2021
Sex Differences in Use of a Clinical Complexity Measure to Predict Primary Care Utilization
Haskell SG, Han L, Abel EA, Bastian L, Driscoll M, Dziura J, Burg MM, Skanderson M, Brandt CA. Sex Differences in Use of a Clinical Complexity Measure to Predict Primary Care Utilization. Journal Of Women's Health 2021, 31: 71-78. PMID: 34388023, DOI: 10.1089/jwh.2021.0103.Peer-Reviewed Original ResearchMeSH KeywordsCohort StudiesFemaleHumansMalePrimary Health CareSex CharacteristicsSex FactorsUnited StatesUnited States Department of Veterans AffairsVeteransConceptsPrimary care utilizationCare utilizationWomen veteransCare Assessment Need (CAN) scoreComplex high-risk patientsHigh-risk patientsRisk stratification toolPotential confounding factorsCorporate Data WarehouseSex differencesVA careVisit utilizationCare coordinationHigher oddsReproductive healthConfounding factorsVeterans AffairsPsychosocial variablesStrong associationQuintileWomenNeed scoresMenVeteransGood predictive accuracyCoordinating women's preventive health care for rural veterans
Kinney RL, Haskell S, Relyea MR, DeRycke EC, Walker L, Bastian LA, Mattocks KM. Coordinating women's preventive health care for rural veterans. The Journal Of Rural Health 2021, 38: 630-638. PMID: 34310743, DOI: 10.1111/jrh.12609.Peer-Reviewed Original ResearchMeSH KeywordsFemaleHealth Services AccessibilityHumansPreventive Health ServicesRural PopulationUnited StatesUnited States Department of Veterans AffairsVeteransVeterans HealthWomen's HealthConceptsVeterans Health AdministrationPreventive health careCare coordinationWomen veteransPreventive careCare coordinatorsPreventive health care servicesRural women veteransHealth careRural facilitiesHealth care servicesSemi-structured telephone interviewsNumber of veteransRural veteransPreventive screeningCare settingsVHA providersVA facilitiesCommunity providersHealth AdministrationCare servicesPatient careTelephone interviewsCareVeteransThe Association Between Smoking Abstinence and Pain Trajectory Among Veterans Engaged in U.S. Department of Veterans Affairs Mental Health Care
Hammett PJ, Businelle MS, Taylor BC, Erbes CR, Bastian L, Doran N, Sherman SE, Rogers ES, Burgess DJ, Fu SS. The Association Between Smoking Abstinence and Pain Trajectory Among Veterans Engaged in U.S. Department of Veterans Affairs Mental Health Care. Pain Medicine 2021, 22: 1793-1803. PMID: 33502511, DOI: 10.1093/pm/pnab009.Peer-Reviewed Original ResearchMeSH KeywordsCounselingHumansMental HealthPainSmokingSmoking CessationUnited StatesUnited States Department of Veterans AffairsVeteransConceptsLower pain scoresPain scoresPain groupMental health careSmoking abstinenceVeteran smokersProactive outreachPoint prevalence smoking abstinenceVA mental health careOverall sampleBaseline pain scoresModerate pain groupSevere pain groupVA mental healthSelf-reported abstinenceHealth careNicotine abstinenceMental health servicesMental healthPain trajectoriesSevere painComposite scoreAbstinenceProspective analysisInteraction testBaseline Characteristics from the Women Veterans Cohort Study: Gender Differences and Similarities in Health and Healthcare Utilization
Gaffey AE, Burg MM, Rosman L, Portnoy GA, Brandt CA, Cavanagh CE, Skanderson M, Dziura J, Mattocks KM, Bastian LA, Haskell SG. Baseline Characteristics from the Women Veterans Cohort Study: Gender Differences and Similarities in Health and Healthcare Utilization. Journal Of Women's Health 2021, 30: 944-955. PMID: 33439756, PMCID: PMC8290312, DOI: 10.1089/jwh.2020.8732.Peer-Reviewed Original ResearchMeSH KeywordsChronic PainCohort StudiesFemaleHumansIraq War, 2003-2011MalePatient Acceptance of Health CareSex FactorsStress Disorders, Post-TraumaticUnited StatesUnited States Department of Veterans AffairsVeteransVeterans HealthConceptsWomen Veterans Cohort StudyCardiovascular risk factorsVeterans Health AdministrationRisk factorsHealthcare utilizationWomen veteransCohort studyHealth outcomesNontraditional cardiovascular risk factorsTraditional cardiovascular risk factorsUnique healthcareMental healthSingle-site painVHA healthcare systemVHA medical centersVeterans Affairs (VA) careHealth risk factorsOutside health servicesPosttraumatic stress disorder (PTSD) symptomsMultisite painBaseline characteristicsPsychosocial comorbiditiesChronic painCardiovascular diseaseMedical Center
