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Ambulatory care research in the VA: present status and recommendations for the future.
Acad Med. 1989 Oct; 64(10 Suppl):S35-43.AM

Abstract

The growth of ambulatory care delivery in the Department of Veterans Affairs (VA) has been accompanied by increasing interest in and need for ambulatory care research. Results from a national survey of academic general internal medicine units suggest that those that share VA and university affiliation tend to be more successful than those that are unaffiliated. The VA must strive to improve the environment for ambulatory care research. Among other things, this will entail providing adequate protected time to ambulatory care faculty and developing a uniform ambulatory care database to facilitate longitudinal, population-based research. Extended fellowships in ambulatory care and faculty development programs for existing staff will be required to create a core of competent investigators. The VA must also provide increased funding to the Health Services Research and Development and Cooperative Studies programs. Special funding programs targeted to key areas such as quality assurance, medical education, and direct patient care should be established. In addition, the VA should seek to develop joint ventures with other funding agencies for innovative ambulatory care initiatives.

Authors+Show Affiliations

Fihn SD
University of Washington School of Medicine, Seattle.
Larson EB
No affiliation info available
Friedman RH
No affiliation info available
Moskowitz MA
No affiliation info available

MeSH

Ambulatory CareAmbulatory Care Information SystemsFaculty, MedicalForecastingHealth Services ResearchHospitals, VeteransHumansResearch PersonnelResearch Support as TopicUnited States

Pub Type(s)

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

Language

eng

PubMed ID

2789613

Citation

Fihn, S D., et al. "Ambulatory Care Research in the VA: Present Status and Recommendations for the Future." Academic Medicine : Journal of the Association of American Medical Colleges, vol. 64, no. 10 Suppl, 1989, pp. S35-43.
Fihn SD, Larson EB, Friedman RH, et al. Ambulatory care research in the VA: present status and recommendations for the future. Acad Med. 1989;64(10 Suppl):S35-43.
Fihn, S. D., Larson, E. B., Friedman, R. H., & Moskowitz, M. A. (1989). Ambulatory care research in the VA: present status and recommendations for the future. Academic Medicine : Journal of the Association of American Medical Colleges, 64(10 Suppl), S35-43.
Fihn SD, et al. Ambulatory Care Research in the VA: Present Status and Recommendations for the Future. Acad Med. 1989;64(10 Suppl):S35-43. PubMed PMID: 2789613.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Ambulatory care research in the VA: present status and recommendations for the future. AU - Fihn,S D, AU - Larson,E B, AU - Friedman,R H, AU - Moskowitz,M A, PY - 1989/10/1/pubmed PY - 1989/10/1/medline PY - 1989/10/1/entrez SP - S35 EP - 43 JF - Academic medicine : journal of the Association of American Medical Colleges JO - Acad Med VL - 64 IS - 10 Suppl N2 - The growth of ambulatory care delivery in the Department of Veterans Affairs (VA) has been accompanied by increasing interest in and need for ambulatory care research. Results from a national survey of academic general internal medicine units suggest that those that share VA and university affiliation tend to be more successful than those that are unaffiliated. The VA must strive to improve the environment for ambulatory care research. Among other things, this will entail providing adequate protected time to ambulatory care faculty and developing a uniform ambulatory care database to facilitate longitudinal, population-based research. Extended fellowships in ambulatory care and faculty development programs for existing staff will be required to create a core of competent investigators. The VA must also provide increased funding to the Health Services Research and Development and Cooperative Studies programs. Special funding programs targeted to key areas such as quality assurance, medical education, and direct patient care should be established. In addition, the VA should seek to develop joint ventures with other funding agencies for innovative ambulatory care initiatives. SN - 1040-2446 UR - https://www.unboundmedicine.com/medline/citation/2789613/Ambulatory_care_research_in_the_VA:_present_status_and_recommendations_for_the_future_ DB - PRIME DP - Unbound Medicine ER -