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将女性退伍军人纳入 VA 质量改进研究工作中:研究人员需要了解的内容。

Integration of women veterans into VA quality improvement research efforts: what researchers need to know.

机构信息

VA Greater Los Angeles HSR&D Center of Excellence, 16111 Plummer Street, Sepulveda, CA 91343, USA.

出版信息

J Gen Intern Med. 2010 Jan;25 Suppl 1(Suppl 1):56-61. doi: 10.1007/s11606-009-1116-4.

Abstract

The Department of Veterans Affairs (VA) and other federal agencies require funded researchers to include women in their studies. Historically, many researchers have indicated they will include women in proportion to their VA representation or pointed to their numerical minority as justification for exclusion. However, women's participation in the military-currently 14% of active military-is rapidly changing veteran demographics, with women among the fastest growing segments of new VA users. These changes will require researchers to meet the challenge of finding ways to adequately represent women veterans for meaningful analysis. We describe women veterans' health and health-care use, note how VA care is organized to meet their needs, report gender differences in quality, highlight national plans for women veterans' quality improvement, and discuss VA women's health research. We then discuss challenges and potential solutions for increasing representation of women veterans in VA research, including steps for implementation research.

摘要

美国退伍军人事务部(VA)和其他联邦机构要求有经费支持的研究人员将女性纳入研究对象。从历史上看,许多研究人员表示,他们将按照 VA 代表人数的比例纳入女性,或者指出其人数较少是将其排除在外的理由。然而,女性在军队中的参与度(目前占现役军人的 14%)正在迅速改变退伍军人的人口结构,女性是新的 VA 用户中增长最快的群体之一。这些变化将要求研究人员迎接挑战,寻找方法为有意义的分析充分代表女性退伍军人。我们描述了女性退伍军人的健康和医疗保健使用情况,指出 VA 护理是如何组织起来满足她们的需求的,报告了质量方面的性别差异,强调了全国女性退伍军人质量改进计划,并讨论了 VA 女性健康研究。然后,我们讨论了增加 VA 研究中女性退伍军人代表性的挑战和潜在解决方案,包括实施研究的步骤。

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