterans Health Administration to improve the delivery of specialty care to rural Veterans and their caregivers. Presenters in this symposium report on the potential and challenges of telemedicine in a variety of specialty care contexts. Stakeholder (Veteran, caregiver, and provider) perspectives are discussed. Hung et al.’s study examines the implementation of a teleconsultation intervention designed to connect geriatric teams with rural clinics, reporting on both patient outcomes and the challenges of implementation variability that teams encountered. Solimeo, et al.’s qualitative study of primary care providers’ experience of an osteoporosis telemedicine clinic’s outreach and care delivery demonstrates stakeholder acceptance as well as potential missed opportunities for patient and provider education. Findings from Nichols and Martindale-Adams’ mixed methods evaluation of a telephone intervention to assist caregivers of older, rural-dwelling Veterans demonstrate the impact the intervention has had on participants’ perceptions of and abilities to care for their family members and themselves. Hicken et al. present on the implementation of a videoconferencing intervention to provide in-home support to rural Veterans and their caregivers, reporting on both provider and patient/caregiver experiences of the intervention and its implementation. The four studies highlight the unique ways telemedicine can improve care and the necessity of including stakeholder perspectives across the implementation process.
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Dissertations / Theses on the topic "Veterans Veterans Quality of Health Care"

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Reents, Lawrence Paul Sr. "What Influences Mental Health Treatment among Military Veterans?" Youngstown State University / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=ysu1463936747.

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Cowper, Diane Constance. "Access, utilization, and provider selection patterns of united states veterans." [Gainesville, Fla.] : University of Florida, 2004. http://purl.fcla.edu/fcla/etd/UFE0008224.

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Thesis (Ph.D.)--University of Florida, 2004.
Typescript. Title from title page of source document. Document formatted into pages; contains 182 pages. Includes Vita. Includes bibliographical references.
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Joish, Vijay. "Development of the Diabetes Resource Consumption Index and profiling quality of diabetes care in the Veterans Health Administration." Diss., The University of Arizona, 2003. http://hdl.handle.net/10150/280360.

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The purpose of this study was to develop and validate a risk-adjustment index for one year healthcare resource use specific to diabetic patients, based on severity of illness measures; and to profile quality of diabetes care between outpatient clinics. The data for this study was collected from four outpatient clinics within the Southern Arizona Veterans Affairs Healthcare System, Tucson, AZ. The DRCI was developed using a sample size of 367 diabetic subjects that had complete information on diabetes-specific variables. Individual DRCI weights, based on the magnitude of one year healthcare resource use and socio-demographic characteristics, ranged from -471.5 to 3,081.2 for total healthcare costs, from -304.3 to 1,582.1 for outpatient costs, and -0.19 to 0.93 for risk of hospitalization. The DRCI was better than or equivalent to the Chronic Disease Score in predicting health care costs. Diabetics in the second cohort were predominantly elderly (mean = 66yrs ± 11.1), married (61%), white (73%), males (96%), had a high BMI (31 ± 6.3 kg/m²), and mean comorbidity score of 4.2 ± 1.8 conditions. Screening for HbA1c and microalbuminuria was frequently performed in all clinics. Overall, 61% and 36% of study patients did not have evidence of foot or eye examinations during the entire study period, respectively. Approximately, 27% (n = 408), 41% (n = 643), and 26% (n = 515) of the study patients had poor glycemic, renal function, and lipid control, respectively. Significant differences (p < .05) in HbA1c and creatinine clearance rates between the clinics were observed after adjusting for patient case-mix. However, differences between the clinics in cardiovascular outcome were not observed after adjusting for patient case-mix. This study demonstrated an association between diabetes severity with healthcare resource and costs. The DRCI, using laboratory data, is a diabetes-specific severity measure for prediction of one year healthcare resource use. Future studies are needed to validate this index in other settings. Finally, the results from this study emphasize the need to adjust for case-mix variable when comparing quality of diabetic care outcomes between outpatient clinics.
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Zullig, Leah L. "Equity in an equal access system? -- Quality & timeliness of cancer care in the Veterans Affairs healthcare system." Thesis, The University of North Carolina at Chapel Hill, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=3562835.