2020
Racial Differences in the Cesarean Section Rates Among Women Veterans Using Department of Veterans Affairs Community Care
Mattocks KM, Kroll-Desrosiers A, Kinney R, Bastian LA, Bean-Mayberry B, Goldstein KM, Shivakumar G, Copeland L. Racial Differences in the Cesarean Section Rates Among Women Veterans Using Department of Veterans Affairs Community Care. Medical Care 2020, 59: 131-138. PMID: 33201084, DOI: 10.1097/mlr.0000000000001461.Peer-Reviewed Original ResearchMeSH KeywordsAdultCesarean SectionCohort StudiesCross-Sectional StudiesFemaleHealth Services AccessibilityHumansPregnancyProspective StudiesRace FactorsRacial GroupsUnited StatesUnited States Department of Veterans AffairsVeteransConceptsC-section rateCesarean section rateObstetrical careVeterans AffairsWomen veteransPregnant veteransC-sectionSection rateEdinburgh Postnatal Depression Scale scoreHigher body mass indexObservational cohort studyBody mass indexC-section deliveryCommunity care providersDepression Scale scoresPublic health problemQuality of careVA medical facilitiesCross-sectional analysisPostpartum veteransMaternal morbidityCohort studyMass indexObstetrical providersVA careFacility Variation in Troponin Ordering Within the Veterans Health Administration
Chui PW, Esserman D, Bastian LA, Curtis JP, Gandhi PU, Rosman L, Desai N, Hauser RG. Facility Variation in Troponin Ordering Within the Veterans Health Administration. Medical Care 2020, 58: 1098-1104. PMID: 33003051, PMCID: PMC7666100, DOI: 10.1097/mlr.0000000000001424.Peer-Reviewed Original ResearchMeSH KeywordsAcute Coronary SyndromeAge FactorsAgedAged, 80 and overComorbidityCross-Sectional StudiesDiagnosis-Related GroupsEmergency Service, HospitalGuideline AdherenceHumansMiddle AgedPractice Guidelines as TopicPractice Patterns, Physicians'Sex FactorsSocioeconomic FactorsTroponinUnited StatesUnited States Department of Veterans AffairsConceptsDownstream resource utilizationVeterans Health AdministrationCase mixHealth AdministrationCurrent United States guidelinesDownstream health care utilizationVeterans Health Administration facilitiesFacility characteristicsAcute coronary syndromeEmergency department visitsPercutaneous coronary interventionHealth care utilizationAcute care facilitiesUnited States guidelinesHigh rateCross-sectional analysisCoronary syndromeCoronary interventionED visitsDepartment visitsCare utilizationHighest quartileCoronary angiogramInpatient admissionsLowest quartilePatient and provider barriers, facilitators, and implementation preferences of intimate partner violence perpetration screening
Portnoy GA, Colon R, Gross GM, Adams LJ, Bastian LA, Iverson KM. Patient and provider barriers, facilitators, and implementation preferences of intimate partner violence perpetration screening. BMC Health Services Research 2020, 20: 746. PMID: 32791967, PMCID: PMC7424651, DOI: 10.1186/s12913-020-05595-7.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedFemaleFocus GroupsHealth Services AccessibilityHealth Services ResearchHumansIntimate Partner ViolenceMaleMass ScreeningMiddle AgedPatient PreferenceQualitative ResearchUnited StatesUnited States Department of Veterans AffairsConceptsIntimate partner violenceImplementation preferencesIntimate Partner Violence PerpetrationPartner violence perpetrationIPV experiencesProvider barriersPartner violenceQualitative interviewsViolence perpetrationVHA healthcareVeterans Health Administration patientsWay of screeningIPV useUnderstudied aspectSelf-report screening toolContent analysisHealthcare responseStrong rapportProfessional disciplinesComprehensive processSubstantial prevalenceVHA providersFacilitatorsClinical practiceProviders' beliefsFactors Associated With Posttraumatic Stress Disorder Among Veterans of Recent Wars Receiving Veterans Affairs Chiropractic Care
