Rural and urban supported employment programs in the Veterans Health Administration: Comparison of barriers and facilitators to vocational achievement for veterans experiencing mental illnesses.

2016 ◽  
Vol 39 (2) ◽  
pp. 129-136 ◽  
Author(s):  
Marina Kukla ◽  
Alan B. McGuire ◽  
Michelle P. Salyers
Keyword(s):  
Supported Employment ◽  
Veterans Health Administration ◽  
Mental Illnesses ◽  
Barriers And Facilitators ◽  
Veterans Health ◽  
Health Administration ◽  
Rural And Urban ◽  
Employment Programs ◽  
Supported Employment Programs

scholarly journals Barriers and Facilitators to Adoption of Genomic Services for Colorectal Care within the Veterans Health Administration

2016 ◽  
Vol 6 (2) ◽  
pp. 16 ◽  
Author(s):  
Nina Sperber ◽  
Sara Andrews ◽  
Corrine Voils ◽  
Gregory Green ◽  
Dawn Provenzale ◽  
...  
Keyword(s):  
Veterans Health Administration ◽  
Barriers And Facilitators ◽  
Veterans Health ◽  
Health Administration

scholarly journals Regional and Rural–Urban Variation in Opioid Prescribing in the Veterans Health Administration

2019 ◽  
Vol 184 (11-12) ◽  
pp. 894-900 ◽  
Author(s):  
Brian C Lund ◽  
Michael E Ohl ◽  
Katherine Hadlandsmyth ◽  
Hilary J Mosher
Keyword(s):  
Rural Areas ◽  
Regional Variation ◽  
Veterans Health Administration ◽  
Veterans Health ◽  
Health Administration ◽  
Opioid Use ◽  
Opioid Prescribing ◽  
Rural And Urban ◽  
Per Capita

Abstract Introduction Opioid prescribing is heterogenous across the US, where 3- to 5-fold variation has been observed across states or other geographical units. Residents of rural areas appear to be at greater risk for opioid misuse, mortality, and high-risk prescribing. The Veterans Health Administration (VHA) provides a unique setting for examining regional and rural–urban differences in opioid prescribing, as a complement and contrast to extant literature. The objective of this study was to characterize regional variation in opioid prescribing across Veterans Health Administration (VHA) and examine differences between rural and urban veterans. Materials and Methods Following IRB approval, this retrospective observational study used national administrative VHA data from 2016 to assess regional variation and rural–urban differences in schedule II opioid prescribing. The primary measure of opioid prescribing volume was morphine milligram equivalents (MME) dispensed per capita. Secondary measures included incidence, prevalence of any use, and prevalence of long-term use. Results Among 4,928,195 patients, national VHA per capita opioid utilization in 2016 was 1,038 MME. Utilization was lowest in the Northeast (894 MME), highest in the West (1,368 MME), and higher among rural (1,306 MME) than urban (988 MME) residents (p < 0.001). Most of the difference between rural and urban veterans (318 MME) was attributable to differences in long-term opioid use (312 MME), with similar rates of short-term use. Conclusion There is substantial regional and rural–urban variation in opioid prescribing in VHA. Rural veterans receive over 30% more opioids than their urban counterparts. Further research is needed to identify and address underlying causes of these differences, which could include access barriers for non-pharmacologic treatments for chronic pain.

Utilization of Interactive Clinical Video Telemedicine by Rural and Urban Veterans in the Veterans Health Administration Health Care System

2019 ◽  
Vol 35 (3) ◽  
pp. 308-318 ◽  
Author(s):  
Scott V. Adams ◽  
Michael J. Mader ◽  
Mary J. Bollinger ◽  
Edwin S. Wong ◽  
Teresa J. Hudson ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Veterans Health Administration ◽  
Veterans Health ◽  
Health Administration ◽  
Rural And Urban ◽  
Care System

scholarly journals Cognitive–behavioral treatments for criminogenic thinking: Barriers and facilitators to implementation within the Veterans Health Administration.

2018 ◽  
Vol 15 (1) ◽  
pp. 87-97 ◽  
Author(s):  
Daniel M. Blonigen ◽  
Allison L. Rodriguez ◽  
Luisa Manfredi ◽  
Andrea Nevedal ◽  
Joel Rosenthal ◽  
...  
Keyword(s):  
Veterans Health Administration ◽  
Barriers And Facilitators ◽  
Cognitive Behavioral ◽  
Veterans Health ◽  
Health Administration ◽  
Behavioral Treatments
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