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The objective of this dissertation was to examine the association between patients' race and receipt of National Comprehensive Cancer Network guideline-adherent and timely colorectal cancer (CRC) and non-small cell lung cancer (NSCLC) care in the Veterans Affairs (VA) healthcare system. Data were from the External Peer Review Program (EPRP) Special Study on CRC and NSCLC, originally purposed for performance monitoring, examined in an observational, retrospective study design. The sample consisted of African American (AA) and Caucasian patients diagnosed with CRC between 2003 and 2006 or NSCLC between 2006 and 2007 at VA hospitals nationwide. Statistical analysis approaches included multivariate logistic regression and survival analysis methods.

Our first analysis used multivariable logistic regression to examine associations between race and receipt of guideline-concordant care (computed tomography scan, preoperative carcinoembryonic antigen, clear surgical margins, medical oncology referral for Stages II-III; fluorouracil-based adjuvant chemotherapy for Stage III; surveillance colonoscopy for Stages I-III). There were no significant racial differences in receipt of guideline-concordant CRC care. Our second analysis examined associations between race and CRC care timeliness. There were no racial differences in time to chemotherapy initiation (HR 0.82, p=0.61) or surgery to death (HR 0.94, p=0.0.49). Caucasian race was protective for shorter time to first surveillance colonoscopy (HR 0.63, p=0.02). On average, the difference in time to colonoscopy was sixteen days. Our third analysis examined associations between race and NSCLC care timeliness. There were no racial differences in time to initiation of treatment (72 days for AA versus 65 days for Caucasian patients, HR 1.03, p=0.80) or palliative care or hospice referral (129 versus 116 days, HR 1.10, p=0.34). However, the adjusted model found longer survival for African American compared to Caucasian patients (133 versus 117 days, HR 1.31, p=0.00).

In these data there were minimal statistically significant racial differences. We identified no clinically meaningful racial differences in cancer care quality, timeliness, or patient outcomes. This suggests that VA may be a leader in providing equitable cancer care. Future studies could examine causal pathways for the VA's equal, quality care and ways to translate the VA's success into other hospital systems.

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Callender, Marcia Callender. "Telehealth: Improving Quality of Life in Veterans with Congestive Heart Failure." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2524.

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Congestive heart failure (CHF) affects an estimated 5.1 million Americans over the age of 20. The purpose of this quantitative study was to determine whether there is a difference in the Quality of Life (QOL) for Congestive heart failure patients receiving care through telehealth compared to patients receiving face-to-face care (usual care). Guiding this project was the Self-Care Model of Chronic Illness because the primary outcome of the self-care model is illness stability, well-being, and quality of life. Seventy-seven veterans with Heart Failure (HF) from the Washington D.C. Veterans Affairs Medical Center (VAMC) participated in the project. Forty reported they were receiving telehealth and 37 reported that they were receiving face-to-face care. The average participant age was 67 years with a range of 44 to 93 years. Seventy-five of the participants were male and 2 were female. Sixty-four participants were Black and 12 were White. The Minnesota Living with Heart Failure (MLHF) questionnaire average score for the telehealth group was 49.4 (SD = 28.7) and the face-to-face care group was 37 (SD = 27.9). With equal variance assumed, there was no significant difference between MLHF scores in the telehealth group compared to the usual care group (t = -1.91, p > .05). Thus, opportunities for using telehealth without negatively affecting patient outcomes, such as QOL, are plausible. It can be concluded that providing services using home telehealth for HF patients may produce outcomes that are equivalent to those receiving traditional services.
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Jones, Laura Elizabeth. "Quality of guideline-concordant care and treatment for depression in the Veterans Health Administration and its impact on glycemic control." Diss., University of Iowa, 2006. http://ir.uiowa.edu/etd/67.