Coleman BC, Corcoran KL, DeRycke EC, Bastian LA, Brandt CA, Haskell SG, Heapy AA, Lisi AJ. Factors Associated With Posttraumatic Stress Disorder Among Veterans of Recent Wars Receiving Veterans Affairs Chiropractic Care. Journal Of Manipulative And Physiological Therapeutics 2020, 43: 753-759. PMID: 32534740, DOI: 10.1016/j.jmpt.2019.10.016.Peer-Reviewed Original ResearchMeSH KeywordsAdultAfghan Campaign 2001-Armed ConflictsChiropracticCohort StudiesComorbidityCross-Sectional StudiesFemaleHumansIraq War, 2003-2011Logistic ModelsMaleManipulation, ChiropracticMiddle AgedMusculoskeletal PainPain ManagementPrevalenceStress Disorders, Post-TraumaticUnited StatesUnited States Department of Veterans AffairsVeteransConceptsPost-traumatic stress disorderOEF/OIF/OND veteransBody mass indexSubstance use disordersChiropractic carePTSD diagnosisPain intensityMass indexStress disorderUse disordersOperations Enduring Freedom/Iraqi Freedom/New DawnPrior PTSD diagnosisSevere pain intensityVA chiropractic clinicDiagnosis of PTSDPain management outcomesPrimary outcome measureNational cohort studyElectronic health record dataHealth record dataManagement of veteransCross-sectional analysisPosttraumatic stress disorderClinical characteristicsCohort studyAssociation of prescription opioids and incident cardiovascular risk factors among post-9/11 Veterans
Chui PW, Gordon KS, Dziura J, Burg MM, Brandt CA, Sico JJ, Leapman MS, Cavanagh CE, Rosman L, Haskell S, Becker WC, Bastian LA. Association of prescription opioids and incident cardiovascular risk factors among post-9/11 Veterans. Preventive Medicine 2020, 134: 106036. PMID: 32097753, DOI: 10.1016/j.ypmed.2020.106036.Peer-Reviewed Original ResearchMeSH KeywordsAdultAnalgesics, OpioidCardiovascular DiseasesDiabetes MellitusElectronic Health RecordsFemaleHeart Disease Risk FactorsHumansHypertensionIncidenceMalePrescription DrugsTime FactorsUnited StatesUnited States Department of Veterans AffairsVeteransConceptsCVD risk factorsLong-term opioid therapyCurrent smoking statusRisk factorsOpioid useOpioid therapySmoking statusCardiovascular diseaseHigh riskLong-term exposureIncident cardiovascular risk factorsModifiable CVD risk factorsPrevalent CVD risk factorsFirst primary care visitCardiovascular risk factorsPrimary care visitsBaseline periodElectronic health record dataMain outcome measuresHealth record dataOpioid prescriptionsCare visitsPrescription opioidsMain exposureOutcome measuresSevere Maternal Morbidity Among a Cohort of Post-9/11 Women Veterans
Combellick JL, Bastian LA, Altemus M, Womack JA, Brandt CA, Smith A, Haskell SG. Severe Maternal Morbidity Among a Cohort of Post-9/11 Women Veterans. Journal Of Women's Health 2020, 29: 577-584. PMID: 31905319, DOI: 10.1089/jwh.2019.7948.Peer-Reviewed Original ResearchMeSH KeywordsAdultAfghan Campaign 2001-Cohort StudiesFemaleHealth StatusHumansIraq War, 2003-2011Maternal HealthMental DisordersPregnancyPregnancy ComplicationsUnited StatesUnited States Department of Veterans AffairsVeteransYoung AdultConceptsSevere maternal morbidity eventSevere maternal morbidityMaternal morbidityMorbidity eventsVeteran womenVeterans AffairsChart reviewWomen veteransHealth statusPerinatal mental healthSurveillance methodologyWomen's health statusQuality of carePositive predictive valueMental health problemsOperation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn VeteransPregnancy outcomesOperation New Dawn veteransDiseases codesMorbidityInternational ClassificationNew Dawn veteransOutpatient dataPredictive valueHealth problemsUnderutilization of Pulmonary Function Testing in Veterans Hospitalized for Chronic Obstructive Pulmonary Disease Exacerbation: Who are We Missing?
