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Delivery of gender-sensitive comprehensive primary care to women veterans: implications for VA Patient Aligned Care Teams.
J Gen Intern Med. 2014 Jul; 29 Suppl 2:S703-7.JG

Abstract

The Veterans Health Administration (VA) has undertaken a major initiative to transform primary care delivery through implementation of Patient Aligned Care Teams (PACTs). Based on the patient-centered medical home concept, PACTs aim to improve access, continuity, coordination, and comprehensiveness using team-based care that is patient driven and patient centered. However, how PACT principles should be applied to meet the needs of special populations, including women veterans, is not entirely clear. While historical differences in military participation meant women veterans were rarely seen in VA healthcare settings, they now represent the fastest growing segment of new VA users. They also have complex healthcare needs, adding gender-specific services and other needs to the spectrum of services that the VA must deliver. These trends are changing the VA landscape, introducing challenges to how VA care is organized, how VA providers need to be trained, and how VA considers implementation of new initiatives, such as PACT. We briefly describe the evolution of VA primary care delivery for women veterans, review VA policy for delivering gender-sensitive comprehensive primary care for women, and discuss the challenges that women veterans' needs pose in the context of PACT implementation. We conclude with recommendations for addressing some of these challenges moving forward.

Authors+Show Affiliations

VA HSR&D Center for the Study of Healthcare Innovation, Implementation and Policy, VA Greater Los Angeles Healthcare System, Sepulveda, CA, USA, Elizabeth.yano@va.gov.No affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

24715395

Citation

Yano, Elizabeth M., et al. "Delivery of Gender-sensitive Comprehensive Primary Care to Women Veterans: Implications for VA Patient Aligned Care Teams." Journal of General Internal Medicine, vol. 29 Suppl 2, 2014, pp. S703-7.
Yano EM, Haskell S, Hayes P. Delivery of gender-sensitive comprehensive primary care to women veterans: implications for VA Patient Aligned Care Teams. J Gen Intern Med. 2014;29 Suppl 2:S703-7.
Yano, E. M., Haskell, S., & Hayes, P. (2014). Delivery of gender-sensitive comprehensive primary care to women veterans: implications for VA Patient Aligned Care Teams. Journal of General Internal Medicine, 29 Suppl 2, S703-7. https://doi.org/10.1007/s11606-013-2699-3
Yano EM, Haskell S, Hayes P. Delivery of Gender-sensitive Comprehensive Primary Care to Women Veterans: Implications for VA Patient Aligned Care Teams. J Gen Intern Med. 2014;29 Suppl 2:S703-7. PubMed PMID: 24715395.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Delivery of gender-sensitive comprehensive primary care to women veterans: implications for VA Patient Aligned Care Teams. AU - Yano,Elizabeth M, AU - Haskell,Sally, AU - Hayes,Patricia, PY - 2014/4/10/entrez PY - 2014/4/10/pubmed PY - 2015/2/20/medline SP - S703 EP - 7 JF - Journal of general internal medicine JO - J Gen Intern Med VL - 29 Suppl 2 N2 - The Veterans Health Administration (VA) has undertaken a major initiative to transform primary care delivery through implementation of Patient Aligned Care Teams (PACTs). Based on the patient-centered medical home concept, PACTs aim to improve access, continuity, coordination, and comprehensiveness using team-based care that is patient driven and patient centered. However, how PACT principles should be applied to meet the needs of special populations, including women veterans, is not entirely clear. While historical differences in military participation meant women veterans were rarely seen in VA healthcare settings, they now represent the fastest growing segment of new VA users. They also have complex healthcare needs, adding gender-specific services and other needs to the spectrum of services that the VA must deliver. These trends are changing the VA landscape, introducing challenges to how VA care is organized, how VA providers need to be trained, and how VA considers implementation of new initiatives, such as PACT. We briefly describe the evolution of VA primary care delivery for women veterans, review VA policy for delivering gender-sensitive comprehensive primary care for women, and discuss the challenges that women veterans' needs pose in the context of PACT implementation. We conclude with recommendations for addressing some of these challenges moving forward. SN - 1525-1497 UR - https://www.unboundmedicine.com/medline/citation/24715395/Delivery_of_gender_sensitive_comprehensive_primary_care_to_women_veterans:_implications_for_VA_Patient_Aligned_Care_Teams_ DB - PRIME DP - Unbound Medicine ER -