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Samuel, Cleo Alda. "Essays on Health Care Quality and Access: Cancer Care Disparities, Composite Measure Development, and Geographic Variations in Electronic Health Record Adoption." Thesis, Harvard University, 2014. http://dissertations.umi.com/gsas.harvard:11583.

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Racial/ethnic disparities in cancer care are well documented in the research literature; however, less is known about the extent and potential source of cancer care disparities in the Veterans Health Administration (VA). In my first paper, I use logistic regression and hospital fixed effects models to examine racial disparities in 20 cancer-related quality measures and the extent to which racial differences in site of care explain VA cancer care disparities. I found evidence of racial disparities in 7 out of 20 cancer-related quality measures. In general, these disparities were primarily driven by racial differences in care for black and white patients within the same VA hospital, rather than racial differences in site of care.
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Harris, Marianne DeMeo. "A Retrospective Study Comparing Shared Medical Appointments with Usual Health Care on Clinical Outcomes and Quality Measures in Veterans with Type 2 Diabetes." Case Western Reserve University School of Graduate Studies / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=case1374523214.

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Martinez, Jessica. "A comparison of the healthcare needs of veterans to non-veterans." Thesis, California State University, Long Beach, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=1586163.

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This project analyses data from the California Health Interview Survey (CHIS) to compare the healthcare needs of veterans with those who never served in the military. This project will attempt to elucidate if military service creates poorer outcomes and subsequently a greater need for healthcare services for those who enlist. The project will test eleven hypotheses which are indicators of health status for both veteran and non-veteran respondents. For all hypotheses, the independent variable will be if the respondent has ever served in the United States Military. The eleven dependent variables are as follows: respondent self-reported health status, current and former tobacco use, likelihood of alcohol abuse, likelihood the respondent is overweight or obese, prevalence of heart disease, prevalence of diabetes, prevalence of hypertension, state of emotional health, state of work, family, and social relationships, marital status, and income status. All eleven hypotheses state that veterans' are more likely to experience poorer health outcomes than their civilian counterparts.

Analysis of all eleven outcomes had diversified results. Veterans were more likely to self-report poorer states of health, be former tobacco users, abuse alcohol, be overweight or obese, and have diagnoses of heart disease, diabetes or hypertension. This could be due to rigors of military service. It may also be increased access to healthcare services, enabling veterans to receive medical diagnoses. Conversely, veterans were less likely to be current tobacco users, self-report better emotional health, self-report better relationships, more likely to be married, and have higher incomes. This could be because the military in some facets acts as a health protector. It could also be due to the highly stigmatized perceptions of mental illness or dysfunction. This project finds several reasons veterans may need more healthcare services, but also finds further research on this topic is necessary.

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Rajnic, Margaret Mary. "HEALTH SCREENING IN VETERANS WITH DIABETES MELLITUS." Case Western Reserve University Doctor of Nursing Practice / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=casednp1561473636964802.

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Books on the topic "Veterans Veterans Quality of Health Care"

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Longman, Phillip. Best care anywhere: Why VA health care is better than yours. 2nd ed. Sausalito, CA: PoliPointPress, 2010.

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Best care anywhere: Why VA health care is better than yours. 2nd ed. Sausalito, CA: PoliPointPress, 2010.

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Care, United States Congress House Committee on Veterans' Affairs Subcommittee on Hospitals and Health. Quantity and quality of health care services provided to eligible veterans in central Georgia: Hearing before the Subcommittee on Hospitals and Health Care of the Committee on Veterans' Affairs, House of Representatives, Ninety-ninth Congress, first session, May 24, 1985. Washington: U.S. G.P.O., 1985.

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Redefining a public health system: How the Veterans Health Administration improved quality measurement. San Francisco, Calif: Jossey-Bass., 1996.

