Patterns and Experiences of VA Maternity Care Coordination for Women Veterans

退伍军人管理局女性退伍军人产妇护理协调的模式和经验

• 批准号: 9904147
• 负责人: KRISTIN M. MATTOCKS
• 金额: --
• 依托单位: NORTHAMPTON VA MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-05-01 至 2021-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9904147
• 关键词: Age; Area; Attention; Birth; Caring; Characteristics; Clinical; Communities; Complex; Discipline of obstetrics; Eligibility Determination; Ensure; Evaluation; Fees; Freedom; Guidelines; Gynecologic; Health Personnel; Healthcare; Infant; Infant Care; Interview; Knowledge; Laws; Lead; Maternal and Child Health; Medical; Mental Depression; Mental Health; Methods; Mission; Newborn Infant; Outcome; Pain; Pattern; Policies; Post-Traumatic Stress Disorders; Postpartum Depression; Pregnancy; Pregnant Women; Primary Health Care; Procedures; Protocols documentation; Provider; Quality of Care; Recommendation; Reproductive Health; Research; Risk; Services; Shapes; Site; Structure; System; Veterans; Veterans Health Administration; Woman; Women' s Health; Work; adverse pregnancy outcome; base; care coordination; care delivery; care systems; comorbidity; design; experience; health care service; infant outcome; maternal outcome; medical specialties; obstetric care; operation; patient oriented; physical conditioning; pregnant; programs; reproductive; virtual

DESCRIPTION (provided by applicant): Abstract Over the past decade, the number of women Veterans using VHA care has nearly doubled. A substantial proportion of these women Veterans are of reproductive age, with over 90% of Operation Enduring Freedom (OEF), Operation Iraqi Freedom (OIF), and Operation New Dawn (OND) women Veterans age 45 or less. Recent evidence suggests the number of women Veterans delivering babies using VHA maternity benefits has nearly doubled in the past five years, and yet little information exists regarding how these women access and utilize maternity care. These pregnant Veterans may be at risk for poor maternal and child health outcomes as a result of complex medical and mental health problems they may be experiencing during their pregnancies. Therefore, coordinating maternity care with ongoing VHA care for pregnant Veterans is crucial. The immediate objective of this study is to inform the considerable debate about the best ways to coordinate maternity care for women veterans by characterizing maternity care coordination across VA facilities. The long-term objective of this work is to promote high-quality maternity care for women veterans through ongoing design, evaluation, and improvement of maternity care delivery and coordination. This project represents the first attempt in the VHA to systematically examine maternity care coordination for pregnant Veterans.

描述(由申请人提供)： 摘要在过去的十年中，使用VHA护理的女性退伍军人人数几乎翻了一番。这些女退伍军人中有相当一部分处于生育年龄，其中90%以上的持久自由行动(OEF)、伊拉克自由行动(OIF)和新黎明行动(OND)女退伍军人的年龄在45岁或以下。最近的证据表明，在过去五年中，使用VHA产假福利接生的退伍军人人数几乎翻了一番，但关于这些妇女如何获得和利用产假护理的信息很少。这些怀孕的退伍军人可能面临着孕产妇和儿童健康状况不佳的风险，因为他们在怀孕期间可能会经历复杂的医疗和心理健康问题。因此，将产妇护理与对怀孕退伍军人的持续VHA护理相结合是至关重要的。这项研究的直接目的是通过描述退伍军人医院之间的产妇护理协调的特点，向关于协调女退伍军人产妇护理的最佳方式的相当大的辩论提供信息。这项工作的长期目标是通过持续设计、评估和改进产妇护理的提供和协调，促进为女退伍军人提供高质量的产妇护理。该项目是VHA系统检查怀孕退伍军人的产妇护理协调情况的第一次尝试。

项目成果

Perinatal Symptoms and Treatment Engagement in Female Veterans.

女性退伍军人的围产期症状和治疗参与度。

• DOI: 10.1093/milmed/usab278
• 发表时间: 2023
• 期刊: Military medicine
• 影响因子: 1.2
• 作者: Anderson,ElizabethH;Morrow,Carolyn;Mattocks,KristinM;Shivakumar,Geetha
• 通讯作者: Shivakumar,Geetha

Disparities in Breastfeeding Among Military Veterans.

退伍军人之间母乳喂养的差异。

• DOI: 10.1177/0890334419888200
• 发表时间: 2020
• 期刊: Journal of human lactation : official journal of International Lactation Consultant Association
• 作者: Keddem,Shimrit;Solomon,Phyllis;Marcus,SteveC;Schapira,MarilynM;Mattocks,KristinM
• 通讯作者: Mattocks,KristinM

Predictors of Veterans Affairs Health Service Utilization by Women Veterans during Pregnancy.

女性退伍军人在怀孕期间利用退伍军人事务部卫生服务的预测因素。

• DOI: 10.1016/j.whi.2020.04.002
• 发表时间: 2020
• 期刊: Women's health issues : official publication of the Jacobs Institute of Women's Health
• 作者: Grekin,Rebecca;Zivin,Kara;Hall,StephanieV;Van,Tony;Mattocks,KristinM
• 通讯作者: Mattocks,KristinM

Examining Veterans' Experiences With In Vitro Fertilization Provided Under P.L. 114-223.

检查退伍军人根据 P.L. 提供的体外受精的经验

• DOI: 10.1097/mlr.0000000000001831
• 发表时间: 2023
• 期刊: Medical care
• 影响因子: 3
• 作者: Mattocks,KristinM;Marteeny,Valerie;Walker,Lorrie;Kroll-Desrosiers,Aimee;Mengeling,Michelle
• 通讯作者: Mengeling,Michelle

Bridging the Gap for Perinatal Veterans: Care by Mental Health Providers at the Veterans Health Administration.

缩小围产期退伍军人的差距：退伍军人健康管理局心理健康提供者的护理。

• DOI: 10.1016/j.whi.2019.02.005
• 发表时间: 2019
• 期刊: Women's health issues : official publication of the Jacobs Institute of Women's Health
• 作者: Kroll-Desrosiers,AimeeR;Crawford,SybilL;MooreSimas,TiffanyA;Clark,MelissaA;Mattocks,KristinM
• 通讯作者: Mattocks,KristinM