Bade BC, DeRycke EC, Skanderson M, Crothers K, Haskell S, Bean-Mayberry B, Cain HC, Brandt C, Bastian LA, Akgün KM. Underutilization of Pulmonary Function Testing in Veterans Hospitalized for Chronic Obstructive Pulmonary Disease Exacerbation: Who are We Missing? COPD Journal Of Chronic Obstructive Pulmonary Disease 2020, 17: 15-21. PMID: 31948267, DOI: 10.1080/15412555.2019.1711036.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsAgedAged, 80 and overAlcoholismDelayed DiagnosisDisease ProgressionEthnicityFemaleHealth Services MisuseHospitalizationHumansLogistic ModelsMaleMiddle AgedOdds RatioPulmonary Disease, Chronic ObstructiveRespiratory Function TestsRetrospective StudiesRisk FactorsSex FactorsSmokersSmokingSubstance-Related DisordersUnited StatesUnited States Department of Veterans AffairsVeteransConceptsChronic obstructive pulmonary diseasePulmonary function testingDrug use disordersCurrent Procedural TerminologyUse disordersFunction testingChronic obstructive pulmonary disease exacerbationsVeterans Affairs Health Care SystemObstructive pulmonary disease exacerbationsLogistic regressionPulmonary disease exacerbationsObstructive pulmonary diseaseHistory of alcoholHealth care systemDisease exacerbationIndex hospitalizationCurrent smokersCOPD hospitalizationsPatient factorsPrimary outcomePulmonary diseaseRetrospective analysisInternational ClassificationMost veteransQuality care
2019
Women Veterans’ Experiences with Perceived Gender Bias in U.S. Department of Veterans Affairs Specialty Care
Mattocks K, Casares J, Brown A, Bean-Mayberry B, Goldstein KM, Driscoll M, Haskell S, Bastian L, Brandt C. Women Veterans’ Experiences with Perceived Gender Bias in U.S. Department of Veterans Affairs Specialty Care. Women's Health Issues 2019, 30: 113-119. PMID: 31735581, DOI: 10.1016/j.whi.2019.10.003.Peer-Reviewed Original ResearchMeSH KeywordsAdultFemaleHealth PersonnelHospitals, VeteransHumansInterviews as TopicMaleMiddle AgedPatient SatisfactionPrimary Health CareQualitative ResearchSexismUnited StatesUnited States Department of Veterans AffairsVeteransWomen's HealthConceptsSpecialty care providersPrimary care settingSpecialty careCare providersWomen veteransCare settingsVeterans AffairsWomen veterans' experiencesHealth clinicsHealth trainingWomen's Health TrainingMental health care settingsPrimary care providersWomen's health clinicQuality of careHealth care settingsPatient satisfactionSpecialty providersHormonal fluctuationsVA facilitiesVeterans' experiencesHealth conditionsCareSymptomsWomenSex Differences in Veterans Admitted to the Hospital for Chronic Obstructive Pulmonary Disease Exacerbation
Bade BC, DeRycke EC, Ramsey C, Skanderson M, Crothers K, Haskell S, Bean-Mayberry B, Brandt C, Bastian LA, Akgün KM. Sex Differences in Veterans Admitted to the Hospital for Chronic Obstructive Pulmonary Disease Exacerbation. Annals Of The American Thoracic Society 2019, 16: 707-714. PMID: 30822098, PMCID: PMC6543475, DOI: 10.1513/annalsats.201809-615oc.Peer-Reviewed Original ResearchMeSH KeywordsAdministration, InhalationAgedAsthmaBronchodilator AgentsComorbidityDisease ProgressionDrug CombinationsFemaleGlucocorticoidsHospitalizationHumansIntensive Care UnitsLogistic ModelsMaleMental DisordersMiddle AgedMultivariate AnalysisMuscarinic AntagonistsPatient ReadmissionPulmonary Disease, Chronic ObstructiveRespiration, ArtificialRespiratory Function TestsRetrospective StudiesRisk FactorsSex FactorsSmokingSmoking CessationSubstance-Related DisordersTobacco