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Best care anywhere: Why VA health care would work better for everyone. 3rd ed. San Francisco: Berrett-Koehler Publishers, 2011.

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United States. Congress. House. Committee on Veterans' Affairs. Subcommittee on Hospitals and Health Care. Quality of VA care: Hearing before the Subcommittee on Hospitals and Health Care of the Committee on Veterans' Affairs, House of Representatives, One Hundred Second Congress, first session, April 24, 1991. Washington: U.S. G.P.O., 1992.

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United States. Congress. Senate. Committee on Veterans' Affairs. Quality and timeliness of veterans health services in western Pennsylvania: Hearing before the Committee on Veterans' Affairs, United States Senate, One Hundred Second Congress, second session, June 19, 1992, Pittsburgh, PA. Washington: U.S. G.P.O., 1993.

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Quality of care in the Veterans Affairs health care system: Hearing before the Committee on Veterans' Affairs, United States Senate, One Hundred Fifth Congress, second session, September 22, 1998. Washington: U.S. G.P.O., 2000.

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Office, General Accounting. VA health care: Veterans' demand for outpatient care : report to congressional requesters. Washington, D.C: The Office, 1989.

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Quality management at the Veterans Health Administration: Hearing before the Subcommittee on Health of the Committee on Veterans' Affairs, House of Representatives, One Hundred Fifth Congress, second session, March 19, 1998. Washington: U.S. G.P.O., 1998.

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Book chapters on the topic "Veterans Veterans Quality of Health Care"

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Joy, O’Neill. "Veterans’ Children." In Military Veteran Psychological Health and Social Care, 45–62. Abingdon, Oxon; New York, NY: Routledge, 2017.: Routledge, 2017. http://dx.doi.org/10.4324/9781315195117-4.

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Neil, Kitchiner. "Veterans’ NHS Wales (VNHSW)." In Military Veteran Psychological Health and Social Care, 132–44. Abingdon, Oxon; New York, NY: Routledge, 2017.: Routledge, 2017. http://dx.doi.org/10.4324/9781315195117-9.

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Lyons, Judith A. "Veterans Health Administration: Reducing barriers to access." In Rural behavioral health care: An interdisciplinary guide., 217–29. Washington: American Psychological Association, 2003. http://dx.doi.org/10.1037/10489-017.

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Gilman, Stuart, and Ruth O’Hara. "The Commitment of the Veterans Health Administration to Mental Health Care for Veterans: Historical Overview and Context." In Military and Veteran Mental Health, 35–42. New York, NY: Springer New York, 2018. http://dx.doi.org/10.1007/978-1-4939-7438-2_3.

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Jeya, Balakrishna. "Veterans and Reserves Mental Health Programme for British Forces." In Military Veteran Psychological Health and Social Care, 97–112. Abingdon, Oxon; New York, NY: Routledge, 2017.: Routledge, 2017. http://dx.doi.org/10.4324/9781315195117-7.

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Yang, George P. "Academic Surgery in the Veterans’ Administration Health Care System." In Building a Clinical Practice, 153–60. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-29271-3_16.

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Sargent, Paul. "Mental Health Care of Special Operations Forces." In Posttraumatic Stress Disorder and Related Diseases in Combat Veterans, 311–29. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-22985-0_22.

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Seal, Karen H., Shira Maguen, and Beth E. Cohen. "Mental Health Problems and Treatment Utilization of Iraq and Afghanistan Veterans Enrolled in Department of Veterans Affairs Health Care." In Future Directions in Post-Traumatic Stress Disorder, 329–45. Boston, MA: Springer US, 2015. http://dx.doi.org/10.1007/978-1-4899-7522-5_17.

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Ruzek, Josef I., and Sonja V. Batten. "Enhancing systems of care for posttraumatic stress disorder: From private practice to large health care systems." In Caring for veterans with deployment-related stress disorders., 261–82. Washington: American Psychological Association, 2011. http://dx.doi.org/10.1037/12323-012.

