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Patient and organizational factors related to education and support use by Veterans with Parkinson's disease

Authors

  • Terri K. Pogoda PhD,

    Corresponding author
    1. Center for Organization, Leadership and Management Research, Department of Veterans Affairs, Boston, Massachusetts, USA
    • Center for Organization, Leadership and Management Research, VA Boston Healthcare System, 150 South Huntington Avenue (152M), Boston, MA 02130
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  • Irene E. Cramer PhD, MSSA,

    1. Center for Organization, Leadership and Management Research, Department of Veterans Affairs, Boston, Massachusetts, USA
    2. Department of Health Policy and Management, Boston University School of Public Health, Boston, Massachusetts, USA
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  • Mark Meterko PhD,

    1. Center for Organization, Leadership and Management Research, Department of Veterans Affairs, Boston, Massachusetts, USA
    2. Department of Health Policy and Management, Boston University School of Public Health, Boston, Massachusetts, USA
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  • Hai Lin MD, MPH,

    1. Brown Center for the Study of Children at Risk, Women and Infants Hospital of Rhode Island, The Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA
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  • Ann Hendricks PhD,

    1. Department of Health Policy and Management, Boston University School of Public Health, Boston, Massachusetts, USA
    2. Health Care Financing and Economics, Department of Veterans Affairs, Boston, Massachusetts, USA
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  • Robert G. Holloway MD, MPH,

    1. Department of Neurology, University of Rochester School of Medicine and Dentistry, Rochester, New York, USA
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  • Martin P. Charns DBA

    1. Center for Organization, Leadership and Management Research, Department of Veterans Affairs, Boston, Massachusetts, USA
    2. Department of Health Policy and Management, Boston University School of Public Health, Boston, Massachusetts, USA
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  • Potential conflict of interest: Nothing to report.

  • 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 or the United States government.

Abstract

Patient education and support services are recognized in the Department of Veterans Affairs (VA) as important to the patient-centered treatment of Parkinson's disease. Indeed, educating patients is one of the missions of the VA's six specialty Parkinson's Disease Research, Education and Clinical Centers (PADRECCs). We compared VA education/support services utilization by whether or not a patient's VA Medical Center (VAMC) contained a PADRECC. Our sample included Parkinson's disease patients from VAMCs with (n = 882) and without (n = 1,448) PADRECCs. Patients completed surveys that asked about demographic/individual characteristics, health status/function, and education/support utilization. Results showed that 15.8% (n = 354) of all patients utilized education/support services. Patients at PADRECC VAMCs were generally healthier and more educated than other VAMC patients. After statistically controlling for these differences, however, being a patient at a PADRECC VAMC site and using only VA providers (as compared to a combination of VA and non-VA providers) were significant predictors of education/support utilization. Further, proportionally more PADRECC VAMC site patients reported higher satisfaction and receiving a broad range of information from different modalities as compared to other VAMC patients. These findings suggest that PADRECC VAMCs are providing educational/support activities consistent with these specialty centers' goals. © 2009 Movement Disorder Society

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