Quantifying the Burden of Disease and Healthcare Need in Veterans and Civilians
量化退伍军人和平民的疾病负担和医疗保健需求
基本信息
- 批准号:10845255
- 负责人:
- 金额:--
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2020
- 资助国家:美国
- 起止时间:2020-10-01 至 2023-03-31
- 项目状态:已结题
- 来源:
- 关键词:20 year oldAccelerationAchievementAffordable Care ActAgeBehavioral Risk Factor Surveillance SystemCaringClinicCommunitiesCommunity HealthCommunity HealthcareComprehensive Health CareConsensusDataDrug usageElderly manEnsureEthnic OriginEvaluationFoundationsFundingGenderGeneral PopulationGeographic LocationsGoalsHealthHealth Services AccessibilityHealth StatusHealth behaviorHealthcareHealthcare SystemsImpairmentInjuryIntegrated Health Care SystemsKnowledgeLearningMarketingMeasuresMedicalMedicareMental HealthMethodologyMethodsModernizationNational Health Interview SurveyOutcomeOutcome StudyOutpatientsPatientsPatternPoliciesPolicy MakerPopulationPopulation CharacteristicsPopulation DistributionsPrevalencePreventive carePrivate SectorPrivatizationProbabilityProcessProviderPublic SectorRaceReadinessReportingResearchResourcesRiskRisk FactorsServicesSourceSubgroupSurveysSystemTimeUpdateVeteransVeterans Health AdministrationVisionVisualWarWorkburden of illnesscare outcomescomorbiditycomparativedata warehousedemographicsdesignevidence based guidelineshealth care availabilityhealth care servicehealth care service utilizationhealth differencehealth equityhealth planhealth related quality of lifeimprovedinnovationintegrated careneglectphysical conditioningprogramsprovider networksroutine practicesecondary analysissociodemographics
项目摘要
Background: With rapid acceleration of Veterans’ use of care in the community, limited data exist to prepare
community providers and others in the broader VA integrated care network. Many community providers and
health plans may assume Veteran patients are similar to their routine practice populations, composed primarily
of civilians, although prior research would suggest otherwise.
Significance/Impact: The proposed study will use detailed, current, and comprehensive data from the
Behavioral Risk Factor Surveillance System (BRFSS), National Health Interview Survey (NHIS), the National
Surveys on Drug Use and Health (NSDUH), and VA Corporate Data Warehouse (CDW) to quantify broadly the
distribution of health and healthcare factors for Veterans, VA users, and VA non-users and to evaluate in-depth
the factors that differ between Veterans and civilians. This information will not only substantially update our
knowledge of how Veterans are similar to or different from civilians but will also be used by VA policymakers to
improve the design and readiness of community care partners as VA referrals increase.
Innovation: In contrast to previous studies and reports using national survey data, the proposed project will
include VA data to provide a richer description of VA patients than is possible using only publicly-available data
on VA users, and examine in depth the patterns in Veterans’ health and healthcare across subgroups and over
time. The proposed research has no corollary or antecedent study in VA HSR&D’s or QUERI’s portfolio, and
of the studies funded outside the VA that use one or more of these sources and is underway or recently
completed, none proposed to use VA data or to combine the breadth and depth of the proposed project
Specific Aims: This project aims to 1. Quantify the distribution of population characteristics, health behaviors,
health conditions, health status, access to care, and healthcare utilization among Veterans overall and among
VA users and non-users; 2. Evaluate the extent to which patterns in population-, health-, and healthcare-
related factors differ between Veterans and civilians; 3. Determine whether the patterns identified under Aims 1
and 2 vary for subgroups defined by age, gender, and race-ethnicity; and, 4. Conduct an expert panel to review
results from Aims 1-3 to come to consensus on evidence-based recommendations for improved community
care (e.g., community provider readiness) and health equity.
Methodology: We will conduct a secondary analysis using multiple years of data from BRFSS, NHIS,
NSDUH, and VA CDW. Our analyses will include measures for Veteran and VA user status, geographic
region, population characteristics, health behaviors and conditions, and healthcare outcomes, such as access,
utilization, and unmet need for care. We will quantify the distribution of population-, health-, and healthcare-
related factors among Veterans, VA users, and VA non-users, evaluate how these factors differ between
Veterans and civilians, assess the extent to which VA use moderates differences between Veterans and
civilians, and assess how patterns for Veterans differ across population subgroups. We will use modified
Delphi panel methods to critically appraise findings, rate their importance, feasibility, and potential for Veteran
impacts, and come to consensus on evidence-based recommendations for community care and health equity.
Next Steps/Implementation: We will engage diverse stakeholders as advisors/panelists (e.g., national
program office, VISN, VAMC and Veteran representatives) in design of dissemination products (e.g., fact
sheets, visual abstracts) for different venues that meet end user needs in addition to traditional scientific
products. Integrated into the panel process will be explicit planning for products capable of informing and
supporting potential practice and policy changes and their subsequent implementation.
