Building capacity in VA to provide emergency gynecology services for women

Medical Care
Kristina M CordascoElizabeth M Yano

Abstract

Visits to Veterans Administration (VA) emergency departments (EDs) are increasingly being made by women. A 2011 national inventory of VA emergency services for women revealed that many EDs have gaps in their resources and processes for gynecologic emergency care. To guide VA in addressing these gaps, we sought to understand factors acting as facilitators and/or barriers to improving VA ED capacity for, and quality of, emergency gynecology care. Semistructured interviews with VA emergency and women's health key informants. ED directors/providers (n=14), ED nurse managers (n=13), and Women Veteran Program Managers (n=13) in 13 VA facilities. Leadership, staff, space, demand, funding, policies, and community were noted as important factors influencing VA EDs building capacity and improving emergency gynecologic care for women Veterans. These factors are intertwined and cross multiple organizational levels so that each ED's capacity is a reflection not only of its own factors, but also those of its local medical center and non-VA community context as well as VA regional and national trends and policies. Policies and quality improvement initiatives aimed at building VA's emergency gynecologic services for women need to be multifacto...Continue Reading

References

Apr 29, 2009·Annals of Emergency Medicine·Adit A GindeCarlos A Camargo
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Citations

Oct 18, 2016·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Shivani M ReddyElizabeth M Yano
Sep 19, 2017·Current Urology Reports·Michael FenstermakerJames M Dupree
Sep 16, 2017·Journal of General Internal Medicine·Elisheva R DananTimothy J Wilt
Jan 27, 2016·The American Journal of Drug and Alcohol Abuse·Joy E BrodrickBryon Adinoff
Feb 15, 2021·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Vanessa MarshallGeorge Sayre
Feb 7, 2019·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Kristina M CordascoDonna L Washington

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