دورية أكاديمية
Utilization of whole health services among veterans with spinal cord injuries and disorders (SCI/D): Early insights from the VA SCI/D system of care.
| العنوان: | Utilization of whole health services among veterans with spinal cord injuries and disorders (SCI/D): Early insights from the VA SCI/D system of care. |
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| المؤلفون: | Wallen ES; Spinal Cord Injuries and Disorders National Program Office, Veterans Health Administration, Washington, DC, USA., Sippel JL; Spinal Cord Injuries and Disorders National Program Office, Veterans Health Administration, Washington, DC, USA., Park ME; Spinal Cord Injuries and Disorders National Program Office, Veterans Health Administration, Washington, DC, USA., Etingen B; Center of Innovation for Complex Chronic Healthcare (CINCCH), Edward Hines Jr. VA Hospital, Hines, Illinois, USA., Weaver FM; Center of Innovation for Complex Chronic Healthcare (CINCCH), Edward Hines Jr. VA Hospital, Hines, Illinois, USA.; Public Health Sciences, Parkinson School of Health Sciences and Public Health, Loyola University, Maywood, Illinois, USA., Hogan TP; Center for Healthcare Organization and Implementation Research (CHOIR), VA Bedford Healthcare System, Bedford, Massachusetts, USA.; Department of Population and Data Sciences, UT Southwestern Medical Center, Dallas, Texas, USA., Smith BM; Center of Innovation for Complex Chronic Healthcare (CINCCH), Edward Hines Jr. VA Hospital, Hines, Illinois, USA.; Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA., Bokhour BG; Center for Healthcare Organization and Implementation Research (CHOIR), VA Bedford Healthcare System, Bedford, Massachusetts, USA.; Department of Population and Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, Massachusetts, USA., Wickremasinghe IM; Spinal Cord Injuries and Disorders National Program Office, Veterans Health Administration, Washington, DC, USA. |
| المصدر: | The journal of spinal cord medicine [J Spinal Cord Med] 2024 Jan; Vol. 47 (1), pp. 100-109. Date of Electronic Publication: 2023 May 30. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Taylor & Francis Country of Publication: England NLM ID: 9504452 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2045-7723 (Electronic) Linking ISSN: 10790268 NLM ISO Abbreviation: J Spinal Cord Med Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2016- : Abingdon : Taylor & Francis Original Publication: Jackson Heights, NY : American Paraplegia Society, [1995- |
| مواضيع طبية MeSH: | Spinal Cord Diseases* , Spinal Cord Injuries*/epidemiology , Spinal Cord Injuries*/therapy , Veterans* , Veterans Health Services*, Humans ; Health Promotion ; Retrospective Studies ; United States/epidemiology ; United States Department of Veterans Affairs |
| مستخلص: | Context/objective: Our objective was to describe early participation in Whole Health programs across the Veterans Health Administration (VHA) Spinal Cord Injuries and Disorders (SCI/D) System of Care. Design: Retrospective analysis of VHA administrative data. Setting: The VHA SCI/D System of Care. Participants: Veterans with SCI/D included in the FY2019 cumulative VHA SCI/D Registry cohort with living status during FY2017, FY2018, and FY2019. Interventions: N/A. Outcome Measures: We assessed the number of encounters and unique Veterans with SCI/D, and the percent of Veterans with SCI/D, who utilized each Whole Health (WH) program available in VA. Results: Utilization of WH Pathway and well-being Programs increased from 62 encounters to 1703 encounters between FY2017 and FY2019 (representing 0.09% to 3.13% of Veterans with SCI/D). Utilization of chiropractic care rose from 130 encounters to 418 encounters during the same time period. Similarly, utilization of complementary and integrative health programs increased from 886 encounters to 2655 encounters (representing 1.09% to 3.11% of Veterans; FY2017 to 2019). We also report utilization of specific WH programs. Conclusion: Participation in WH services has been increasing among Veterans with SCI/D who receive health care from the VHA SCI/D System of Care. However, utilization among Veterans with SCI/D remains low overall, and targeted efforts to increase WH program reach are needed. Additional information about the relative effectiveness of different strategies to support WH implementation is also needed, to ensure strategies likely to have the most impact are prioritized. |
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| فهرسة مساهمة: | Keywords: . Patient-centered care; Spinal cord injuries and disorders; Veterans; Veterans health administration; Whole Health |
| تواريخ الأحداث: | Date Created: 20230530 Date Completed: 20240131 Latest Revision: 20240131 |
| رمز التحديث: | 20240201 |
| مُعرف محوري في PubMed: | PMC10795622 |
| DOI: | 10.1080/10790268.2023.2183325 |
| PMID: | 37249362 |
| قاعدة البيانات: | MEDLINE |
PDF full text from Publisher | تدمد: | 2045-7723 |
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| DOI: | 10.1080/10790268.2023.2183325 |