Women's Health Issues
Volume 16, Issue 5 , Pages 226-235 , September 2006

Diffusion of innovation in women’s health care delivery: The Department of Veterans Affairs’ adoption of women’s health clinics

  • Elizabeth M. Yano, PhD, MSPH

      Affiliations

    • VA Greater Los Angeles Health Services Research and Development (HSR&D) Center of Excellence, Sepulveda and Los Angeles, California
    • UCLA School of Public Health, Department of Health Services, Los Angeles, California
    • Corresponding Author InformationAddress correspondence to: Elizabeth M. Yano, PhD, MSPH, VA Greater Los Angeles HSR&D Center of Excellence, 16111 Plummer Street (152), Sepulveda, CA 91343; Phone: 818-895-9449; Fax: 818-895-5838.
  • ,
  • Caroline Goldzweig, MD, MPH

      Affiliations

    • VA Greater Los Angeles Health Services Research and Development (HSR&D) Center of Excellence, Sepulveda and Los Angeles, California
    • UCLA School of Medicine, Department of Medicine, Los Angeles, California
  • ,
  • Ismelda Canelo, MPA

      Affiliations

    • VA Greater Los Angeles Health Services Research and Development (HSR&D) Center of Excellence, Sepulveda and Los Angeles, California
  • ,
  • Donna L. Washington, MD, MPH

      Affiliations

    • VA Greater Los Angeles Health Services Research and Development (HSR&D) Center of Excellence, Sepulveda and Los Angeles, California
    • UCLA School of Medicine, Department of Medicine, Los Angeles, California

Received 28 October 2005 ,Revised 21 July 2006 ,Accepted 24 July 2006.

