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VA Health Systems Research

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Chronic Disease

VA and the Centers for Disease Control and Prevention (CDC) define a chronic disease as a condition that lasts more than a year and requires ongoing medical attention or limits daily activities. Common chronic conditions include type 2 diabetes, chronic obstructive pulmonary disease (COPD), Alzheimer’s disease, certain cancers, and some liver diseases. Managing these conditions is particularly challenging for Veterans, who are generally older and more likely to have multiple chronic conditions.

VA’s health systems researchers explore ways to develop and test new approaches to the prevention, management, and care of chronic disease; support Veterans in managing their own chronic conditions; implement evidence-based chronic disease management and treatment throughout VA healthcare; and address differences in prevalence, treatment, and outcomes among different Veteran populations.

Each section below is populated by a search of the HSR website. Search results are generated based on the search term " Chronic Disease" . Results are updated as new data are available.

VIEW: Citations | Publication Briefs | Studies | HSR Briefs, Reports, Newsletters | Cyberseminars | Videos | Podcasts | Other Resources



Citations

(recent CHRONIC DISEASE publications)



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Publication Briefs

(recent CHRONIC DISEASE Publication Briefs )


  • Higher Preventive Health Inventory Use Associated with Improved Quality of Care
    This study examined associations between Preventive Health Inventory (PHI) adoption and clinical quality measures at 216 VA primary care clinics nationwide that implemented the PHI and had the highest and lowest PHI use as of February 2021. Findings showed that higher uptake of the PHI was associated with improved quality of diabetes and hypertension care. Compared to the lowest use clinics, the h...
    Date: April 17, 2023
  • Nurse Practitioners as Primary Care Providers May Be a High-Value Solution to Increasing Access to Care for All Veterans
    Investigators in this study assessed patient outcomes between primary care nurse practitioners (NPs) and MDs, including utilization, costs, and quality of care – one year after patient reassignment to a new primary care provider (due to a Veteran’s prior MD PCP leaving VA). Findings showed that compared to Veterans newly assigned to MDs, those newly assigned to NPs were less likely to use primary ...
    Date: April 1, 2020
  • Veteran-Directed Care Adds to Options for Medically Complex Veterans Living in the Community – Without Raising Costs
    One way in which VA facilitates independence and supports caregivers is through the Veteran-Directed Care (VDC) program, part of VA’s Office of Geriatrics and Extended Care Services. VDC enables enrollees to hire family members, friends, or neighbors as paid caregivers and also provides caregiver support, including caregiver training and burden monitoring. This study evaluated the incidence of VA ...
    Date: June 1, 2019
  • VA Geriatric Patient Aligned Care Teams Need Additional Mental Health Integration for Older Veterans
    Geriatric Patient Aligned Care Teams (GeriPACT) provide healthcare for a subset of older Veterans with chronic disease, functional dependency, cognitive decline, and psychosocial challenges. This study examines mental healthcare integration within GeriPACT by describing the role of psychiatrists/psychologists to help inform geriatric mental health policy. Findings showed that mental health integra...
    Date: September 13, 2018
  • Homeless Population-tailored Patient-Aligned Care Team Can Reduce Acute Care Services and Healthcare Costs
    This trial compared healthcare service use and cost outcomes among homeless Veterans enrolled in a traditional (not tailored to a homeless population) PACT with outcomes among Veterans enrolled in a homeless population–tailored H-PACT. Findings showed that annual costs per patient were significantly higher in the PACT group than the H-PACT group ($37,415 vs $28,036), and most cost savings came fro...
    Date: February 15, 2018

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Studies

(recent CHRONIC DISEASE projects )

Project No.  Title  PI  Funding End   
CDA 23-145 Patient-Centered Informatics for Chronic Pain Management Griffin, Ashley 2030-03-31
CDA 23-010 Enhancing function for Veterans post-stroke at the system and individual level Waddell, Kimberly 2029-09-30
CDA 24-112 UNderstanding and Improving Teleoncology Experience and care Delivery (UNITED) Huang, Li-Wen 2029-07-31
IIR 23-040 Harnessing the power of social support for weight management: a randomized controlled trial of HealthyTogether Gray, Kristen 2028-09-30
CDA 21-158 Reducing Burnout among VA PCPs Using Evidence-Based Quality Improvement Apaydin, Eric 2028-09-30

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HSR Briefs, Reports, Newsletters

Evidence Brief: Detection and Treatment of Dental Problems on Chronic Disease Outcomes (03-16-2021)

Evidence Brief - Detection and Treatment of Dental Problems on Chronic Disease Outcomes (02-24-2021)

Pharmacist-Led Chronic Disease Management: Effectiveness and Harms Compared to Usual Care (01-12-2016)

Pharmacist-led Chronic Disease Management: A Systematic Review of Effectiveness and Harms Compared to Usual Care (10-15-2015)

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Cyberseminars

The most recent " Chronic Disease" seminars are displayed.

Date Title Presenter(s)
1/25/2024 A New Equilibrium for Telemedicine & an Evaluation of Concurrent Heart Failure Care Ferguson, Jacqueline  
Ziaeian, Boback  
4/13/2023 Using the Tailored Implementation in Chronic Diseases (TICD) Framework to Design Tailored Implementation Plans: A Methods Cyberseminar Haverhals, Leah  
Magid, Kate  
Kononowech, Jennifer  
11/7/2022 Data-Driven Implementation Mapping for the Selection of Implementation Strategies: Case Example of Bladder Cancer Surveillance Schroeck, Florian  
Ould Ismail, A. Aziz  
Zubkoff, Lisa  
4/5/2021 ESP Evidence Brief: Detection and Treatment of Dental Problems on Chronic Disease Outcomes Veazie, Stephanie  
Parr, Nicholas  
Garrido, Melissa  

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Videos


There are currently no videos for this topic.

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Podcasts


There are currently no podcasts for this topic.

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Other Resources

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