![]() Northport Veterans Affairs Medical Center, Northport, NY (B.M.C., M.B., A.L.W.S.).ĭepartment of Surgery, Stony Brook University School of Medicine, Stony Brook, New York. Research Office, Departments of Surgery and Medicine, Rocky Mountain Regional VA Medical Center, Aurora, Coloĭepartment of Surgery, School of Medicine, Stony Brook University, Stony Brook, NY, USA Stony Brook University, Stony Brook, New York ![]() Research and Development Office, Northport Veterans Affairs Medical Center, Northport, NY Renaissance School of Medicine at Stony Brook University Stony Brook, NY 11794-8093, USA. Research and Development Office, Northport VA Medical Center, Northport, NYĭepartment of Surgery, Stony Brook University Renaissance School of Medicine, Stony Brook, New Yorkĭepartment of Surgery, Renaissance School of Medicine, Stony Brook University, Stony Brook, New York This work is written by US Government employees and is in the public domain in the US.Kolの履歴書 Annie Laurie Winkley Shroyer Year Published by Oxford University Press on behalf of the Association of Military Surgeons of the United States 2020. Finally, efforts will be required to enhance treatment engagement. However, if replicated, these results indicate that successful implementation of WH, or similar models of care, will require extensive efforts focused on outreach to, and education of, facility providers and certain patient demographic groups. Further research is needed to replicate these results as well as to determine underlying causal factors. ![]() This article reports on initial barriers to implementation, which can guide implementation at other sites as well as future investigations. However, a shift of this magnitude is likely to face challenges during implementation. Implementation of the WH model of care has the potential to transform the way VHA delivers healthcare and improve the health and lives of veterans. Key findings indicated potential implementation challenges including disproportionate numbers of referrals from clinical services poor initial and ongoing treatment engagement and older, male, and non-service-connected Veterans being less likely to be referred. Finally, a regression model was used to assess for predictive factors that might influence continuity of treatment engagement across all the WH tracks. A chi-square test for independence was conducted to analyze differences in initial engagement among the WH components, in referrals and retention among WH components by time period, and in demographics or diagnoses among self-referred or veterans referred by a consult. At this facility, WH offers services in three tracks (General WH, Mindfulness Center, and WH Nutrition), which offer unique services to veterans. Data analyses included a chi-square goodness of fit to compare demographics of veterans who were referred to WH Services with those of local patient population. This is an institutional review board-approved, retrospective study of the first 561 veterans referred to WH programming in the first 20 months of implementation. Specific aims were to evaluate (1) referral patterns, (2) initial treatment engagement, and (3) continuity of treatment engagement. This investigation aimed to examine referral and utilization patterns in early implementation at tertiary care VHA medical care system. The aim is to shift from a primarily medical/disease-oriented system to a model that focuses on health promotion and disease prevention utilizes personalized, proactive, and patient-driven care and emphasizes the use of complementary and integrative health. Veterans Health Administration (VHA) is changing the way it provides healthcare to a model known as Whole Health (WH).
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