Edwin S. Wong
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View article: Editorial: Using the RE-AIM framework and other implementation theories, models, and frameworks to guide the implementation and evaluation of rural health innovations
Editorial: Using the RE-AIM framework and other implementation theories, models, and frameworks to guide the implementation and evaluation of rural health innovations Open
View article: Differences in health care costs between two social health support programs: findings from a randomized social health integration pilot program
Differences in health care costs between two social health support programs: findings from a randomized social health integration pilot program Open
View article: Budget Impact of Adopting Nirmatrelvir-Ritonavir for Treating COVID-19 in a Large Integrated Healthcare System
Budget Impact of Adopting Nirmatrelvir-Ritonavir for Treating COVID-19 in a Large Integrated Healthcare System Open
Background Understanding the budget impact of prescribing nirmatrelvir-ritonavir (NR) for COVID-19 can inform procurement and allocation strategies in large healthcare systems. Methods We assessed the budget impact of providing NR in the V…
View article: Physician Performance in the Merit-Based Incentive Payment System: Implications for Health Disparities
Physician Performance in the Merit-Based Incentive Payment System: Implications for Health Disparities Open
To address health disparities in MIPS, policymakers could consider following precedent from other payment programs and account for practice factors when evaluating MIPS performance.
View article: Estimating National and Regional Primary Care Spending in the Veterans Health Administration in 2022
Estimating National and Regional Primary Care Spending in the Veterans Health Administration in 2022 Open
Primary care spending in the VHA in 2022 as a percentage of total medical expenditures was stable compared with prior estimates. In addition, our results show discordance in each VISN's spending quartile based on the metric utilized. This …
View article: Comparison of clinic-based assistance versus a centralized call center on patient-reported social needs: findings from a randomized pilot social health integration program
Comparison of clinic-based assistance versus a centralized call center on patient-reported social needs: findings from a randomized pilot social health integration program Open
View article: Differences in Healthcare Utilization Across 2 Social Health Support Modalities: Results From a Randomized Pilot Evaluation
Differences in Healthcare Utilization Across 2 Social Health Support Modalities: Results From a Randomized Pilot Evaluation Open
Beyond social needs navigation, clinic-based supports may be better integrated with care teams to provide ongoing support for patients' medical needs. Findings from this primary care social health pilot program showed that local, clinic-ba…
View article: TRENDS AND CHARACTERISTICS OF WORKING CAREGIVERS USING PAID FAMILY LEAVE PROGRAMS IN RHODE ISLAND AND WASHINGTON
TRENDS AND CHARACTERISTICS OF WORKING CAREGIVERS USING PAID FAMILY LEAVE PROGRAMS IN RHODE ISLAND AND WASHINGTON Open
Many family caregivers are part of the workforce and integral to older adults’ care. State Paid Family Leave (PFL) programs offer partial wage replacement to working caregivers. However, data on caregiving leave use is limited. This study …
View article: A Pilot Analysis of Patient Portal Use and Breast Cancer Screening Among Black Patients in a Large Academic Health System
A Pilot Analysis of Patient Portal Use and Breast Cancer Screening Among Black Patients in a Large Academic Health System Open
Improving portal access and use among racialized groups who face both portal and breast cancer screening inequities could be one strategy to address inequities. These pilot data will inform subsequent community-engaged research to better u…
View article: Association Between State‐Wide Cardiac Quality Improvement Program and Costs Following Intervention for Coronary Artery Disease
Association Between State‐Wide Cardiac Quality Improvement Program and Costs Following Intervention for Coronary Artery Disease Open
Background Since 2010, all non‐VA hospitals performing cardiac surgeries and percutaneous interventions in Washington State have participated in the Cardiac Care Outcomes Assessment Program (COAP), a data‐driven, physician‐led collaborativ…
View article: Prescription Digital Therapeutics for Substance Use Disorder in Primary Care: Mixed Methods Evaluation of a Pilot Implementation Study
Prescription Digital Therapeutics for Substance Use Disorder in Primary Care: Mixed Methods Evaluation of a Pilot Implementation Study Open
Background Delivering prescription digital therapeutics (ie, evidence-based interventions designed to treat, manage, or prevent disorders via websites or smartphone apps) in primary care could increase patient access to substance use disor…
View article: Evaluating equity in a national virtual care management intervention: Delivery and outcomes by race/ethnicity among Veterans with hypertension and diabetes
Evaluating equity in a national virtual care management intervention: Delivery and outcomes by race/ethnicity among Veterans with hypertension and diabetes Open
Objective To evaluate whether the Preventive Health Inventory (PHI)—a virtual care management intervention addressing hypertension and diabetes management implemented nationally in the Veterans Health Administration (VHA)—was delivered equ…
View article: Inclination to pursue Veterans Health Administration for primary care practice: survey of medical residents
Inclination to pursue Veterans Health Administration for primary care practice: survey of medical residents Open
Introduction Health systems like the Veterans Health Administration (VA) face challenges in recruiting and retaining a primary care physician workforce. This cross-sectional study of recent or current VA medical residents sought to identif…
View article: Disparities in telemedicine use among Native Hawaiian and Pacific Islander individuals insured through Medicaid
Disparities in telemedicine use among Native Hawaiian and Pacific Islander individuals insured through Medicaid Open
States have implemented policy changes to increase access to telemedicine services for individuals receiving Medicaid benefits. Native Hawaiian and Pacific Islander (NHPI) individuals experienced disproportionate harms from COVID-19 and ha…
View article: Risk of Potentially Preventable Hospitalizations After SARS-CoV-2 Infection
Risk of Potentially Preventable Hospitalizations After SARS-CoV-2 Infection Open
Importance Research demonstrates that SARS-CoV-2 infection is associated with increased risk of all-cause hospitalization. However, no prior studies have assessed the association between SARS-CoV-2 and potentially preventable hospitalizati…
View article: The Importance of Autonomy and Performance Goals in Perceived Workload Among Behavioral Health Providers
The Importance of Autonomy and Performance Goals in Perceived Workload Among Behavioral Health Providers Open
Leadership may consider focusing resources on initiatives that support behavioral health providers' autonomy to schedule patients as clinically indicated and develop attainable performance goals.
