Patient and organizational factors related to education and support use by Veterans with Parkinson's disease.
Identifieur interne : 001C47 ( PubMed/Checkpoint ); précédent : 001C46; suivant : 001C48Patient and organizational factors related to education and support use by Veterans with Parkinson's disease.
Auteurs : Terri K. Pogoda [États-Unis] ; Irene E. Cramer ; Mark Meterko ; Hai Lin ; Ann Hendricks ; Robert G. Holloway ; Martin P. CharnsSource :
- Movement disorders : official journal of the Movement Disorder Society [ 1531-8257 ] ; 2009.
Descripteurs français
- Wicri :
- geographic : États-Unis.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Chi-Square Distribution, Health Facilities (utilization), Health Facility Administration, Health Status, Hospitals, Veterans (organization & administration), Hospitals, Veterans (statistics & numerical data), Hospitals, Veterans (utilization), Humans, Middle Aged, Parkinson Disease (complications), Parkinson Disease (psychology), Patient Education as Topic (methods), Patient Education as Topic (organization & administration), Patient Education as Topic (statistics & numerical data), Retrospective Studies, United States, United States Department of Veterans Affairs (statistics & numerical data), Veterans, Young Adult.
- MESH :
- geographic : United States.
- complications : Parkinson Disease.
- methods : Patient Education as Topic.
- organization & administration : Hospitals, Veterans, Patient Education as Topic.
- psychology : Parkinson Disease.
- statistics & numerical data : Hospitals, Veterans, Patient Education as Topic, United States Department of Veterans Affairs.
- utilization : Health Facilities, Hospitals, Veterans.
- Adult, Aged, Aged, 80 and over, Chi-Square Distribution, Health Facility Administration, Health Status, Humans, Middle Aged, Retrospective Studies, Veterans, Young Adult.
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.
DOI: 10.1002/mds.22516
PubMed: 19606487
Affiliations:
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Cramer</name></author><author><name sortKey="Meterko, Mark" sort="Meterko, Mark" uniqKey="Meterko M" first="Mark" last="Meterko">Mark Meterko</name></author><author><name sortKey="Lin, Hai" sort="Lin, Hai" uniqKey="Lin H" first="Hai" last="Lin">Hai Lin</name></author><author><name sortKey="Hendricks, Ann" sort="Hendricks, Ann" uniqKey="Hendricks A" first="Ann" last="Hendricks">Ann Hendricks</name></author><author><name sortKey="Holloway, Robert G" sort="Holloway, Robert G" uniqKey="Holloway R" first="Robert G" last="Holloway">Robert G. Holloway</name></author><author><name sortKey="Charns, Martin P" sort="Charns, Martin P" uniqKey="Charns M" first="Martin P" last="Charns">Martin P. 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Pogoda</name><affiliation wicri:level="2"><nlm:affiliation>Center for Organization, Leadership and Management Research, Department of Veterans Affairs, 150 South Huntington Avenue (152M), Boston, MA 02130, USA. terri.pogoda@va.gov</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Center for Organization, Leadership and Management Research, Department of Veterans Affairs, 150 South Huntington Avenue (152M), Boston, MA 02130</wicri:regionArea><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></author><author><name sortKey="Meterko, Mark" sort="Meterko, Mark" uniqKey="Meterko M" first="Mark" last="Meterko">Mark Meterko</name></author><author><name sortKey="Lin, Hai" sort="Lin, Hai" uniqKey="Lin H" first="Hai" last="Lin">Hai Lin</name></author><author><name sortKey="Hendricks, Ann" sort="Hendricks, Ann" uniqKey="Hendricks A" first="Ann" last="Hendricks">Ann Hendricks</name></author><author><name sortKey="Holloway, Robert G" sort="Holloway, Robert G" uniqKey="Holloway R" first="Robert G" last="Holloway">Robert G. Holloway</name></author><author><name sortKey="Charns, Martin P" sort="Charns, Martin P" uniqKey="Charns M" first="Martin P" last="Charns">Martin P. Charns</name></author></analytic><series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title><idno type="eISSN">1531-8257</idno><imprint><date when="2009" type="published">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Chi-Square Distribution</term><term>Health Facilities (utilization)</term><term>Health Facility Administration</term><term>Health Status</term><term>Hospitals, Veterans (organization & administration)</term><term>Hospitals, Veterans (statistics & numerical data)</term><term>Hospitals, Veterans (utilization)</term><term>Humans</term><term>Middle Aged</term><term>Parkinson Disease (complications)</term><term>Parkinson Disease (psychology)</term><term>Patient Education as Topic (methods)</term><term>Patient Education as Topic (organization & administration)</term><term>Patient Education as Topic (statistics & numerical data)</term><term>Retrospective Studies</term><term>United States</term><term>United States Department of Veterans Affairs (statistics & numerical data)</term><term>Veterans</term><term>Young Adult</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>United States</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Patient Education as Topic</term></keywords><keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Hospitals, Veterans</term><term>Patient Education as Topic</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Hospitals, Veterans</term><term>Patient Education as Topic</term><term>United States Department of Veterans Affairs</term></keywords><keywords scheme="MESH" qualifier="utilization" xml:lang="en"><term>Health