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New benefit increases Veterans access to urgent care in the community

 E-Mail May 14, 2021 - Two years ago, the Veterans Affairs healthcare system (VA) began rolling out a new benefit, enabling Veterans to receive urgent care from a network of community providers - rather than visiting a VA emergency department or clinic. Progress toward expanding community care services for Veterans is the focus of a special supplement to the May issue of Medical Care. The journal is published in the Lippincott portfolio by Wolters Kluwer. The urgent care benefit provides a new way to deliver unscheduled, low-acuity acute care to Veterans, according to the new research by Anita Vashi, MD, MPH, MHS, of VA Palo Alto Health Care System and colleagues. The study is one of 12 research papers and commentaries on Innovations in Community Care Programs, Policies, and Research - focusing on Veterans use of healthcare services in the community, and how VA centers interact with community care providers.

Financial strain predicts future risk of homelessness and partly explains the effect of mental illness

 E-Mail IMAGE: To what extent does financial strain mediate the relationship between severe mental illness and homelessness? view more  Credit: Elbogen et al. (2021) | Medical Care | DOI: 10.1097/MLR.0000000000001453 March 12, 2021 - Financial strains like debt or unemployment are significant risk factors for becoming homeless, and even help to explain increased risk of homelessness associated with severe mental illness, reports a study in a supplement to the April issue of Medical Care. The journal is published in the Lippincott portfolio by Wolters Kluwer. The findings suggest that adding financial well-being as a focus of homelessness prevention efforts seems promising, both at the individual and community level, according to the new research, led by Eric Elbogen, PhD, of the US Department of Veterans Affairs (VA) National Center on Homelessness and Duke University School of Medicine. The study appears as part of a special issue on Multimorbidity and social drive

For veterans after suicide attempts, gender affects recovery needs

 E-Mail IMAGE: Military veterans recovery needs after a suicide attempt differ by gender. These differences should be taken into account while providing care. view more  Credit: Denneson et al. (2021), Medical Care Medical Care, part of a special issue devoted to new research on suicide risk and prevention in women. The journal is published in the Lippincott portfolio by Wolters Kluwer. The paths to recovery after a suicide attempt may vary by gender, especially among veterans, according to the new research by Lauren M. Denneson, PhD, of the HSR&D Center to Improve Veteran Involvement in Care (CIVIC) at VA Portland (Ore.) Health Care System. Our data suggest that women emphasize relatedness whereas men emphasize competence. Their study appears in a supplement dedicated to Advancing Knowledge of Suicide Risk and Prevention Among Women.

How long do doctor visits last? Electronic health records provide new data on time with patients

 E-Mail December 15, 2020 - How much time do primary care physicians actually spend one-on-one with patients? Analysis of timestamp data from electronic health records (EHRs) provides useful insights on exam length and other factors related to doctors use of time, reports a study in the January issue of Medical Care. The journal is published in the Lippincott portfolio by Wolters Kluwer. By using timestamps recorded when information is accessed or entered, EHR data allow for potentially more objective and reliable measurement of how much time physicians spend with their patients, according to the new research by Hannah T. Neprash, PhD, of University of Minnesota School of Public Health and colleagues. That may help to make appointment scheduling and other processes more efficient, optimizing use of doctors time.

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