View article: Factors Associated With Use of the Preventive Health Inventory in US Veterans
Factors Associated With Use of the Preventive Health Inventory in US Veterans Open
Importance The COVID-19 pandemic caused significant declines in the quality of preventive and chronic disease care. The Veterans Health Administration (VHA) used the Preventive Health Inventory (PHI), a multicomponent care management inter…
View article: Changes in Outpatient Health Care Use After COVID-19 Infection Among Veterans
Changes in Outpatient Health Care Use After COVID-19 Infection Among Veterans Open
Importance The association of COVID-19 infection with outpatient care utilization is unclear. Many studies reported population surveillance studies rather than comparing outpatient health care use between COVID-19–infected and uninfected c…
View article: Defining and Improving Outcomes Measurement for Virtual Care: Report from the VHA State-of-the-Art Conference on Virtual Care
Defining and Improving Outcomes Measurement for Virtual Care: Report from the VHA State-of-the-Art Conference on Virtual Care Open
Virtual care, including synchronous and asynchronous telehealth, remote patient monitoring, and the collection and interpretation of patient-generated health data (PGHD), has the potential to transform healthcare delivery and increase acce…
View article: Formative evaluation of the implementation of digital therapeutics for opioids and other substance use disorders in primary care (DIGITS trial)
Formative evaluation of the implementation of digital therapeutics for opioids and other substance use disorders in primary care (DIGITS trial) Open
Background Substance use disorders (SUDs) result in individual and societal burden. However, most individuals with SUD receive no treatment. Implementing SUD interventions in primary care could address this population's treatment needs. In…
View article: Use of New Audio-Only Telemedicine Claim Modifiers
Use of New Audio-Only Telemedicine Claim Modifiers Open
Importance Policymakers at both the state and federal levels face decisions about coverage of audio-only telemedicine amid a dearth of reliable data due to changes and variation in billing practices. Objective To describe early trends in t…
View article: Real World Use of Anti-Obesity Medications and Weight Change in Veterans
Real World Use of Anti-Obesity Medications and Weight Change in Veterans Open
View article: Characteristics of Veterans With Depression Who Use the Veterans Choice Program of the Veterans Health Administration
Characteristics of Veterans With Depression Who Use the Veterans Choice Program of the Veterans Health Administration Open
Between 2016 and 2018, the VCP was used primarily to augment mental health care provided by the VHA, rather than to fill a gap in care.
View article: Inhaler Formulary Change in COPD and the Association with Exacerbations, Health Care Utilization, and Costs
Inhaler Formulary Change in COPD and the Association with Exacerbations, Health Care Utilization, and Costs Open
Among COPD patients on single inhaler therapy, nonmedical inhaler switches due to formulary discontinuation of formoterol were not associated with changes in COPD exacerbations, encounters, or encounter-related costs. Additional research i…
View article: Risk of Suicide-Related Outcomes After SARS-COV-2 Infection: Results from a Nationwide Observational Matched Cohort of US Veterans
Risk of Suicide-Related Outcomes After SARS-COV-2 Infection: Results from a Nationwide Observational Matched Cohort of US Veterans Open
View article: Impacts of an Electronic Health Record Transition on Veterans Health Administration Health Professions Trainee Experience
Impacts of an Electronic Health Record Transition on Veterans Health Administration Health Professions Trainee Experience Open
Background Adoption of electronic health care records (EHRs) has proliferated since 2000. While EHR transitions are widely understood to be disruptive, little attention has been paid to their effect on health professions trainees’ (HPTs) a…
View article: Correction: Design and analysis of outcomes following SARS-CoV-2 infection in veterans
Correction: Design and analysis of outcomes following SARS-CoV-2 infection in veterans Open
View article: A mixed‐methods evaluation of why an implementation trial failed to engage veterans with posttraumatic stress disorder in trauma‐focused psychotherapy
A mixed‐methods evaluation of why an implementation trial failed to engage veterans with posttraumatic stress disorder in trauma‐focused psychotherapy Open
An effectiveness trial found that telemedicine collaborative care for posttraumatic stress disorder (PTSD) significantly increased engagement in trauma‐focused psychotherapy (TFP) and improved PTSD symptoms. However, in a subsequent implem…
View article: Association Between Capitated Payments and Preventive Care Among U.S. Adults
Association Between Capitated Payments and Preventive Care Among U.S. Adults Open
View article: “Low-value” glycemic outcomes among older adults with diabetes cared for by primary care nurse practitioners or physicians: A retrospective cohort study
“Low-value” glycemic outcomes among older adults with diabetes cared for by primary care nurse practitioners or physicians: A retrospective cohort study Open