Publications by authors named "Lynn A Garvin"
Health and health services research institutions seek to increase diversity, equity, and inclusion (DEI) to overcome structural bias. The objective of this review is to identify, characterize, and evaluate programs aimed to strengthen DEI in the health and health services research workforces. We conducted a systematic scoping review of literature of 2012-2022 North American peer-reviewed empirical studies in PubMed and Embase using the Arksey and O'Malley approach.
View Article and Find Full Text PDFTelehealth offers promising opportunities, but also challenges, for veterans experiencing homelessness - during the COVID-19 pandemic and beyond. Recent research found low utilization of clinical video visits among homeless veterans receiving a VA tablet, and having a substance use disorder (SUD) further reduced visit likelihood. Hence, this study sought to identify unique barriers to telehealth use among veterans experiencing homelessness with a SUD and design an intervention to promote adoption.
View Article and Find Full Text PDFArticle Synopsis
- The study aimed to evaluate if text messaging could improve healthcare engagement and medication adherence among Boston's homeless population.
- After sending automated messages to 62 patients, the results indicated that while there were no significant differences in overall care, there were trends suggesting that text messages helped reduce appointment no-show rates and potentially increased medication adherence.
- Although the findings were not statistically significant, the study concluded that text messaging holds promise for enhancing patient engagement, but further improvements are needed to make texting more effective for this demographic.
Background: Veterans experiencing homelessness face substantial barriers to accessing health and social services. In 2016, the Veterans Affairs (VA) healthcare system launched a unique program to distribute video-enabled tablets to Veterans with access barriers.
Objective: Evaluate the use of VA-issued video telehealth tablets among Veterans experiencing homelessness in the VA system.
Background: In the unique context of rural Veterans' health care needs, expansion of US Department of Veterans Affairs and Community Care programs under the MISSION Act, and the uncertainties of coronavirus disease 2019 (COVID-19), it is critical to understand what may support effective interorganizational care coordination for increased access to high-quality care.
Objectives: We conducted a systematic review to examine the interorganizational care coordination initiatives that Veterans Affairs (VA) and community partners have pursued in caring for rural Veterans, including challenges and opportunities, organizational domains shaping care coordination, and among these, initiatives that improve or impede health care outcomes.
Research Design: We followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines to search 2 electronic databases (PubMed and Embase) for peer-reviewed articles published between January 2009 and May 2020.
Prioritizing Measures of Digital Patient Engagement: A Delphi Expert Panel Study.
J Med Internet Res
May 2017
Background: Establishing a validated scale of patient engagement through use of information technology (ie, digital patient engagement) is the first step to understanding its role in health and health care quality, outcomes, and efficient implementation by health care providers and systems.
Objective: The aim of this study was to develop and prioritize measures of digital patient engagement based on patients' use of the US Department of Veterans Affairs (VA)'s MyHealtheVet (MHV) portal, focusing on the MHV/Blue Button and Secure Messaging functions.
Methods: We aligned two models from the information systems and organizational behavior literatures to create a theory-based model of digital patient engagement.