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FORUM - Translating research into quality health care for Veterans


In This Issue

Director's Letter

Director's Letter
by Seth A. Eisen, M.D., M.Sc.

The Impact of Health Care Reform on VA Research...

Commentary

VHA: Designing Tomorrow's Veteran-Centered Model of Care
by James Tuchschmidt, M.D., M.M., VHA Office of Health Care Transformation

Faced with enormous changes within health care, future financial constraints on government, and evolving Veteran expectations, VHA must move beyond problem-based disease care to patient-centered health care, based on relationships between the patient, his or her family, and the health care team...

Response to Commentary

VHA Transformation Challenges and Lessons
by Lisa V. Rubenstein, M.D., M.S.P.H., F.A.C.P., VA HSRD Center of Excellence for the Study of Healthcare Provider Behavior, VA Greater Los Angeles and UCLA

The magnitude of the PACT reorganization is staggering. Unlike non-VHA examples of primary care redesign, PACT engages an entire highly developed national system, with participants located in hundreds of local primary care practices...

Research Highlights

Relational Coordination: Harnessing the Transformative Power of Relationships to Improve VA Health Care
by Richard M. Frankel, Ph.D., The Richard L. Roudebush VA HSR&D Center of Excellence on Implementing Evidence-Based Practice, Indianapolis, Indiana

Rather than viewing a patient's care as episodic and the responsibility of several to many unconnected individuals operating across time and space, the PACT views the care process as a continuum, from primary to specialty care, from hospital to home, and from the clinic to the community...


The Critical Role of Caregivers Providing Care to Veterans with Dementia
by Whitney L. Mills, Ph.D., and Mark E. Kunik, M.D., M.P.H., HSR&D's Houston Center for Quality of Care and Utilization Studies, Houston, Texas

Optimal care and outcomes for chronic medical illnesses often depend not only on the Veteran and medical provider but also on a caregiver who is responsible for much, if not most, of the Veteran's daily care...


Peer-Support Care Models for Patients With Diabetes
by Michele Heisler, M.D., M.P.A., HSR&D Center for Clinical Practice Management Research, VA Ann Arbor Healthcare System, Ann Arbor, Michigan

Effective care models for chronic illnesses such as diabetes must include sustained self-management support for patients. Improved clinical outcomes in diabetes depend on patients' self-management behaviors, such as taking prescribed medications...



Home Telehealth: Looking Under the Hood
Bonnie J. Wakefield, Ph.D., R.N., Center for Comprehensive Access and Delivery Research & Evaluation, Iowa City VA Medical Center

Telehealth is use of communication technology to deliver health services where the care recipient and care provider are separated by distance. Altering the communication channel between providers and patients ...


VA HSR&D Online Publications & Seminars

HSR&D CyberSeminars and New ESP Reports Published


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