Patient and Organizational Factors Related to Education and Support Use by Veterans with Parkinson's Disease
Identifieur interne : 002E54 ( Main/Merge ); précédent : 002E53; suivant : 002E55Patient and Organizational Factors Related to Education and Support Use by Veterans with Parkinson's Disease
Auteurs : Terri K. Pogoda [États-Unis] ; Irene E. Cramer [États-Unis] ; Mark Meterko [États-Unis] ; HAI LIN [États-Unis] ; Ann Hendricks [États-Unis] ; Robert G. Holloway [États-Unis] ; Martin P. Charns [États-Unis]Source :
- Movement disorders [ 0885-3185 ] ; 2009.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme, Ancien combattant.
English descriptors
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Abstract
Patient education and support services are recognized in the Department of Veterans Affairs (VA) as important to the patient-centered treatment of Parkinson's disease. Indeed, educating patients is one of the missions of the VA's six specialty Parkinson's Disease Research, Education and Clinical Centers (PADRECCs). We compared VA education/ support services utilization by whether or not a patient's VA Medical Center (VAMC) contained a PADRECC. Our sample included Parkinson's disease patients from VAMCs with (n = 882) and without (n = 1,448) PADRECCs. Patients completed surveys that asked about demographic/individual characteristics, health status/function, and education/support utilization. Results showed that 15.8% (n = 354) of all patients utilized education/support services. Patients at PADRECC VAMCs were generally healthier and more educated than other VAMC patients. After statistically controlling for these differences, however, being a patient at a PADRECC VAMC site and using only VA providers (as compared to a combination of VA and non-VA providers) were significant predictors of education/support utilization. Further, proportionally more PADRECC VAMC site patients reported higher satisfaction and receiving a broad range of information from different modalities as compared to other VAMC patients. These findings suggest that PADRECC VAMCs are providing educational/support activities consistent with these specialty centers' goals.
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Pogoda</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Center for Organization, Leadership and Management Research, Department of Veterans Affairs</s1><s2>Boston, Massachusetts</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Cramer, Irene E" sort="Cramer, Irene E" uniqKey="Cramer I" first="Irene E." last="Cramer">Irene E. Cramer</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Center for Organization, Leadership and Management Research, Department of Veterans Affairs</s1><s2>Boston, Massachusetts</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Massachusetts</region></placeName></affiliation><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Department of Health Policy and Management, Boston University School of Public Health</s1><s2>Boston, Massachusetts</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Meterko, Mark" sort="Meterko, Mark" uniqKey="Meterko M" first="Mark" last="Meterko">Mark Meterko</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Center for Organization, Leadership and Management Research, Department of Veterans Affairs</s1><s2>Boston, Massachusetts</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Massachusetts</region></placeName></affiliation><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Department of Health Policy and Management, Boston University School of Public Health</s1><s2>Boston, Massachusetts</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Hai Lin" sort="Hai Lin" uniqKey="Hai Lin" last="Hai Lin">HAI LIN</name><affiliation wicri:level="2"><inist:fA14 i1="03"><s1>Brown Center for the Study of Children at Risk, Women and Infants Hospital of Rhode Island, The Warren Alpert Medical School, Brown University</s1><s2>Providence, Rhode Island</s2><s3>USA</s3><sZ>4 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Rhode Island</region></placeName></affiliation></author><author><name sortKey="Hendricks, Ann" sort="Hendricks, Ann" uniqKey="Hendricks A" first="Ann" last="Hendricks">Ann Hendricks</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Department of Health Policy and Management, Boston University School of Public Health</s1><s2>Boston, Massachusetts</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Massachusetts</region></placeName></affiliation><affiliation wicri:level="2"><inist:fA14 i1="04"><s1>Health Care Financing and Economics, Department of Veterans Affairs</s1><s2>Boston, Massachusetts</s2><s3>USA</s3><sZ>5 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Holloway, Robert