Developing a rural Veterans Affairs health care research program: Diligence and unique resolutions

IF 0.7 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Military, Veteran and Family Health Pub Date : 2023-09-06 DOI:10.3138/jmvfh-2022-0074
Amber Goetschius, Brian Peek, Paula Richley Geigle
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Abstract

LAY SUMMARY Development and growth of a rural Veterans Affairs Medical Center (VAMC) research program is one way to provide best care. This article reports the steps and barriers to building a rural research centre, using examples from western North Carolina. One goal driving the research centre’s creation was to increase under-served communities in the research workforce and among participants enrolled in Veterans Health Administration (VHA) research. The VHA reports health care differences for 4.7 million rural and highly rural Veterans, with rural Veterans using VHA services differently than urban and suburban Veterans. A total of 58% of rural Veterans enroll in the VHA, compared with 37% of urban and suburban Veterans. To achieve optimal Veteran health, all Veteran sub-groups must be adequately represented in clinical research trials, but rural Veterans are currently not equally represented. Research centre development steps included: 1) hiring a program specialist to focus on developmental needs, 2) finding a local program assistant to address the details required to develop a research centre, 3) obtaining a designated regulatory staff member, 4) negotiating staff, space, and focus needs, 5) hiring an experienced researcher to support initial research efforts, and 6) networking with other VAMCs, hospitals, agencies, and universities to create a best-care community.
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发展农村退伍军人事务卫生保健研究项目:勤奋和独特的决议
农村退伍军人事务医疗中心(VAMC)研究项目的发展和成长是提供最佳护理的一种方式。本文以北卡罗来纳州西部为例,报道了建立农村研究中心的步骤和障碍。推动研究中心创建的一个目标是增加研究人员和退伍军人健康管理局(VHA)研究的参与者中服务不足的社区。VHA报告了470万农村和高度农村退伍军人的医疗保健差异,农村退伍军人使用VHA服务的方式与城市和郊区退伍军人不同。总共有58%的农村退伍军人加入了VHA,而城市和郊区退伍军人的这一比例为37%。为了实现最佳的退伍军人健康,必须在临床研究试验中充分代表所有退伍军人亚组,但目前农村退伍军人的代表性并不平等。研究中心的发展步骤包括:1)聘请项目专家专注于发展需求,2)寻找当地项目助理解决发展研究中心所需的细节,3)获得指定的管理人员,4)协商人员、空间和重点需求,5)聘请经验丰富的研究人员支持初始研究工作,6)与其他vamc、医院、机构和大学建立联系,以创建一个最佳护理社区。
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来源期刊
CiteScore
1.60
自引率
11.10%
发文量
72
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