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|Issue 83||August 2014|
AJPH Supplement Highlights Equity Research on VA Healthcare
Even though VA is currently facing highly publicized challenges in ensuring timely access to healthcare for Veterans, studies document remarkable strides in the delivery of high-quality healthcare in the VA relative to the private sector. This progress is driven by VA's emphasis on patient-centered, proactive, personalized healthcare and its sustained commitment to the equitable delivery of high-quality healthcare to all Veterans, particularly vulnerable patient populations based on gender, geography (e.g., Veterans living in rural areas), racial/ethnic minorities, and/or physical and mental disability.
A newly published American Journal of Public Health (AJHP) Health Equity Supplement (open access) includes eight editorials, three briefs, and ten original articles that highlight health disparities research – conducted within the VA and with Veterans – and VA's commitment to continuous improvement in the delivery of quality healthcare for all Veterans. Each study also fits a widely used conceptual framework to advance the field of health equity research through three sequential generations: detecting disparities in health and/or healthcare (1st generation), understanding the determinants of such disparities (2nd generation), and reducing disparities (3rd generation) [Kilbourne et al., 2006]. Following is a brief summary of findings from some of these exceptional articles.
The original research featured in this Supplement demonstrates the importance of continued 1st and 2nd generation studies to detect and understand disparities across a broad range of vulnerable Veteran populations, including racial and ethnic minorities, women, LBG, and the homeless.
Reference: American Journal of Public Health (AJPH) Health Equity Supplement. August 6, 2014.
Citation: Kilbourne K, Switzer G, Hyman K, et al. Advancing health disparities research within the health care system: A conceptual framework. American Journal of Public Health. 2006;96(12):2113-2121.
Additional resources: Please see a video about the AJPH Health Equity Supplement that features Robert Jesse, M.D., Ph.D., former Acting Under Secretary for Health, and Uchenna Uchendu, M.D., Executive Director, VA Office of Health Equity.
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This Management e-Brief is provided to inform you about recent HSR&D findings that may be of interest. The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the Department of Veterans Affairs. If you have any questions or comments about this Brief, please email CIDER. The Center for Information Dissemination and Education Resources (CIDER) is a VA HSR&D Resource Center charged with disseminating important HSR&D findings and information to policy makers, managers, clinicians, and researchers working to improve the health and care of Veterans.