A5071474832- Vaccine Coverage and Hesitancy
- Patient-Provider Communication in Healthcare
- Health Policy Implementation Science
- Patient Satisfaction in Healthcare
- Mobile Health and mHealth Applications
- Digital Mental Health Interventions
- Global Cancer Incidence and Screening
- SARS-CoV-2 and COVID-19 Research
- Workplace Violence and Bullying
- Appendicitis Diagnosis and Management
- Psychology of Moral and Emotional Judgment
- Palliative Care and End-of-Life Issues
- Ethics and Legal Issues in Pediatric Healthcare
- Ultrasound in Clinical Applications
- Behavioral Health and Interventions
- Primary Care and Health Outcomes
- Radiation Dose and Imaging
- Interpreting and Communication in Healthcare
- Healthcare Quality and Management
- Misinformation and Its Impacts
- Media Influence and Health
United States Department of the Navy
2023
United States Navy
2023
Center for the Study of Healthcare Provider Behavior
2023
Medical College of Wisconsin
2023
Milwaukee VA Medical Center
2023
Bedford VA Research Corporation
2023
VA New England Healthcare System
2021-2022
Quality Enhancement Research Initiative
2021
VA Boston Healthcare System
2021
Connecticut Children's Medical Center
2015
Although COVID-19 vaccines have been available to many U.S. Veterans Affairs (VA) healthcare system employees and Veteran patients since early 2021, vaccine receipt data indicates some groups are not receiving them. Our objective was conduct a rapid qualitative assessment of Veterans' VA employees' views on vaccination inform clinical leaders' ongoing efforts increase uptake across the VA. We employed semi-structured interviews focus group involving as part quality improvement project...
<h3>Importance</h3> Compared with the general population, veterans are at high risk for COVID-19 and have a complex relationship government. This potentially affects their attitudes toward receiving vaccines. <h3>Objective</h3> To assess veterans' intentions to receive <h3>Design, Setting, Participants</h3> cross-sectional web-based survey study used data from Department of Veterans Affairs (VA) Survey Healthcare Experiences Patients' Insight Panel, fielded between March 12 28, 2021. Of 3420...
Rationale: Shared decision-making (SDM) for lung cancer screening (LCS) is recommended in guidelines and required by Medicare, yet it seldom achieved practice. The best approach implementing SDM LCS remains unknown, the 2021 U.S. Preventive Services Task Force calls implementation research to increase uptake of LCS. Objectives: To develop a stakeholder-prioritized agenda outcomes advance Methods: American Thoracic Society VA Health Research Development Service convened multistakeholder...
Interventions are needed to overcome a key barrier patient-provider communication, namely that patients hesitate participate in clinical conversations because they believe their expected role is be passive. This expectation reinforced for veterans, who replicate experience of military hierarchy the relationship. Black moreover, encounter structural racism compounds this power imbalance. paper describes co-designed intervention empower veterans talk with providers, using shared...
Acute appendicitis in children is a clinical diagnosis, which often requires preoperative confirmation with either ultrasound (US) or computed tomography (CT) studies. CTs expose to radiation, may increase the lifetime risk of developing malignancy. US pediatric population appropriate follow up and serial exam be an effective diagnostic modality for many without incurring radiation. The objective study was compare rate appendiceal rupture negative appendectomies between abdominal CTs;...
Background Since 2015, the Veterans Health Administration (VHA) Diffusion of Excellence Program has supported spread practices developed by frontline employees. Shark Tank-style competitions encourage "Sharks" nationwide (VHA medical center/regional directors) to bid for opportunity implement at their institutions. Methods The authors evaluated bidding strategies (2016-2020), developing "QuickView" practice comparator promote informed bidding. leaders distributed QuickView and revised...
Abstract The present study sought to understand the antecedents COVID-19 vaccination among those reporting a change in vaccine intention order improve uptake United States. We employed semi-structured interviews and one focus group discussion with vaccinated unvaccinated Veterans Health Administration (VHA) employees at three Veterans’ Affairs medical centers between January June 2021. A subset of these participants (n=21) self-reported were selected for additional analysis. combined...
Shared decision-making (SDM) for lung cancer screening (LCS) is recommended by multiple organizations, reflecting a larger movement toward patient-centered care. Yet SDM LCS does not routinely occur owing to barriers at levels. Moreover, how best implement into routine clinical practice remains unknown. There need novel approach overcome multilevel and ensure high-quality integrated practice. We present the protocol our U.S. Department of Veterans Affairs (VA)-funded study. Our designed...
Background Peer narratives engage listeners through personally relevant content and have been shown to promote lifestyle change effective self-management among patients with hypertension. Incorporating key quotations from these stories into follow-up text messages is a novel way continue the conversation, providing reinforcement of health behaviors in patients’ daily lives. Objective In our previous work, we developed tested videos which African American Veterans shared challenges success...
<sec> <title>BACKGROUND</title> Peer narratives engage listeners through personally relevant content and have been shown to promote lifestyle change effective self-management among patients with hypertension. Incorporating key quotations from these stories into follow-up text messages is a novel way <i>continue the conversation</i>, providing reinforcement of health behaviors in patients’ daily lives. </sec> <title>OBJECTIVE</title> In our previous work, we developed tested...