Facilities</term><term>Hospitals, Veterans</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Chi-Square Distribution</term><term>Health Facility Administration</term><term>Health Status</term><term>Humans</term><term>Middle Aged</term><term>Retrospective Studies</term><term>Veterans</term><term>Young Adult</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>États-Unis</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><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">19606487</PMID><DateCreated><Year>2009</Year><Month>11</Month><Day>03</Day></DateCreated><DateCompleted><Year>2010</Year><Month>01</Month><Day>11</Day></DateCompleted><DateRevised><Year>2010</Year><Month>11</Month><Day>18</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1531-8257</ISSN><JournalIssue CitedMedium="Internet"><Volume>24</Volume><Issue>13</Issue><PubDate><Year>2009</Year><Month>Oct</Month><Day>15</Day></PubDate></JournalIssue><Title>Movement disorders : official journal of the Movement Disorder Society</Title><ISOAbbreviation>Mov. Disord.</ISOAbbreviation></Journal><ArticleTitle>Patient and organizational factors related to education and support use by Veterans with Parkinson's disease.</ArticleTitle><Pagination><MedlinePgn>1916-24</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1002/mds.22516</ELocationID><Abstract><AbstractText>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.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Pogoda</LastName><ForeName>Terri K</ForeName><Initials>TK</Initials><AffiliationInfo><Affiliation>Center for Organization, Leadership and Management Research, Department of Veterans Affairs, 150 South Huntington Avenue (152M), Boston, MA 02130, USA. terri.pogoda@va.gov</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cramer</LastName><ForeName>Irene E</ForeName><Initials>IE</Initials></Author><Author ValidYN="Y"><LastName>Meterko</LastName><ForeName>Mark</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Lin</LastName><ForeName>Hai</ForeName><Initials>H</Initials></Author><Author ValidYN="Y"><LastName>Hendricks</LastName><ForeName>Ann</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Holloway</LastName><ForeName>Robert G</ForeName><Initials>RG</Initials></Author><Author ValidYN="Y"><LastName>Charns</LastName><ForeName>Martin P</ForeName><Initials>MP</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013486">Research Support, U.S. Gov't, Non-P.H.S.</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Mov Disord</MedlineTA><NlmUniqueID>8610688</NlmUniqueID><ISSNLinking>0885-3185</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000328">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000368">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000369">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D016009">Chi-Square Distribution</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D006268">Health Facilities</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000656">utilization</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D058016">Health Facility Administration</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006304">Health Status</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006787">Hospitals, Veterans</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000458">organization & administration</QualifierName><QualifierName MajorTopicYN="N" UI="Q000706">statistics & numerical data</QualifierName><QualifierName MajorTopicYN="Y" UI="Q000656">utilization</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008875">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D010300">Parkinson Disease</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000150">complications</QualifierName><QualifierName MajorTopicYN="N" UI="Q000523">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D010353">Patient Education as Topic</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000379">methods</QualifierName><QualifierName MajorTopicYN="N" UI="Q000458">organization & administration</QualifierName><QualifierName MajorTopicYN="N" UI="Q000706">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D012189">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" Type="Geographic" UI="D014481">United States</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D014493">United States Department of Veterans Affairs</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000706">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D014728">Veterans</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D055815">Young Adult</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2009</Year><Month>7</Month><Day>17</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2009</Year><Month>7</Month><Day>17</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2010</Year><Month>1</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="doi">10.1002/mds.22516</ArticleId><ArticleId IdType="pubmed">19606487</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Massachusetts</li></region></list><tree><noCountry><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="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="Lin, Hai" sort="Lin, Hai" uniqKey="Lin H" first="Hai" last="Lin">Hai Lin</name><name sortKey="Meterko, Mark" sort="Meterko, Mark" uniqKey="Meterko M" first="Mark" last="Meterko">Mark Meterko</name></noCountry><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></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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