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Rural Health
Resources by Topic: Veterans

Training Satisfaction and Future Employment Consideration Among Physician and Nursing Trainees at Rural Veterans Affairs Facilities in the United States During COVID-19: A Time-Series Before and After Study
Presents a study on the perceptions of trainee clinicians in the Department of Veterans Affairs (VA) on the satisfaction they feel towards their training and future employment in rural and urban facilities and compares their answers before and after the COVID-19 pandemic. Bases finding on a survey of physicians and nurses in rural and urban areas receiving training in a VA facility and compares responses from August, 2018 to July, 2021.
Author(s): Heather Northcraft, Tiffany Radcliff, Anne Reid Griffin, et al.
Citation: Journal of Educational Evaluation for Health Professions, 21, 25
Date: 09/2024
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Gaps in Communication Theory Paradigms when Conducting Implementation Science Research: Qualitative Observations from Interviews with Administrators, Implementors, and Evaluators of Rural Health Programs
Examines transactional and process communication styles related to implementation and evaluation strategies. Utilizes interviews from 28 evaluators, 12 implementors, and 12 administrators involved in health program initiatives funded by the Department of Veteran Affairs Office of Rural Health to evaluate information exchange during communication. Discusses implementation science (IS) constructs in rural health program research.
Author(s): Nicole L. Johnson, Jennifer Van Tiem, Erin Balkenende, et al.
Citation: Implementation Science, 19, 66
Date: 09/2024
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Veterans Health Care: VA's Video Telehealth Access Program Would Benefit from Performance Goals and Measures
Describes programs implemented by the U.S. Department of Veterans Affairs Veterans Health Administration (VHA) to address veterans' barriers to accessing telehealth, with a focus on the Accessing Telehealth at Local Area Stations (ATLAS) Pilot Program. Examines telehealth performance and use data, veterans' satisfaction with VHA telehealth services, and VHA efforts to assess the quality of its telehealth services. Offers recommendations to the VHA regarding the development and use of performance goals and measures to assess the effectiveness and efficiency of the ATLAS program.
Additional links: Full Report
Date: 08/2024
Sponsoring organization: Government Accountability Office
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Veterans in Focus: Disability and Veterans in Rural America
Fact sheet highlighting 2018-2022 American Community Survey 5-year estimates related to rural disabled veterans. Includes data on service-connected disability, geography including rural and urban comparisons, and access to Department of Veterans Affairs (VA) healthcare facilities. Discusses opportunities for Centers for Independent Living.
Author(s): Hannah W. Pepprock, Lillie Greiman
Date: 07/2024
Sponsoring organization: University of Montana: Rural Institute for Inclusive Communities
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Rural Veteran Perception of Healthcare Access in South Carolina and Florida: A Qualitative Study
Presents a study on the perceptions of healthcare access for rural veterans and their families in South Carolina and Florida. Bases findings on interviews with veterans and their spouses on barriers to accessing physical and mental healthcare in their rural communities.
Author(s): Maria Mercedes Rossi, Heidi L. Radunovich, Michelle A. Parisi
Citation: BMC Health Services Research, 24, 826
Date: 07/2024
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Email Recruitment for Chronic Pain Clinical Trials: Results from the LAMP Trial
Evaluates the use of postal mail and email as recruitment methods for a mindfulness-based chronic pain intervention trial, Learning to Apply Mindfulness to Pain (LAMP). Measures effectiveness, efficiency, and equity of responses in a population of veterans diagnosed with chronic pain. Includes data on rural versus urban response rates.
Author(s): John E. Ferguson, Emily Hagel Campbell, et al.
Citation: Trials, 25, 491
Date: 07/2024
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Prescription Opioid Tapering Practices and Outcomes at a Rural VA Health Care System
Presents a study on the clinical characteristics of rural veterans using opioids for chronic pain and undergoing opioid tapering. Breaks down data on outcomes from tapering for rural veterans who were taking 90 Morphine Equivalent Daily Dose (MEDD) or more. Highlights common tapering outcomes, such as increased pain, suicidal ideation, and other withdrawal symptoms.
Author(s): Rena Elizabeth Courtney, Emily Halsey, Tanvi Patil, et al.
Citation: Pain Medicine, 25(7), 480-482
Date: 07/2024
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Supporting Direct Acting Antiviral Medication Adherence and Treatment Completion in a Sample of Predominantly Rural Veterans with Hepatitis C and Substance Use Disorders
Explores strategies to improve direct acting antiviral (DAA) treatment among rural veterans with chronic hepatitis C virus (HCV) infection and substance use disorder (SUD). Analyzes a clinic-based intervention that utilizes motivational interviewing (MI) to improve medication adherence among 20 enrolled participants in a 12-week course.
Author(s): Mary Jane Burton, Andrew C. Voluse, Amee B. Patel
Citation: Addiction Science & Clinical Practice, 19, 51
Date: 06/2024
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Differences in Use of Veterans Health Administration and Non-VHA Hospitals by Rural and Urban Veterans After Access Expansions
Presents a study on rural and urban differences in acute inpatient care utilization in Veterans Health Administration (VHA) and non-VHA hospitals following expansions to the Veterans Choice Act. Breaks down data by patient characteristics, such as age and sex, among others.
Author(s): Matthew P. Dizon, Kenneth W. Kizer, Michael K. Ong, et al.
Citation: Journal of Rural Health, 40(3), 446-456
Date: 06/2024
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Racial and Ethnic and Rural Variations in Access to Primary Care for Veterans Following the MISSION Act
Examines the impact of the 2018 Veterans Affairs Maintaining Internal Systems and Strengthening Integrated Outside Networks (VA MISSION) Act to provide veterans with access to primary care. Analyzes VA and community care (CC) outpatient data to observe primary care utilization and wait times across different veteran populations, as well as by rural versus urban location. Discusses how policy can address healthcare access disparities experienced by U.S. veterans.
Author(s): Amy K. Rosen, Erin Beilstein-Wedel, Michael Shwartz, Heather Davila, Deborah Gurewich
Citation: JAMA Health Forum, 5(6)
Date: 06/2024
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