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Clemency ordes, Colleen, Linda R. Mona, and LaDonna C. Saxon. "Integrated primary behavioral health care for women veterans with disabilities." In Eliminating inequities for women with disabilities: An agenda for health and wellness., 227–42. Washington: American Psychological Association, 2016. http://dx.doi.org/10.1037/14943-012.

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Conference papers on the topic "Veterans Veterans Quality of Health Care"

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Terao, Junichi, Lina Trejos, Zhe Zhang, and Goldie Nejat. "An Intelligent Socially Assistive Robot for Health Care." In ASME 2008 International Mechanical Engineering Congress and Exposition. ASMEDC, 2008. http://dx.doi.org/10.1115/imece2008-67678.

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The development of socially assistive robots for health care applications can provide measurable improvements in patient safety, quality of care, and operational efficiencies by playing an increasingly important role in patient care in the fast pace of crowded clinics, hospitals and nursing/veterans homes. However, there are a number of research issues that need to be addressed in order to design such robots. In this paper, we address two main limitations to the development of intelligent socially assistive robots: (i) identification of human body language via a non-contact sensory system and categorization of these gestures for determining the accessibility level of a person during human-robot interaction, and (ii) decision making control architecture design for determining the learning-based task-driven behavior of the robot during assistive interaction. Preliminary experiments presented show the potential of the integration of the aforementioned techniques into the overall design of such robots intended for assistive scenarios.
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Ficocelli, Maurizio, Goldie Nejat, and Greg Minseok Jhin. "An Human-Robot Interaction Control Architecture for an Intelligent Assistive Robot." In ASME 2009 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. ASMEDC, 2009. http://dx.doi.org/10.1115/detc2009-87639.

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As the first round of baby boomers turn 65 in 2011, we must be prepared for the largest demographic group in history that could need long term care from nursing homes and home health providers. The development of socially assistive robots for health care applications can provide measurable improvements in patient safety, quality of care, and operational efficiencies by playing an increasingly important role in patient care in the fast pace of crowded clinics, hospitals and nursing/veterans homes. However, there are a number of research issues that need to be addressed in order to design such robots. In this paper, we address one of the main limitations to the development of intelligent socially assistive robots for health care applications: Robotic control architecture design and implementation with explicit social and assistive task functionalities. In particular, we present the design of a unique learning-based multi-layer decision making control architecture for utilization in determining the appropriate behavior of the robot. Herein, we explore and compare two different learning-based techniques that can be utilized as the main decision-making module of the controller. Preliminary experiments presented show the potential of the integration of the aforementioned techniques into the overall design of such robots intended for assistive scenarios.
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Zhang, Zhe, and Goldie Nejat. "Human Affective State Recognition and Classification During Human-Robot Interaction Scenarios." In ASME 2009 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. ASMEDC, 2009. http://dx.doi.org/10.1115/detc2009-87647.

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A new novel breed of robots known as socially assistive robots is emerging. These robots are capable of providing assistance to individuals through social and cognitive interaction. The development of socially assistive robots for health care applications can provide measurable improvements in patient safety, quality of care, and operational efficiencies by playing an increasingly important role in patient care in the fast pace of crowded clinics, hospitals and nursing/veterans homes. However, there are a number of research issues that need to be addressed in order to design such robots. In this paper, we address one main challenge in the development of intelligent socially assistive robots: The robot’s ability to identify, understand and react to human intent and human affective states during assistive interaction. In particular, we present a unique non-contact and non-restricting sensory-based approach for identification and categorization of human body language in determining the affective state of a person during natural real-time human-robot interaction. This classification allows the robot to effectively determine its taskdriven behavior during assistive interaction. Preliminary experiments show the potential of integrating the proposed gesture recognition and classification technique into intelligent socially assistive robotic systems for autonomous interactions with people.
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Sharafkhaneh, Amir, Hossein Sharafkhaneh, and Max Hirshkowitz. "In Patient Health Care Utilization Is Higher In Veterans With Sleep Apnea." In American Thoracic Society 2010 International Conference, May 14-19, 2010 • New Orleans. American Thoracic Society, 2010. http://dx.doi.org/10.1164/ajrccm-conference.2010.181.1_meetingabstracts.a6547.

