Patient satisfaction of female and male users of veterans health administration services

Wright, Steve; Craig, Thomas J.; Campbell, Stacey; Schaefer, Jim; Humble, Charles G.

doi:10.1111/j.1525-1497.2006.00371.x

Cited by 118 publications

(98 citation statements)

References 25 publications

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“…This item asked participants to rate the effectiveness of their pain treatment on a five-point scale from "poor" to "excellent." SHEP is used for VA quality improvement and is based on measures developed by the Picker Institute (Camden, Maine), and was subsequently refined based on veteran focus groups [40]. We used these two measures independently in analyses as two different aspects of treatment satisfaction.…”

Section: Treatment Satisfactionmentioning

confidence: 99%

Complementary and alternative medicine use among veterans with chronic noncancer pain

Denneson

Corson

Dobscha³

2011

JRRD

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Abstract-We describe prior use and willingness to try complementary and alternative medicine (CAM) among 401 veterans experiencing chronic noncancer pain and explore differences between CAM users and nonusers. Participants in a randomized controlled trial of a collaborative intervention for chronic pain from five Department of Veterans Affairs (VA) primary care clinics self-reported prior use and willingness to try chiropractic care, massage therapy, herbal medicines, and acupuncture. Prior CAM users were compared with nonusers on demographic characteristics, pain-related clinical characteristics, disease burden, and treatment satisfaction. A majority of veterans (n = 327, 82%) reported prior use of at least one CAM modality, and nearly all (n = 399, 99%) were willing to try CAM treatment for pain. Chiropractic care was the least preferred option, whereas massage therapy was the most preferred (75% and 96%, respectively). CAM users were less likely to have service-connection disabilities (54% vs 68%; chi square = 4.64, p = 0.03) and reported having spent a larger percentage of their lives in pain (26% vs 20%; Z = 1.40, p = 0.04) than nonusers. We detected few differences between veterans who had tried CAM and those who had not, suggesting that CAM may have broad appeal among veterans with chronic pain. Implications for VA policy and practice and for clinicians treating veterans with chronic pain are discussed.Clinical Trial Registration: ClinicalTrials.gov. NCT00129480, "Improving the Treatment of Chronic Pain in Primary Care"; http://www.clinicaltrials.gov.

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Section: Treatment Satisfactionmentioning

confidence: 99%

Complementary and alternative medicine use among veterans with chronic noncancer pain

Denneson

Corson

Dobscha³

2011

JRRD

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“…The sampling strategy and logistics of the SHEP are described elsewhere. 16 The AUDIT-C consists of three questions and takes less than three minutes to administer (Online Appendix A). Each AUDIT-C response is scored 0 to 4, with total AUDIT-C scores ranging from 0 to 12.…”

Section: Data Sourcesmentioning

confidence: 99%

Alcohol Screening Scores and the Risk of New-Onset Gastrointestinal Illness or Related Hospitalization

et al. 2011

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BACKGROUND: Excessive alcohol use is associated with a variety of negative health outcomes, including liver disease, upper gastrointestinal bleeding, and pancreatitis. OBJECTIVE: To determine the 2-year risk of gastrointestinal-related hospitalization and new-onset gastrointestinal illness based on alcohol screening scores. DESIGN: Retrospective cohort study. PARTICIPANTS: Male (N=215, 924) and female (N = 9,168) outpatients who returned mailed questionnaires and were followed for 24 months. MEASUREMENTS: Alcohol Use Disorder Identification Test-Consumption Questionnaire (AUDIT-C), a validated three-item alcohol screening questionnaire (0-12 points). RESULTS: Two-year risk of hospitalization with a gastrointestinal disorder was increased in men with AUDIT-C scores of 5-8 and 9-12 (OR 1.54, 95% CI= 1.27-1.86; and OR 3.27; 95% CI = 2.62-4.09 respectively), and women with AUDIT-C scores of 9-12 (OR 6.84, 95% CI= 1.85 -25.37). Men with AUDIT-C scores of 5-8 and 9-12 had increased risk of new-onset liver disease (OR 1.49, 95% CI= 1.30-1.71; and OR 2.82, 95% CI = 2.38-3.34 respectively), and new-onset of upper gastrointestinal bleeding (OR 1.28, 95% CI= 1.05-1.57; and OR 2.14, 95% CI =1.54-2.97 respectively). Two-year risk of new-onset pancreatitis in men with AUDIT -C scores 9-12 was also increased (OR 2.14; 95% CI= 1.54-2.97). CONCLUSIONS: Excessive alcohol use as determined by AUDIT-C is associated with 2-year increased risk of gastrointestinal-related hospitalization in men and women and new-onset liver disease, upper gastrointestinal bleeding, and pancreatitis in men. These results provide risk information that clinicians can use in evidence-based conversations with patients about their alcohol consumption.

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“…Through a literature search, we identified several patient characteristics as a priori potential confounders and included those available from SHEP data as covariates based on their associations with receipt of brief interventions and patient-reported quality-of-care ratings. 31,34,37,[39][40][41] These included age, gender, race/ethnicity (non-Hispanic white, non-Hispanic black, Hispanic, or other), educational attainment (less than high school, high school, General Educational Development Test [GED], or 2-year degree; 4-year degree; or greater than 4-year degree), and Short Form-1 self-reported health status (poor, fair, good, very good, or excellent). In addition, we included severity of unhealthy alcohol use, as previous studies have demonstrated associations between greater alcohol consumption and receipt of brief interventions, 37,39,40 and severity may also be associated with patient-reported quality-of-care ratings.…”

Section: Methodsmentioning

confidence: 99%

“…Weights were developed by the VA's Office of Analytics and Business Intelligence to account for sampling design and non-response related to age, gender, and clinical site. 31 Large weights were truncated at 500 to ensure individuals with outlying weights did not largely drive results (n=115). We used Stata version 12.0 (StataCorp LP, College Station, TX, USA) for all analyses.…”

Section: Methodsmentioning

confidence: 99%

“…28,29 Additionally, the VA has increased its focus on delivering patient-centered care, 30 and now routinely measures the experiences and perceptions of VA care among a large national sample of veteran outpatients, including the receipt of brief alcohol interventions as part of their care. 31,32 As such, the VA provides a unique opportunity to assess the relationship between receipt of brief intervention and patient-reported indicators of high-quality care among a general sample of outpatients. The aim of this study was to assess, from among a sample of VA outpatients who responded to a mailed patient satisfaction survey and screened positive for unhealthy alcohol use, whether patient-reported receipt of brief intervention was associated with patient-reported indicators of care quality.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Association Between Receipt of Brief Alcohol Intervention and Quality of Care among Veteran Outpatients with Unhealthy Alcohol Use

Lapham

Williams

2015

J GEN INTERN MED

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Patient satisfaction of female and male users of veterans health administration services

Cited by 118 publications

References 25 publications

Complementary and alternative medicine use among veterans with chronic noncancer pain

Complementary and alternative medicine use among veterans with chronic noncancer pain

Alcohol Screening Scores and the Risk of New-Onset Gastrointestinal Illness or Related Hospitalization

Association Between Receipt of Brief Alcohol Intervention and Quality of Care among Veteran Outpatients with Unhealthy Alcohol Use

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