References 

  1. Anderson RT, Weisman CS, Scholle SH, Henderson JT, Oldendick R, Camacho F. Evaluation of the quality of care in the clinical centers of the National Centers of Excellence in Women’s Health. Womens Health Issues. 2002;12:309–326
  2. Bartman BA, Weiss KB. Women’s health care in the ambulatory care setting. Clinical Research. 1991;39:595A
  3. Bartman BA, Weiss KB. Women’s primary care in the United States: A study of practice variation among physician specialties. Journal of Women’s Health. 1993;2:261–267
  4. Bean-Mayberry BA, Chang CC, McNeil MA, Hayes PM, Scholle SH. Comprehensive care for women veterans: Indicators of dual use of VA and non-VA providers. Journal of the American Medical Womens Association. 2004;59:192–197
  5. Bean-Mayberry BA, Chang CC, McNeil MA, Scholle SH. Ensuring high-quality primary care for women: Predictors of success. Womens Health Issues. 2006;16:22–29
  6. Bean-Mayberry BA, Chang CC, McNeil MA, Whittle J, Hayes PM, Scholle SH. Patient satisfaction in women’s clinics versus traditional primary care clinics in the Veterans Administration. Journal of General Internal Medicine. 2003;18:175–181
  7. Bierman AS, Clancy CM. Making capitated Medicare work for women: Policy and research challenges. Womens Health Issues. 2000;10:59–69
  8. Bierman AS, Clancy CM. Health disparities among older women: Identifying opportunities to improve quality of care and functional outcomes. Journal of the American Medical Womens Association. 2001;56:155–159
  9. Charney P. Women’s health: An evolving mosaic. Journal of General Internal Medicine. 2000;15:600–601
  10. Cohen MM, Roos NP, MacWilliam L, Majda A. Assessing physicians’ compliance with guidelines for Papanicolaou testing. Medical Care. 1992;30:514–528
  11. Coyle BS, Wolan DL, Van Horn S. The prevalence of physical and sexual abuse in women veterans seeking care at a Veterans Affairs Medical Center. Military Medicine. 1996;161:588–593
  12. Dillman D. In: Mail and internet surveys: The tailored design method. (2nd ed.). New York: John Wiley & Sons; 2000;
  13. Dobie DJ, Maynard C, Kivlahan DR, Johnson KM, Simpson T, David AC, et al. Posttraumatic stress disorder screening status is associated with increased VA medical and surgical utilization in women. Journal of General Internal Medicine. 2006;1:S58–S64
  14. Frayne SM, Parker VA, Christiansen CL, Loveland S, Seaver MR, Kazis LE, et al. Health status among 28,000 women veterans (The VA Women’s Health Program Evaluation Project). Journal of General Internal Medicine. 2006;21:S40–S46
  15. Goldzweig C, Balekian T, Rolon C, Yano EM, Shekelle PG. The state of women veterans’ health research: Results of a systematic literature review. Journal of General Internal Medicine. 2006;21:S82–S92
  16. Goldzweig C, Washington DL, Lanto AB, Parkerton PH, Yano EM. Primary care practice and facility quality orientation: Influence on breast and cervical cancer screening rates. American Journal of Managed Care. 2004;10:265–272
  17. Harpole LH, Mort EA, Freund KM, Orav J, Brennan TA. A comparison of the preventive health care provided by women’s health centers and general internal medicine practices. Journal of General Internal Medicine. 2000;15:1–7
  18. Kass-Bartelmes BL, Altman BM, Taylor AK. Disparities and gender gaps in women’s health, 1996. Rockville, MD: Agency for Healthcare Research and Quality; 2001;(MEPS Chartbook No. 8 AHRQ Pub No. 02-0003)
  19. Lamoreaux J. The organizational structure for medical information management in the Department of Veterans Affairs: An overview of major health care databases. Medical Care. 1996;34(3 Suppl):MS31–MS44
  20. McNeil M, Hayes P. Women’s health care in the VA system: Another “patchwork quilt.”. Women’s Health Issues. 2003;13:47–49
  21. Meehan SM. Improving health care for women veterans. Journal of General Internal Medicine. 2006;21:S1–S2
  22. Miller PM, King LA, et al. A model of gender awareness in VA health care. Veterans Health System Journal. 1999;27–30
  23. Murdoch M, Bradley A, Mather SH, Klein RE, Turner CL, Yano EM. Women and war: What physicians should know. Journal of General Internal Medicine. 2006;21:S5–S10
  24. Phelan EA, Burke W, Deyo RA, Koepsell TD, LaCroix AZ. Delivery of primary care to women (Do women’s health centers do it better?). Journal of General Internal Medicine. 2000;15:8–15
  25. Pinn VW. Sex and gender factors in medical studies: Implications for health and clinical practice. Journal of the American Medical Association. 2003;289:397–400
  26. Rogers EM. Diffusion of innovations. New York: The Free Press; 1995;
  27. Scholle SH, Bean-Mayberry B, Navratil J, Yano EM, Seaver M, Sherman B, et al. Clinical services in comprehensive women’s health services: A comparison of the Office on Women’s Health National Centers of Excellence in Women’s Health programs versus Veterans Administration specialized women’s health centers: Final Report. Washington, DC: U.S. Department of Health and Human Services, Office on Women’s Health; 2003;(December 31).