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Cho, Eun Seo, and Yeong Hun Yeo. "The Quality of Life among the Senior Veterans’ Family Home Care Service Recipients." In 10th International Workshop Series Convergence Works. Global Vision School Publication, 2016. http://dx.doi.org/10.21742/asehl.2016.9.36.

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Allison, Brian, and Goldie Nejat. "An Expressive Socially Assistive Robot for Health-Care Applications." In ASME 2008 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. ASMEDC, 2008. http://dx.doi.org/10.1115/detc2008-50082.

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It is anticipated that the use of assistive robots will be one of the most important service applications of robotic systems of the future. In this paper, a unique non-contact socially assistive robot consisting of a human-like demeanor is presented for utilization in hospital wards and veteran homes to study its role and impact on the well-being of patients, addressing patient’s needs and its overall effect on the quality of patient care. The robot will be an embodied entity that will participate in hands-off non-contact social interaction with a patient during the convalescence, rehabilitation or end-of-life care stage. The robot has been designed as a platform to incorporate the three design parameters of embodiment, emotion and non-verbal communication to encourage natural interactions between a person and itself. In this paper, we present the mechanical design of the robot. The robot is able to communicate via: (i) a unique human-like face with artificial skin that utilizes the modeling of muscles of a human face to express facial expressions, (ii) a 3 degrees-of-freedom (DOF) neck capable of expressing head gestures, and (iii) an upper torso consisting of a 2 DOF waist and two 4 DOF arms designed to mimic human-like body language.
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Taylor, Lesley, Scott D. Wood, and Roger J. Chapman. "Analysis and Mitigation of Reported Informatics Patient Safety Adverse Events at the Veterans Health Administration." In 2012 Symposium on Human Factors and Ergonomics in Health Care. Human Factors and Ergonomics Society, 2012. http://dx.doi.org/10.1518/hcs-2012.945289401.001.

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Setya W, Diadjeng, Miftahul Jannah, and Rismaina Putri. "Antenatal Care Quality by Midwives as A Stunting Prevention Effort in Malang, East Java: A Comparative Study." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.03.06.

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ABSTRACT Background: Fulfilment of nutrition in the first 1000 days of life greatly affects the development of a child’s brain and body. If the nutritional intake is not fulfilled, the impact on children’s development will be permanent, one of which is stunting. This study aimed to compare the quality of antenatal care (ANC) by midwives in the stunting locus and not the stunting locus village. Subjects and Method: This was a comparative analytic with cross-sectional study conducted in stunting locus and not stunting locus village in Malang Regency from August-December 2019. A total of 84 midwives were enrolled in this study by purposive sampling. The data were collected by questionnaire. Data were analyzed using a multiple linear regression. Results: Quality of ANC in stunting locus and not stunting locus village were not showing good results. The most dominant influence on the quality of ANC midwives in the stunting locus was the length of work of the midwives. Meanwhile, the most dominant influence on the quality of ANC midwives in non-stunting locus was the latest education. Conclusion: Quality of ANC in stunting locus and not stunting locus village are not yet showing good results. Keywords: stunting, quality, antenatal care, midwives Correspondence: Diadjeng Setya Wardani. Faculty of Medicine, Universitas Brawijaya. Jl. Veteran Malang, East Java, Indonesia. diadjeng_wardani@ub.ac.id.085755540404 DOI: https://doi.org/10.26911/the7thicph.03.06
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Setyaningrum, Tuti, Sari Virgawati, and Maftuh Kafiya. "Urban Farming With The Biopharmaceutical Crops To Develop Micro, Small And Medium Enterprises (Msme) Of Healthy Beverages Production." In LPPM UPN "VETERAN" Yogyakarta International Conference Series 2020. RSF Press & RESEARCH SYNERGY FOUNDATION, 2020. http://dx.doi.org/10.31098/pss.v1i1.184.

