| Research
Mission, Projects Publications, and Tools |
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Research
Mission and Projects
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| Our
research mission is to promote better
health and healthcare for veterans
by understanding healthcare provider
behavior, the factors that influence
it, and the health systems interventions
that will improve it. Our process
is to identify theoretical and empirical
models of healthcare provider behavior
and quality care and then develop,
refine and evaluate health care systems
interventions based on these models.
In the course of our research, we
also work to identify and propose
solutions for methodologic problems
confronting health systems interventions,
including those based on statistical,
epidemiologic, and data collection
techniques.
Our researchers belong to a
consortium of institutions that
support Center of Excellence
activities. Consortium members
include the Sepulveda and West
Los Angeles campuses of the VA
Greater Los Angeles Healthcare
System, the UCLA
School of Public Health, UCLA
Division of General Internal
Medicine, and the Rand
Health Program. Our core
investigators current research
efforts include:
- QUERI Translation Research (Brian
Mittman, Elizabeth Yano, Lisa
Rubenstein). Evaluation strategies
for translating research into
practice are being developed,
including identifying the most
effective research/evaluation
designs and methods that lead
to successful dissemination
and implementation of positive
findings. VA Center of Excellence,
VISN 22 MIRECC, RAND
- Primary Care (Lisa
Rubenstein, Elizabeth Yano).
Studies evaluate variations
in VA primary care delivery
models over time and assess
links between structure, quality
of care, and health outcomes. VA
Center of Excellence
- HIV (Steven Asch,
Matthew Goetz, Henry Anaya).
Projects focus on improving
care for veterans with HIV,
especially in the area of anti-retroviral
therapy. VA Center of Excellence,
VA QUERI-HIV, and RAND
- Mental Health (Lisa
Rubenstein, Scott Sherman,
Alexander Young, Paul Shekelle,
Joshua Chodosh). Studies focus
on improving care for depression
and schizophrenia. VA Center
of Excellence, VISN 22 MIRECC,
VA Mental Health QUERI, and
RAND
- Smoking Cessation (Scott
Sherman, Elizabeth Yano). Multi-site
national studies identify health
effects and prevalence of smoking
among veterans and non-veterans
and how to help them quit. VA
Center of Excellence
- Evidence-Based Medicine (Paul
Shekelle). Studies focus on
assessing the literature through
meta-analysis and literature
syntheses regarding spinal
cord injury, CHF, and Ayurvedic
medicine for diabetes, among
others. VA Center of Excellence
and RAND
- Women's Health (Donna
Washington, Elizabeth Yano,
Caroline Goldzweig). Projects
focus on the structure of women
veterans' health care services,
patient preferences and PTSD
in women veterans. VA Center
of Excellence
- End-of-Life and Frail
Elderly (Kenneth Rosenfeld,
Steven Asch, Karl Lorenz,
Brian Mittman, Debra Saliba,
Laurence Rubenstein). Projects
focus on quality of care
and cost-effectiveness, case
management for Alzheimer's,
and Parkinson's Disease quality
of care. VA Center of
Excellence, VA GRECC, VA
PADRECC, and RAND
- Patient Safety (Peter
Glassman). Current projects
focus principally on pharmacy
safety, including drug interaction
reminders, improving prescribing
patterns and cost-effectiveness. VA
Center of Excellence, UCLA
and RAND
- Healthy Aging (Lisa
Rubenstein, Paul Shekelle,
Larry Rubenstein). Projects
identify and implement evidence-based
interventions to improve function
and reduce illness. VA Center
of Excellence, VA GRECC, and
RAND
- Colorectal Cancer (Elizabeth
Yano). VA, in partnership with
the National Cancer Institute,
are supporting projects on
how to improve screening and
treatment for colorectal cancer
among veterans.
A team has been funded to study what accounts for whether or not veterans
get screened for colorectal cancer. VA Center of Excellence, Colorectal
Cancer, QUERI, and UCLA
- Measuring Quality (Steven
Asch, Paul Shekelle, Lisa Rubenstein).
Projects compare different
methods for measuring quality
of care. VA Center of Excellence,
and RAND
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