  28. Shen Y, Hendricks A, Zhang S, Kazis LE. VHA enrolless’ health care coverage and use of care. Medical Care Research and Review. 2003;60:253–267
  29. Skinner K, Furey J. The focus on women veterans who use VA health care: The VA Women’s Health project. Military Medicine. 1998;163:761–766
  30. Skinner KM, Sullivan LM, Tripp TJ, Kressin NR, Miller DR, Kazis LE, et al. Comparing the health status of male and female verterans who use VA health care: results from the VA Women’s Health Project. Women Health. 1999;29:17–33
  31. Telford BR, Stichler J, Ivie SD, Schaps MJ, Jellen BC. Model approaches to women’s health centers. Women’s Health Issues. 1993;3:55–62
  32. Turpin RS, Darcy LA, Weaver FM, Kruse K. Assessing health care delivery to male versus female veterans. Women’s Health. 1992;18:81–95
  33. US Department of Veterans Affairs, Office of the Actuary. (N.D.). VetPop2000. Retrieved April 16, 2002 from www.virec.research.med.va.gov.
  34. US Department of Veterans Affairs. Guidance on maternity benefits for women veterans enrolled in the VA health care system. 1999;(February 4). (Under Secretary for Health’s Information Letter IL 10-99-002).
  35. US General Accounting Office (US GAO). Actions needed to ensure that female veterans have equal access to VA benefits. Washington, DC: Author; 1982;(Pub. No. GAO/HRD-82-98)
  36. US General Accounting Office (US GAO). VA health care for women: Despite progress, improvements needed. Washington, DC: Author; 1992;(Pub. No. GAO/HRD-92-93)
  37. US General Accounting Office (US GAO). Women veterans’ health care: VA efforts to respond to the challenges of providing sexual trauma counseling. Washington, DC: Author; 1998;(Pub. No. GAO/T-HEHS-98-138)
  38. US General Accounting Office (US GAO). VA health care for women, progress made in providing services to women veterans. Washington, DC: Author; 1999;(Pub. No. GAO/HEHS-99-38)
  39. Vogt D, Bergeron A, Salgado D, Daley J, Ouimette P, Wolfe J. Barriers to Veterans Health Administration care in a nationally representative sample of women veterans. Journal of General Internal Medicine. 2006;21:S19–S25
  40. Washington DL, Caffrey C, Goldzweig C, Simon B, Yano EM. Availability of comprehensive women’s health care through Department of Veterans Affairs Medical Centers. Women’s Health Issues. 2003;13:50–54
  41. Washington DL, Simon B, Sun S, Yano EM. To use or not to use – What influences why women veterans choose VA health care?. Journal of General Internal Medicine. 2006;21:S11–S18
  42. Washington DL, Yano EM, Horner R. The health and health care of women veterans: Perspectives, new insights, and future research directions. Journal of General Internal Medicine. 2006;21:S3–S4
  43. Weisman CS, Curbow B, Khoury AJ. The National Survey of Women’s Health Centers: Current models of women-centered care. Womens Health Issues. 1995;5:103–117
  44. Weisman CS, Squires GL. Women’s health centers: Are the National Centers of Excellence in Women’s Health a new model?. Women’s Health Issues. 2000;10:248–255
  45. Weiss TW, Wray NP, Mansyur C. Interim report: Women Veterans Health Program Evaluation. Houston Center for Quality of Care and Utilization Studies, VA HSR&D Field Program, Management Decision & Research Center; 1995;(November 15).
  46. Yano EM, Bastian L, Frayne S, Howell A, Lipson L, McGlynn G, et al. Toward a VA women’s health research agenda: Setting evidence-based priorities to improve the health and health care of women veterans. Journal of General Internal Medicine. 2006;21:S93–S101
  47. Yano EM, Caffrey C, Goldzweig C, Washington DL, Altman L, Simon BF, et al. Status of women veterans health programs and practices: Results of a national survey. Washington, DC: Veterans Health Administration, Office of Public Health and Environmental Hazards, Women Veterans Health Program; 2002;(February). (Project # XVA 65-003).
  48. Yano EM, Washington DL, Goldzweig C, Caffrey C, Turner CL. The organization and delivery of women’s health care in Department of Veterans Affairs medical centers. Women’s Health Issues. 2003;13:55–61
  49. Yaegar D, Himmelfarb N, Cammack A, Mintz J. DSM-IV diagnosed posttraumatic stress disorder in women veterans with and without military sexual trauma. Journal of General Internal Medicine. 2006;21:S65–S69

 Supported by the Department of Veterans Affairs (VA), Veterans Health Administration (Project # XVA-65003) and the VA HSR&D Service (Project #04-036, E.M.Y., PI) and the VA Greater Los Angeles HSR&D Center of Excellence (Project #HFP 94-028). D.L.W. is funded by a VA HSR&D Advanced Research Career Development award (Project # RCD 00-017).The views expressed in this article are those of the authors and do not necessarily represent the views of the Department of Veterans Affairs.

PII: S1049-3867(06)00087-9

doi: 10.1016/j.whi.2006.07.002

Women's Health Issues
Volume 16, Issue 5 , Pages 226-235 , September 2006