Engaging Stakeholders in Identifying Access Research Priorities for the Department of Veterans Affairs.
Engaging Stakeholders in Identifying Access Research Priorities for the Department of Veterans Affairs.
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DOI：
10.1007/s11606-021-07195-5
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发表时间：
2022-04
影响因子：
5.7
通讯作者：
Albright K
中科院分区：
文献类型：
--
作者：
McNeal DM;Fehling K;Ho PM;Kaboli P;Shimada S;Saini SD;Youles B;Albright K
退伍军人获取研究联盟（VARC）是退伍军人事务部（VA）的一个研究联盟，专注于获得医疗保健，由VA的卫生服务研究与发展服务（HSR&D）资助，以制定医疗保健获取的研究路线图。该路线图的目标是确定最有可能导致退伍军人医疗保健获得有意义改善的操作性一致的研究问题。描述征求不同利益相关者对VA高HSR&D准入议程应关注的关键优先事项的观点的过程，并确定该过程的结果。我们使用了一种改进的德尔菲方法，让研究人员和退伍军人事务部的业务合作伙伴参与到一个过程中，就退伍军人事务部应该优先考虑的与访问相关的研究问题提出建议。然后，我们与全国的三个退伍军人参与小组（veg）合作，征求退伍军人对德尔菲结果的反应，以及他们对影响退伍军人医疗保健的准入相关问题的看法。德尔菲小组由22名VA内部和外部的研究和运营专家组成。德尔菲过程产生了五个研究问题，由小组成员确定为VA追求的最高优先级，每个问题代表以下领域之一：(1)访问测量，(2)访问障碍，(3)公平和亚群体，(4)改善访问的有效干预措施，以及(5)访问不足/更好的后果。退伍军人的观点主要集中在进入领域的障碍上。退伍军人指出，可以通过研究或业务举措解决若干障碍，包括关于服务的沟通不足、与当地社区护理设施的联系和伙伴关系薄弱、远程保健资源和教育提供不足。采用多种方法来征求利益相关者的观点，可以更细致地了解VA的访问相关优先事项。未来的研究应考虑利用这种方法来确定额外的研究和/或运营优先事项。在线版本包含补充材料，可在10.1007/s11606-021-07195-5获得。
The Veterans Access Research Consortium (VARC), a Department of Veterans Affairs (VA) Consortium of Research focused on access to healthcare, has been funded by VA’s Health Services Research and Development Service (HSR&D) to develop a research roadmap for healthcare access. The goal of the roadmap is to identify operationally aligned research questions that are most likely to lead to meaningful improvements in Veterans’ healthcare access. To describe the process of soliciting diverse stakeholder perspectives about key priorities on which VA’s HSR&D access agenda should focus and identify the results of that process. We used a modified Delphi approach to engage researchers and VA operational partners in a process to develop recommendations regarding the access-related research questions VA should prioritize. We then collaborated with three Veteran Engagement Groups (VEGs) across the country to solicit Veterans’ reactions to the Delphi results and their perspectives about access-related issues affecting access to VA health care. The Delphi panel consisted of 22 research and operational experts, both internal and external to VA. The Delphi process resulted in five research questions identified by the panelists as highest priority for VA to pursue, each representing one of the following domains: (1) measurement of access, (2) barriers to access, (3) equity and subpopulations, (4) effective interventions to improve access, and (5) consequences of poor/better access. Veterans’ perspectives focused primarily on the barriers to access domain. Veterans indicated several barriers that might be addressed through research or operational initiatives, including poor communication about services, weak connections to and partnerships with local community care facilities, and poor provision of telehealth resources and education. Engaging multiple methods to solicit stakeholder perspectives enables more nuanced understanding of access-related priorities for VA. Future research should consider utilizing such an approach to identify additional research and/or operational priorities. The online version contains supplementary material available at 10.1007/s11606-021-07195-5.
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DOI：
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