Racial And Ethnic Disparities Persist At Veterans Health Administration Patient-Centered Medical Homes

2017 ◽  
Vol 36 (6) ◽  
pp. 1086-1094 ◽  
Author(s):  
Donna L. Washington ◽  
W. Neil Steers ◽  
Alexis K. Huynh ◽  
Susan M. Frayne ◽  
Uchenna S. Uchendu ◽  
...  
Keyword(s):  
Ethnic Disparities ◽  
Veterans Health Administration ◽  
Racial And Ethnic Disparities ◽  
Veterans Health ◽  
Health Administration ◽  
Patient Centered ◽  
Patient Centered Medical Homes ◽  
Medical Homes

scholarly journals Racial and ethnic disparities in use of a personal health record by veterans living with HIV

2019 ◽  
Vol 26 (8-9) ◽  
pp. 696-702 ◽  
Author(s):  
Sarah J Javier ◽  
Lara K Troszak ◽  
Stephanie L Shimada ◽  
D Keith McInnes ◽  
Michael E Ohl ◽  
...  
Keyword(s):  
Personal Health Record ◽  
Ethnic Disparities ◽  
Veterans Health Administration ◽  
Personal Health ◽  
Health Record ◽  
Racial And Ethnic Disparities ◽  
Veterans Health ◽  
Health Administration ◽  
Chi Square ◽  
Living With Hiv

Abstract Objective To examine sociodemographic characteristics associated with use of My HealtheVet (MHV) by veterans living with HIV. Materials and Methods Veterans Health Administration administrative data were used to identify a cohort of veterans living with HIV in fiscal years 2011–2017. Descriptive analyses were conducted to examine demographic characteristics and racial/ethnic differences in MHV registration and tool use. Chi-Square tests were performed to assess associations between race/ethnicity and MHV registration and tool use. Results The highest proportion of registrants were non-Hispanic White veterans living with HIV (59%), followed by Hispanic/Latino (55%) and Black veterans living with HIV (40%). Chi-Square analyses revealed that: (1) MHV account registration was significantly lower for both Black and Hispanic/Latino veterans in comparison to White veterans and (2) Black MHV registrants were less likely to utilize any MHV tool compared with White MHV registrants including Blue Button record download, medication refills, secure messaging, lab, and appointment views. Discussion In line with prior research on personal health record (PHR) use among non-veteran populations, these findings show racial and ethnic inequities in MHV use among veterans living with HIV. Racial and ethnic minorities may be less likely to use PHRs for a myriad of reasons, including PHR privacy concerns, decreased educational attainment, and limited access to the internet. Conclusion This is the first study to examine racial and ethnic disparities in use of MHV tools by veterans living with HIV and utilizing Veterans Health Administration health care. Future research should examine potential moderating factors linked to decreased PHR use among racial and ethnic minority veterans, which could inform strategies to increase PHR use among vulnerable populations.

scholarly journals Sensory Environments for Behavioral Health in Dementia: Diffusion of an Environmental Innovation at the Veterans Health Administration

2020 ◽  
Vol 13 (4) ◽  
pp. 44-56
Author(s):  
Lesa Lorusso ◽  
Nam-Kyu Park ◽  
Sheila Bosch ◽  
I. Magaly Freytes ◽  
Ronald Shorr ◽  
...  
Keyword(s):  
Behavioral Interventions ◽  
Veterans Health Administration ◽  
Qualitative Inquiry ◽  
Veterans Health ◽  
Health Administration ◽  
Patient Centered ◽  
Staff Perceptions ◽  
Staff Members ◽  
Individual Interviews ◽  
Inquiry Method

Objectives: To evaluate the diffusion of multisensory environments (MSEs) as an innovation at the Veterans Health Administration (VHA) and gather feedback regarding staff perceptions of barriers to uptake and effectiveness of MSEs for Veterans with dementia. Background: Responding to the need for nonpharmacological behavioral interventions, VHA funded the first MSE for Veterans with dementia in 2010. The room incorporated LED color-changing lights, bubble tubes, vibroacoustic furniture, music, and aromatherapy, and the success of this patient-centered sensory room fueled national rollouts in 2013 and 2015. Method: A qualitative interview approach was used. Thirty-two staff members participated from 12 of the 53 sites producing 21 individual interviews and 1 group interview with 11 participants. Results were analyzed by a team of eight researchers using the rapid qualitative inquiry method to identify common themes and major insights. Results: Important insights emerged with regard to staff members’ perceptions about the effectiveness of MSE therapy as well as barriers to uptake and suggested strategies for overcoming those barriers (e.g., empowering a champion, developing a clear maintenance plan). Conclusions: The findings from this research indicate MSEs are perceived as effective in improving behavior for Veterans with dementia and represent an innovation that has been well-diffused within the VHA, with great potential for future clinical applications.

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