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Recently, it is quite difficult to find an area for cultivation in the city, therefore, the backyard area in every family house in the city is also used as a farming area known as the urban farming system. The Farmer Group in the city of Yogyakarta, namely the Wijaya Kusuma Farmer Group (WK), has developed this urban farming system in their home yards by growing vegetables and fruits. With the COVID pandemic, they plan to cultivate empon-empon, herbal plants which have benefits to increase the body immunity or known as biopharmaceutical crops. Meanwhile, the Lombok Ijo Farmer Group (LI), which is in the same area as the WK, is more oriented towards making a healthy beverage from empon-empon. However, in this pandemic situation, the price of raw material for herbal drink has increased significantly. In this case, a collaboration between those two farmer groups is needed by utilizing the empon-empon cultivation produced from the WK to meet the raw material needs for herbal drinks produced by the LI. To ensure that both farmer gro ups reach good quality products and able to meet the standards for developing SMSE, it needs to assist in cultivation, post-harvest processing, until product packaging, and marketing by training.
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Rizia, Rizwana, Nadiyah Johnson, A. B. M. Kowser Patwary, Golam Mushih Tanimul Ahsan, Sheikh Iqbal Ahamed, Zeno Franco, Katinka Hooyer, Bob Curry, and Mark Flower. "Mobile Peer-Mentoring: An Approach to Make Veterans Seek Mental Health-Care Support a Normality." In 10th IEEE International Conference on Collaborative Computing: Networking, Applications and Worksharing. ICST, 2014. http://dx.doi.org/10.4108/icst.collaboratecom.2014.257844.

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Reports on the topic "Veterans Veterans Quality of Health Care"

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Kinsel, Paula A. Case Study: South Texas Veterans Health Care System's Communication Center. Fort Belvoir, VA: Defense Technical Information Center, July 2008. http://dx.doi.org/10.21236/ada493524.

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Lipscomb, Thomas A. South Texas Veterans Health Care System Mobile Health Clinic: Business Case Analysis. Fort Belvoir, VA: Defense Technical Information Center, June 2009. http://dx.doi.org/10.21236/ada516607.

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Curran, Geoffrey M. Linking Returning Veterans in Rural Community Colleges to Mental Health Care. Fort Belvoir, VA: Defense Technical Information Center, January 2015. http://dx.doi.org/10.21236/ada614429.

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Hill, Warren E. Local Area Network End User Satisfaction Study at the Department of Veterans Affairs Veterans Health Administration's VA Puget Sound Health Care System. Fort Belvoir, VA: Defense Technical Information Center, May 1998. http://dx.doi.org/10.21236/ada372304.

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Parker, Robert O. The Future Impact of Vietnam Era Veterans on Inpatient Acute Care and Mental Health Product Lines at a Veterans Affairs Medical Center. Fort Belvoir, VA: Defense Technical Information Center, June 2000. http://dx.doi.org/10.21236/ada420958.

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Sheridan, Stephen. Resource Sharing Analysis Between Brooke Army Medical Center, Wilford Hall Medical Center, and the South Texas Veterans Health Care System. Fort Belvoir, VA: Defense Technical Information Center, July 2004. http://dx.doi.org/10.21236/ada432057.

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Milligan, Jeffery L. Correlates for Utilization of Preventive Medicine Through the Use of Clinical Reminders at the Central Texas Veterans Health Care System. Fort Belvoir, VA: Defense Technical Information Center, April 2002. http://dx.doi.org/10.21236/ada421163.

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