Academic Journal
“Advancing” Advance Care Planning to Veterans in the Veterans Health Administration
| العنوان: | “Advancing” Advance Care Planning to Veterans in the Veterans Health Administration |
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| المؤلفون: | Matthieu, Monica M, Ounpraseuth, Songthip T, Williams, J Silas, Hu, Bo, Adkins, David A, Taylor, Laura D, Oliver, Ciara M, Smith, Robin M, Painter, Jacob T, McCullough, Jane Ann, Garner, Kimberly K |
| المساهمون: | Quality Enhancement Research Initiative, U.S. Department of Veterans Affairs |
| المصدر: | Military Medicine ; volume 188, issue 3-4, page 786-791 ; ISSN 0026-4075 1930-613X |
| بيانات النشر: | Oxford University Press (OUP) |
| سنة النشر: | 2022 |
| الوصف: | Introduction The completion rate of Advance Directive (ADs) in the Veterans Health Administration (VHA) is unknown. There is substantial literature on the need for effective Advance Care Planning (ACP) that leads to an AD to ensure that health care preferences for patients are known. Advance Directive are essential to consider since ACP, which explains and plans Advance Directive, does not reach all individuals. Health inequities, such as those experienced in rural areas, continue to exist. While ACP may disproportionately affect rural-residing veterans and their providers, a VHA program was specifically designed to increase ACP engagement with rural veterans and to address several systemic barriers to ACP. Materials and Methods This descriptive analysis seeks to identify patient, provider, and geographic characteristics associated with higher rates of ACP participation in VHA. An observational examination of the profile of veterans and the types of ACP (e.g., individual or in groups) using administrative data for all beneficiaries receiving VHA health care services in federal fiscal year (FY) 2020 was conducted as part of a national program evaluation. The measures include patient-level data on demographics (e.g., race, ethnicity, gender), unique patient identifiers (e.g., name, social security number), geographic characteristics of patient’s location (e.g., rurality defined as Rural–Urban Commuting Areas [RUCA]), VHA priority group; provider-level data (e.g., type of document definition, clinic stop codes, visit date used to verify Advance Care Planning via Group Visits [ACP-GV] attendance; data not shown), and electronic health record note titles that indicated the presence of ACP in VHA (e.g., “Advance Directive [AD] Discussion” note title, “ACP-GV CHAR 4 code”). Pearson’s chi-square statistics were used for between-group comparisons based on a two-sided test with a significance level of 0.05. Results The overall rate of AD discussions among unique VHA users in FY2020 was 5.2% (95% CI: 5.2%—5.2%) ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1093/milmed/usac196 |
| الاتاحة: | https://doi.org/10.1093/milmed/usac196 https://academic.oup.com/milmed/article-pdf/188/3-4/786/49703613/usac196.pdf |
| رقم الانضمام: | edsbas.CFFD553 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1093/milmed/usac196 |
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