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Practical Information
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Instrument Name:
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VHA Survey of Women Veterans Health Programs and Practices
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Instrument Description:
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It assesses the current delivery arrangements of health care to women veterans including policy development, practice organization, management and quality in the Veteran Health Administration facilities. There are three separate versions administrated to VISN Director, Chiefs of Staff and Senior Women’s Health Clinicians. In the VISN Director version, there are three sections with about 80* items: Network-Level Women’s Health Leadership, Network Performance Measures by Gender, and Network Policies or Procedures Specific to Women’s Health. There are two sections for Chief of Staff with about 80* items: Organization of Care for Women Veterans, Women’s Health Program Management. Eleven sections with about 210* items are administrated to Senior Clinicians: Practice Arrangements, General Primary Care, Women’s Health Clinic for Primary Care, Gynecology Clinic, Outpatient Mental Health, Women’s Mental Health Clinic, Other Women’s Health Clinics, Service Availability, Practice Setting/Environment, Practice Management, Education and Training. * Numbers of items are approximated because some items are not requested to answer in some cases. (Ref: 1-2)
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Price:
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Free (Available through the developers described below)
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Administration Time:
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15 min. (VISN Director and Chief of Staff versions); 30 min. (Senior Clinicians version)
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Publication Year:
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2001
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Item Readability:
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The first pages of the VISN Director and Chief of Clinicians versions, which include instructions and background information, have Flesch-Kincaid Grade Level of 12.0. Items are usually written with more than 10 words.
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Scale Format:
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Closed question format for most items.
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Administration Technique:
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Mail-delivered, Paper-and-Pencil, and Self-administered.
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Scoring and Interpretation:
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Item-by-item descriptive statistics are applied to assess the current trends.
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Forms:
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There are three separate versions for VISN Director, Chief of Staff, and Senior Clinicians.
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Research Contacts
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Instrument Developers:
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Elizabeth Yano, PhD, Caroline Goldzweig, MD, MSHS, Donna Washington, MD, MPH, Cynthia Caffrey, MD, and Barbara Simon, MA
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Instrument Development Location:
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Center of Excellence for the Study of Healthcare Provider Behavior (152) Department of Veterans Affairs 16111 Plummer St. Sepulveda, CA 91343-2036
http://www.providerbehavior.med.va.gov/ (*The survey section will be implemented in the near future.)
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Instrument Developer Email:
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Elizabeth.Yano@med.va.gov
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Instrument Developer Website:
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www.providerbehavior.med.va.gov/
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Annotated Bibliography
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1. Yano EM. VHA survey of women veterans health programs and practices. 2001 by VA HSR&D Center of Excellence for the Study of Health Care Provider Behavior - Chief of Staff questionnaire, VISN Director questionnaire, Senior Clinician questionnaire.
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Purpose: Three separate versions of questionnaires are presented. |
2. Yano EM, Caffrey C, Goldzweig C, Washington D, Simon B, Altman L, Canelo I, Turner C. How is VA Health Care Organized for Women Veterans? [abstract]. In: Proceedings of the VA Health Services Research 2002 Annual Meeting; 2002 Feb, Washington DC. 1107. Available from: http://www.hsrd.research.va.gov/ about/national_meeting/ 2002/1107.htm. Accessed 2002 Aug 26.
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Purpose: To examine how women veterans’ health care was organized in the VHA. |
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Sample: 133 senior-clinicians of VA facilities serving 400 or more women veterans. |
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Methods: A survey had been adapted from the NIH Women’s Health Centers of Excellence evaluation and previous VA surveys with newly created items. It was administrated to 166 senior-clinicians of VA facilities, and 133 of them responded. |
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Implications: Health care delivery for women veterans in the VHA facilities did not seem sufficient according to the results from the 2001’s survey. |
3. Yano EM, Washington DL, Goldzweig C, Caffrey C, Turner C. The organization and delivery of women’s health care in Department of Veterans Affairs medical centers. Women’s Health Issues. 2003; 13(2):54-60.
4. Washington DL, Caffrey C, Goldzweig C, Simon B, Yano EM. Availability of comprehensive women’s health care through Department of Veterans Affairs Medical Centers. Women’s Health Issues. 2003; 13(2),49-53.
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Factors and Norms
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Factor Analysis Work:
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No information found.
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Normative Information Availability:
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No information found.
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Reliability Evidence
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Test-retest:
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No information found.
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Inter-rater:
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No information found.
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Internal Consistency:
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No information found.
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Alternate Forms:
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No information found.
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Validity Evidence
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Construct/ Convergent/ Discriminant:
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No information found.
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Criterion-related/ Concurrent/ Predictive:
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No information found.
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Content:
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Questions from the NIH Women’s Health Center of Excellence evaluation (Weisman/Scholle) and previous VA surveys were adopted. (Ref: 2)
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Responsiveness Evidence:
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No information found.
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Scale Application in VA Populations:
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Yes. (Ref: 1-2)
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Scale Application in non-VA Populations:
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No information found.
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Comments
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This questionnaire provides a useful item-by-item description of the respondent's perception of the state of VHA Women Veteran's Health Programs and Practices. The items are used for descriptive purposes, and while there are a few items that might be scaled, they have not been. Further work, therefore, is needed to assess its psychometric properties.
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Updates
No information found.
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