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Article
Open AccessBurnout, employee engagement, and changing organizational contexts in VA primary care during the early COVID-19 pandemic
The COVID-19 pandemic involved a rapid change to the working conditions of all healthcare workers (HCW), including those in primary care. Organizational responses to the pandemic, including a shift to virtual ...
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Article
Open AccessLearning from national implementation of the Veterans Affairs Clinical Resource Hub (CRH) program for improving access to care: protocol for a six year evaluation
The Veterans Affairs (VA) Clinical Resource Hub (CRH) program aims to improve patient access to care by implementing time-limited, regionally based primary or mental health staffing support to cover local staf...
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Article
Open AccessAssociation between care coordination tasks with non-VA community care and VA PCP burnout: an analysis of a national, cross-sectional survey
The scope of care coordination in VA primary care increased with the launch of the Veterans Choice Act, which aimed to increase access through greater use of non-VA Community Care. These changes may have overb...
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Article
Association Between Mental Health Staffing Level and Primary Care-Mental Health Integration Level on Provision of Depression Care in Veteran’s Affairs Medical Facilities
We examined the association of mental health staffing and the utilization of primary care/mental health integration (PCMHI) with facility-level variations in adequacy of psychotherapy and antidepressants recei...
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Article
Open AccessThe facilitators and barriers associated with implementation of a patient-centered medical home in VHA
The patient-centered medical home (PCMH) is a team-based, comprehensive model of primary care. When effectively implemented, PCMH is associated with higher patient satisfaction, lower staff burnout, and lower ...
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Article
Open AccessThe most used and most helpful facilitators for patient-centered medical home implementation
Like other transformative healthcare initiatives, patient-centered medical home (PCMH) implementation requires substantial investments of time and resources. Even though PCMH and PCMH-like models are being imp...
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Article
Post-traumatic Stress Disorder, Race/Ethnicity, and Coronary Artery Disease Among Older Patients with Depression
Post-traumatic stress disorder (PTSD) and depression are both associated with coronary artery disease (CAD) in older adults. It is unclear whether PTSD is associated with CAD among older patients with depressi...