背景:随着退伍军人在社区中使用护理的快速加速,可供准备的数据有限
社区提供者和更广泛的VA综合护理网络中的其他人。许多供应商和
健康计划可能假设退伍军人患者与他们的常规实践人群相似,主要由
平民,尽管先前的研究表明并非如此。
重要性/影响:拟议的研究将使用来自
行为风险因素监测系统(BRFSS)、国家健康访谈调查(NHIS)、国家
药物使用和健康调查(NSDUH)和VA公司数据仓库(CDW),以广泛量化
退伍军人、VA使用者和VA非使用者的健康和医疗保健因素分布,并深入评估
退伍军人和平民之间的差异。这些信息不仅将大大更新我们的
退伍军人如何与平民相似或不同的知识,但也将被退伍军人事务部政策制定者用来
随着退伍军人事务部转诊的增加,改善社区护理合作伙伴的设计和准备。
创新:与以往使用国家调查数据的研究和报告不同,拟议项目将
包括VA数据,以提供比仅使用公开可用数据更丰富的VA患者的描述
对退伍军人管理局用户,并深入研究模式,在退伍军人的健康和医疗保健跨亚组和以上
时间拟议的研究在VA HSR&D或QUERI的投资组合中没有推论或先行研究,
在退伍军人事务部以外资助的研究中,有哪些使用了一个或多个这些来源,并且正在进行或最近进行
完成,没有人建议使用VA数据或联合收割机结合拟议项目的广度和深度
具体目标:本项目的目标是1。量化人口特征、健康行为、
健康状况,健康状况,获得护理和医疗保健利用之间的退伍军人整体和
用户和非用户; 2。评估人口、健康和医疗保健模式的影响程度
退伍军人和平民的相关因素不同; 3.确定目标1下确定的模式
和2不同的亚组定义的年龄,性别和种族,种族;和,4。组织一个专家小组审查
目标1-3的结果,就改善社区的循证建议达成共识
护理(例如,社区提供者准备)和卫生公平。
方法:我们将使用来自BRFSS、NHIS、
NSDUH和VA CDW。我们的分析将包括退伍军人和VA用户状态,地理位置,
区域、人口特征、健康行为和状况以及医疗保健结果,如可及性,
利用率和未满足的护理需求。我们将量化人口,健康和医疗保健的分布-
退伍军人,VA用户和VA非用户之间的相关因素,评估这些因素之间的差异
退伍军人和平民,评估在何种程度上VA使用温和的差异退伍军人和
平民,并评估退伍军人的模式如何在人口亚群中有所不同。我们将使用修改
德尔菲小组方法,以批判性地评估结果,评价其重要性,可行性和潜力,为退伍军人
影响,并就社区护理和健康公平的循证建议达成共识。
后续步骤/实施:我们将邀请不同的利益相关者担任顾问/小组成员(例如,国家
项目办公室、VISN、VAMC和退伍军人代表)设计传播产品(例如,事实
表,视觉摘要),以满足终端用户的需求,除了传统的科学
产品.纳入小组进程的将是明确规划能够提供信息的产品,
支持可能的做法和政策变化及其随后的实施。
项目成果
期刊论文数量(1)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
Trends in substance use disorder diagnoses among Veterans, 2009-2019.
2009-2019 年退伍军人物质使用障碍诊断趋势。
- DOI:10.1111/ajad.13413
- 发表时间:2023
- 期刊:
- 影响因子:0
- 作者:Hoggatt,KatherineJ;Chawla,Neetu;Washington,DonnaL;Yano,ElizabethM
- 通讯作者:Yano,ElizabethM
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Katherine JoAnn Hoggatt其他文献
Katherine JoAnn Hoggatt的其他文献
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{{ truncateString('Katherine JoAnn Hoggatt', 18)}}的其他基金
Long-Term Opioid Therapy: Screen to Evaluate and Treat (Opioid-SET)
长期阿片类药物治疗:筛查、评估和治疗 (Apioid-SET)
- 批准号:
10229342 - 财政年份:2020
- 资助金额:
-- - 项目类别:
Quantifying the Burden of Disease and Healthcare Need in Veterans and Civilians
量化退伍军人和平民的疾病负担和医疗保健需求
- 批准号:
10237118 - 财政年份:2020
- 资助金额:
-- - 项目类别:
Using Data Integration and Predictive Analytics to Improve Diagnosis-Based Performance Measures
使用数据集成和预测分析来改进基于诊断的绩效衡量
- 批准号:
10051319 - 财政年份:2017
- 资助金额:
-- - 项目类别:
Using Data Integration and Predictive Analytics to Improve Diagnosis-Based Performance Measures
使用数据集成和预测分析来改进基于诊断的绩效衡量
- 批准号:
10457091 - 财政年份:2017
- 资助金额:
-- - 项目类别:
Improving care for women Veterans with substance use disorders
改善对患有药物滥用障碍的女性退伍军人的护理
- 批准号:
8278266 - 财政年份:2012
- 资助金额:
-- - 项目类别:
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