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Organizational factors associated with screening for military sexual trauma.
Womens Health Issues. 2012 Mar; 22(2):e209-15.WH

Abstract

PURPOSE

This exploratory study investigated organizational factors associated with receipt of military sexual trauma (MST) screening during an early timeframe of the Veterans Health Administration's (VHA) implementation of the universal MST screening policy.

METHODS

The sample consisted of all VHA patients eligible for MST screening in fiscal year 2005 at 119 VHA facilities. Analyses were conducted separately by gender and by user status (i.e., new patients to the VHA health care system in FY 2005 and continuing users who had previously used the VHA health care system in the past year). Multivariate generalized estimating equations were used to assess the effects of facility-level characteristics and adjusted for person-level covariates.

RESULTS

Facility-level mandatory universal MST screening policies were associated with increased odds of receiving MST screening among new female patients and both continuing and new male patients: Odds ratio (OR), 2.87 (95% confidence interval [CI], 1.39-5.89) for new female patients; OR, 8.15 (95% CI, 2.93-22.69) for continuing male patients; and OR, 4.48 (95% CI, 1.79-11.20) for new male patients. Facility-level audit and feedback practices was associated with increased odds of receiving MST screening among new patients: OR, 1.91 (95% CI, 1.26-2.91) for females and OR, 1.86 (95% CI, 1.22-2.84) for males. Although the facility-level effect for women's health clinic (WHC) did not emerge as significant, patient-level effects indicated that among these facilities, women who used a WHC had greater odds of being screened for MST compared with women who had not used a WHC: OR, 1.79 (95% CI, 1.18-2.71) for continuing patients and OR, 2.20 (95% CI, 1.59-3.04) for new patients.

CONCLUSION

This study showed that facility policies that promote universal MST screening, as well as audit and feedback practices at the facility, significantly improved the odds of patients receiving MST screening. Women veterans' utilization of a WHC was associated with higher odds of receiving MST screening. This study provides empirical support for the use of policies and audit and feedback practices which the VHA has used since the implementation of the MST screening directive to encourage compliance with VHA's MST screening policy and is likely associated with the present-day success in MST screening across all VHA facilities.

Authors+Show Affiliations

Office of Mental Health Services, Military Sexual Trauma Support Team, Department of Veterans Affairs, Washington, DC, USA. Jenny.Hyun@va.govNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

22055987

Citation

Hyun, Jenny K., et al. "Organizational Factors Associated With Screening for Military Sexual Trauma." Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health, vol. 22, no. 2, 2012, pp. e209-15.
Hyun JK, Kimerling R, Cronkite RC, et al. Organizational factors associated with screening for military sexual trauma. Womens Health Issues. 2012;22(2):e209-15.
Hyun, J. K., Kimerling, R., Cronkite, R. C., McCutcheon, S., & Frayne, S. M. (2012). Organizational factors associated with screening for military sexual trauma. Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health, 22(2), e209-15. https://doi.org/10.1016/j.whi.2011.09.001
Hyun JK, et al. Organizational Factors Associated With Screening for Military Sexual Trauma. Womens Health Issues. 2012;22(2):e209-15. PubMed PMID: 22055987.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Organizational factors associated with screening for military sexual trauma. AU - Hyun,Jenny K, AU - Kimerling,Rachel, AU - Cronkite,Ruth C, AU - McCutcheon,Susan, AU - Frayne,Susan M, Y1 - 2011/11/03/ PY - 2010/06/17/received PY - 2011/09/12/revised PY - 2011/09/14/accepted PY - 2011/11/8/entrez PY - 2011/11/8/pubmed PY - 2012/6/28/medline SP - e209 EP - 15 JF - Women's health issues : official publication of the Jacobs Institute of Women's Health JO - Womens Health Issues VL - 22 IS - 2 N2 - PURPOSE: This exploratory study investigated organizational factors associated with receipt of military sexual trauma (MST) screening during an early timeframe of the Veterans Health Administration's (VHA) implementation of the universal MST screening policy. METHODS: The sample consisted of all VHA patients eligible for MST screening in fiscal year 2005 at 119 VHA facilities. Analyses were conducted separately by gender and by user status (i.e., new patients to the VHA health care system in FY 2005 and continuing users who had previously used the VHA health care system in the past year). Multivariate generalized estimating equations were used to assess the effects of facility-level characteristics and adjusted for person-level covariates. RESULTS: Facility-level mandatory universal MST screening policies were associated with increased odds of receiving MST screening among new female patients and both continuing and new male patients: Odds ratio (OR), 2.87 (95% confidence interval [CI], 1.39-5.89) for new female patients; OR, 8.15 (95% CI, 2.93-22.69) for continuing male patients; and OR, 4.48 (95% CI, 1.79-11.20) for new male patients. Facility-level audit and feedback practices was associated with increased odds of receiving MST screening among new patients: OR, 1.91 (95% CI, 1.26-2.91) for females and OR, 1.86 (95% CI, 1.22-2.84) for males. Although the facility-level effect for women's health clinic (WHC) did not emerge as significant, patient-level effects indicated that among these facilities, women who used a WHC had greater odds of being screened for MST compared with women who had not used a WHC: OR, 1.79 (95% CI, 1.18-2.71) for continuing patients and OR, 2.20 (95% CI, 1.59-3.04) for new patients. CONCLUSION: This study showed that facility policies that promote universal MST screening, as well as audit and feedback practices at the facility, significantly improved the odds of patients receiving MST screening. Women veterans' utilization of a WHC was associated with higher odds of receiving MST screening. This study provides empirical support for the use of policies and audit and feedback practices which the VHA has used since the implementation of the MST screening directive to encourage compliance with VHA's MST screening policy and is likely associated with the present-day success in MST screening across all VHA facilities. SN - 1878-4321 UR - https://www.unboundmedicine.com/medline/citation/22055987/Organizational_factors_associated_with_screening_for_military_sexual_trauma_ DB - PRIME DP - Unbound Medicine ER -