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Complex Patient Navigation by Veteran Patients in the Veterans Health Administration (VHA) for Chronic Headache Disease: A Qualitative Study.
Lindsey, Hayley M; Goldman, Roberta E; Riley, Samantha D; Baird, Sean; Burrone, Laura; Grinberg, Amy S; Fenton, Brenda T; Sico, Jason J; Damush, Teresa M.
Afiliación
  • Lindsey HM; VHA Headache Centers of Excellence Research and Evaluation Center, VA Connecticut Healthcare System, Orange, CT, USA.
  • Goldman RE; University of Rhode Island, Kingston, RI, USA.
  • Riley SD; VHA Headache Centers of Excellence Research and Evaluation Center, VA Connecticut Healthcare System, Orange, CT, USA.
  • Baird S; Warren Alpert Medical School of Brown University, Providence, RI, USA.
  • Burrone L; Harvard T.H. Chan School of Public Health, Boston, MA, USA.
  • Grinberg AS; Veterans Health Administration Health Services Research and Development (HSR&D) Center for Health Information and Communication and Quality Enhancement Research Initiative Expanding expertise Through E-health Network Development (EXTEND) QUERI Centers, Roudebush VA Medical Center, Indianapolis,
  • Fenton BT; Veterans Health Administration Health Services Research and Development (HSR&D) Center for Health Information and Communication and Quality Enhancement Research Initiative Expanding expertise Through E-health Network Development (EXTEND) QUERI Centers, Roudebush VA Medical Center, Indianapolis,
  • Sico JJ; VHA Headache Centers of Excellence Research and Evaluation Center, VA Connecticut Healthcare System, Orange, CT, USA.
  • Damush TM; VHA Headache Centers of Excellence Research and Evaluation Center, VA Connecticut Healthcare System, Orange, CT, USA.
J Patient Exp ; 10: 23743735231151547, 2023.
Article en En | MEDLINE | ID: mdl-36710997
Patients living with headache diseases often have difficulty accessing evidence-based care. Authors conducted a qualitative research study with 20 patients receiving headache care at seven Headache Centers of Excellence within the Veterans Health Administration to examine their experiences navigating headache care. This study employed thematic qualitative analysis and conducted cross-case comparisons. Several key findings emerged. 1) Most patients saw multiple healthcare providers over numerous years before reaching a headache specialist to manage chronic headaches. 2) Receipt of high-quality and comprehensive headache specialty care was associated with high satisfaction. 3) Patients with headache diseases reported oftentimes they experienced an arduous journey across multiple healthcare systems and between several healthcare providers before receiving evidence-based headache treatment that they found acceptable. Results demonstrate that most patients were satisfied with their current specialty headache care in the Veterans Health Administration. Authors discuss implications for future studies and highlight ways to improve patient satisfaction and timely access to appropriate headache care.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Qualitative_research Idioma: En Revista: J Patient Exp Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Qualitative_research Idioma: En Revista: J Patient Exp Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos