退伍军人健康管理医疗中心的绝经相关服务需求：来自妇女健康实践研究网络绝经实践扫描的发现

IF 2.5 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Womens Health Issues Pub Date : 2025-07-01 DOI:10.1016/j.whi.2025.04.004

Susan J. Diem MD, MPH , Haley A. Miles-McLean PhD , Diane V. Carney MA , Jeanette E. Shekelle MPH , Francesca Nicosia PhD , Susan M. Frayne MD, MPH , Elizabeth M. Yano PhD, MSPH , Carolyn J. Gibson PhD, MPH, MSCP

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引用次数: 0

摘要

背景：需要了解退伍军人卫生管理局（VA）的绝经相关护理状况，以确定整个国家VA卫生保健系统的干预目标和资源开发。程序：一份简短的电子关键信息调查，旨在评估VA初级保健中当前与更年期相关的服务、资源和需求，并分发给所有活跃的VA妇女健康实践研究网络（WH-PBRN）站点领导。调查包括结构化的项目，用描述性统计总结回答，和开放式提示，用直接内容分析分析答案。结果：73个活跃的WH-PBRN位点中有60个完成了关键信息调查（应答率82%）。大多数站点报告了一系列可用资源；88%的人报告有基于va的咨询师（如妇科医生、药剂师和/或内分泌学家）可以帮助初级保健提供者对更年期症状进行药理学管理。然而，网站指出需要教育材料，以更年期为重点的课程或小组，以及各种更年期相关问题的资源或支持。网站压倒性地报告说，更年期护理变得更容易，因为在初级保健环境中有更年期培训的专业提供者，对初级保健提供者进行了充分的更年期培训，并有时间预约解决复杂的护理问题。结论：在对VA卫生保健系统中WH-PBRN站点的初级保健设置的调查中，站点强调了可用资源、预约时间、初级保健提供者培训的重要性，以及在VA环境中全面绝经护理的绝经知情专业护理服务的可用性和整合。改善退伍军人管理局的更年期护理模式也有可能为其他卫生系统改善服务的努力提供信息。

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Menopause-Related Service Needs in Veterans Health Administration Medical Centers: Findings From the Women's Health Practice-Based Research Network Menopause Practice Scan

Background

Information about the state of menopause-related care in the Veterans Health Administration (VA) is needed to identify targets for intervention and resource development across the national VA Health Care System.

Procedures

A brief electronic key informant survey designed to assess current menopause-related services, resources, and needs in VA primary care was distributed to all active VA Women's Health Practice-Based Research Network (WH-PBRN) Site Leads. The survey included structured items, with responses summarized with descriptive statistics, and open-ended prompts, with answers analyzed using directed content analysis.

Findings

Key informant surveys were completed by 60 of 73 active WH-PBRN sites (response rate 82%). Most sites reported a range of available resources; 88% reported having VA-based consultants (e.g., gynecologists, pharmacists, and/or endocrinologists) available to assist primary care providers with pharmacological management of menopause symptoms. However, sites named a need for educational materials, menopause-focused classes or groups, and resources or support for a variety of menopause-associated issues. Sites overwhelmingly reported that menopause care was made easier by the availability and/or integration of menopause-trained specialty providers in the primary care setting, adequate menopause training for primary care providers, and time in appointments to address complex care issues.

Conclusions

In this survey of primary care settings at WH-PBRN sites across the VA Health Care System, sites highlighted the importance of available resources, time in appointments, training for primary care providers, and the availability and integration of menopause-informed specialty care services for comprehensive menopause care in the VA setting. Improving the VA's care model for menopause also has the potential to inform efforts to improve services in other health systems.

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来源期刊

Womens Health Issues Multiple-

CiteScore

4.50

自引率

6.20%

发文量

审稿时长

32 days

期刊介绍： Women"s Health Issues (WHI) is a peer-reviewed, bimonthly, multidisciplinary journal that publishes research and review manuscripts related to women"s health care and policy. As the official journal of the Jacobs Institute of Women"s Health, it is dedicated to improving the health and health care of all women throughout the lifespan and in diverse communities. The journal seeks to inform health services researchers, health care and public health professionals, social scientists, policymakers, and others concerned with women"s health.