G" sort="Holloway, Robert G" uniqKey="Holloway R" first="Robert G." last="Holloway">Robert G. Holloway</name><affiliation wicri:level="2"><inist:fA14 i1="05"><s1>Department of Neurology, University of Rochester School of Medicine and Dentistry</s1><s2>Rochester, New York</s2><s3>USA</s3><sZ>6 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Charns, Martin P" sort="Charns, Martin P" uniqKey="Charns M" first="Martin P." last="Charns">Martin P. Charns</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Center for Organization, Leadership and Management Research, Department of Veterans Affairs</s1><s2>Boston, Massachusetts</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Massachusetts</region></placeName></affiliation><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Department of Health Policy and Management, Boston University School of Public Health</s1><s2>Boston, Massachusetts</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Massachusetts</region></placeName></affiliation></author></analytic><series><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno><imprint><date when="2009">2009</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Care</term><term>Human</term><term>Nervous system diseases</term><term>Parkinson disease</term><term>Social support</term><term>Veteran</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Maladie de Parkinson</term><term>Pathologie du système nerveux</term><term>Homme</term><term>Ancien combattant</term><term>Soutien social</term><term>Soin</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term><term>Ancien combattant</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Patient education and support services are recognized in the Department of Veterans Affairs (VA) as important to the patient-centered treatment of Parkinson's disease. Indeed, educating patients is one of the missions of the VA's six specialty Parkinson's Disease Research, Education and Clinical Centers (PADRECCs). We compared VA education/ support services utilization by whether or not a patient's VA Medical Center (VAMC) contained a PADRECC. Our sample included Parkinson's disease patients from VAMCs with (n = 882) and without (n = 1,448) PADRECCs. Patients completed surveys that asked about demographic/individual characteristics, health status/function, and education/support utilization. Results showed that 15.8% (n = 354) of all patients utilized education/support services. Patients at PADRECC VAMCs were generally healthier and more educated than other VAMC patients. After statistically controlling for these differences, however, being a patient at a PADRECC VAMC site and using only VA providers (as compared to a combination of VA and non-VA providers) were significant predictors of education/support utilization. Further, proportionally more PADRECC VAMC site patients reported higher satisfaction and receiving a broad range of information from different modalities as compared to other VAMC patients. These findings suggest that PADRECC VAMCs are providing educational/support activities consistent with these specialty centers' goals.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Massachusetts</li><li>Rhode Island</li><li>État de New York</li></region></list><tree><country name="États-Unis"><region name="Massachusetts"><name sortKey="Pogoda, Terri K" sort="Pogoda, Terri K" uniqKey="Pogoda T" first="Terri K." last="Pogoda">Terri K. Pogoda</name></region><name sortKey="Charns, Martin P" sort="Charns, Martin P" uniqKey="Charns M" first="Martin P." last="Charns">Martin P. Charns</name><name sortKey="Charns, Martin P" sort="Charns, Martin P" uniqKey="Charns M" first="Martin P." last="Charns">Martin P. Charns</name><name sortKey="Cramer, Irene E" sort="Cramer, Irene E" uniqKey="Cramer I" first="Irene E." last="Cramer">Irene E. Cramer</name><name sortKey="Cramer, Irene E" sort="Cramer, Irene E" uniqKey="Cramer I" first="Irene E." last="Cramer">Irene E. Cramer</name><name sortKey="Hai Lin" sort="Hai Lin" uniqKey="Hai Lin" last="Hai Lin">HAI LIN</name><name sortKey="Hendricks, Ann" sort="Hendricks, Ann" uniqKey="Hendricks A" first="Ann" last="Hendricks">Ann Hendricks</name><name sortKey="Hendricks, Ann" sort="Hendricks, Ann" uniqKey="Hendricks A" first="Ann" last="Hendricks">Ann Hendricks</name><name sortKey="Holloway, Robert G" sort="Holloway, Robert G" uniqKey="Holloway R" first="Robert G." last="Holloway">Robert G. Holloway</name><name sortKey="Meterko, Mark" sort="Meterko, Mark" uniqKey="Meterko M" first="Mark" last="Meterko">Mark Meterko</name><name sortKey="Meterko, Mark" sort="Meterko, Mark" uniqKey="Meterko M" first="Mark" last="Meterko">Mark Meterko</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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