Communication Enhancement and Best Practices for Co-Managing Dual Care Rural Veteran Patients by VA and Non-VA Providers A Survey Study

Many rural Veteran patients receive healthcare services from both Veterans Affairs (VA) and non-VA providers. Effective management of dual care Veteran patients to ensure the best clinical outcomes is a VA mission. The previous VA studies indicate that coordination between VA and non-VA providers ha...

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Bibliographic Details
Published in:Journal of community health Vol. 39; no. 3; pp. 552 - 561
Main Authors: Shi, Jing, Peng, Yidong, Erdem, Ergin, Woodbridge, Peter, Fetrick, Ann
Format: Journal Article
Language:English
Published: Boston Springer Science + Business Media 01.06.2014
Springer US
Springer Nature B.V
Subjects:
Best practice
Best Practices
Clinical outcomes
Communication
Communication (Thought Transfer)
Community and Environmental Psychology
Community Relations
Coordination
Engineering
Ethics
Evidence-Based Practice
Genetic Disorders
Health care management
Health Promotion and Disease Prevention
Health services
Hospitals, Private
Hospitals, Veterans
Humans
Information dissemination
Information sharing
Interpersonal communication
Management
Measures
Medical Record Linkage
Medicine
Medicine & Public Health
ORIGINAL PAPER
Patient Care Management - organization & administration
Patients
Public Health
Records (Forms)
Respondents
Rural Areas
Rural health care
Rural Population
Stakeholders
Surveys and Questionnaires
Treatment outcomes
United States
United States Department of Veterans Affairs
Urban Areas
Veterans
United States
Survey analysis
Non-VA provider
Dual care management
Veteran affairs
Information sharing
Best practice
ISSN:0094-5145, 1573-3610, 1573-3610
Online Access:Get full text
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Summary:Many rural Veteran patients receive healthcare services from both Veterans Affairs (VA) and non-VA providers. Effective management of dual care Veteran patients to ensure the best clinical outcomes is a VA mission. The previous VA studies indicate that coordination between VA and non-VA providers has been lacking for dual care management of Veteran patients. In this study, we propose that VA proactively shares information with non-VA providers to enhance the communication process and identify the best practices to be carried out by both VA and non-VA providers for better coordination. Structured questionnaires are designed and distributed to VA and non-VA providers to obtain their evaluations on the proposed VA proactive information sharing approaches and the best practice items for dual care management. The non-VA provider respondents largely support the proposed proactive sharing items by VA, with the lowest average score being 3.96 out of a 5.0 scale on one item. In terms of the best practice items on co-managing dual care patients, three out of five items are overall rated higher than 4.0 from both sides. A pair-wise comparison between VA and non-VA perspectives further shows that the difference in average ratings of a proposed item could be significant. For such best practice items, the implementations from both sides may not be most effective.
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ISSN:0094-5145
1573-3610
1573-3610
DOI:10.1007/s10900-013-9797-3