Use Cessation DevicesUnited StatesUnited States Department of Veterans AffairsVeteransConceptsPulmonary function testingCOPD exacerbationsSmoking statusReadmission riskFunction testingPsychiatric comorbidityChronic obstructive pulmonary disease exacerbationsChronic obstructive pulmonary disease (COPD) prevalenceObstructive pulmonary disease exacerbationsMultivariate logistic regression modelPulmonary disease exacerbationsNicotine replacement therapyRetrospective observational analysisTreatment of COPDDiagnosis of drugHigh smoking ratesLogistic regression modelsComprehensive case managementAntimuscarinic useDisease exacerbationReadmission ratesPrimary outcomeMedication prescriptionsCorticosteroid inhalersPrimary careRecommendations for the Evaluation of Cross-System Care Coordination from the VA State-of-the-art Working Group on VA/Non-VA Care
Mattocks KM, Cunningham K, Elwy AR, Finley EP, Greenstone C, Mengeling MA, Pizer SD, Vanneman ME, Weiner M, Bastian LA. Recommendations for the Evaluation of Cross-System Care Coordination from the VA State-of-the-art Working Group on VA/Non-VA Care. Journal Of General Internal Medicine 2019, 34: 18-23. PMID: 31098968, PMCID: PMC6542862, DOI: 10.1007/s11606-019-04972-1.Peer-Reviewed Original ResearchMeSH KeywordsContinuity of Patient CareDelivery of Health Care, IntegratedHealth Services AccessibilityHumansQuality of Health CareUnited StatesUnited States Department of Veterans AffairsVeterans HealthConceptsVeterans Choice ProgramNon-VA careCare coordinationVA careVA StateVA Health Services ResearchCommunity health systemHealth services researchHospital readmissionPatient complexityProvider satisfactionVeterans' accessCommunity providersHealth outcomesHealth systemCareVA researchersVeteransServices researchVAArt ConferenceProgram directorsWorking GroupRelevant literatureAccountability ActImproving Care Coordination for Veterans Within VA and Across Healthcare Systems
Cordasco KM, Hynes DM, Mattocks KM, Bastian LA, Bosworth HB, Atkins D. Improving Care Coordination for Veterans Within VA and Across Healthcare Systems. Journal Of General Internal Medicine 2019, 34: 1-3. PMID: 31098970, PMCID: PMC6542920, DOI: 10.1007/s11606-019-04999-4.Peer-Reviewed Original ResearchContinuity of Patient CareDelivery of Health Care, IntegratedHumansPatient-Centered CareQuality ImprovementUnited StatesUnited States Department of Veterans AffairsVeterans
2018
Factors Impacting Perceived Access to Early Prenatal Care among Pregnant Veterans Enrolled in the Department of Veterans Affairs
Mattocks KM, Baldor R, Bean-Mayberry B, Cucciare M, Gerber MR, Goldstein KM, Hammer KD, Hill EE, Kroll-Desrosiers A, Prochazka AV, Sadler AG, Bastian L. Factors Impacting Perceived Access to Early Prenatal Care among Pregnant Veterans Enrolled in the Department of Veterans Affairs. Women's Health Issues 2018, 29: 56-63. PMID: 30446330, DOI: 10.1016/j.whi.2018.10.001.Peer-Reviewed Original ResearchMeSH KeywordsAdultCohort StudiesCommunity Health ServicesFemaleHealth Services AccessibilityHumansLongitudinal StudiesMiddle AgedPregnancyPrenatal CareProspective StudiesQuality of Health CareSurveys and QuestionnairesUnited StatesUnited States Department of Veterans AffairsVeteransConceptsVeterans Choice ProgramEarly prenatal careHistory of depressionPrenatal carePregnant veteransMental health conditionsWomen veteransMultisite observational cohort studyHigh-quality prenatal careHealth conditionsObservational cohort studyMultivariable logistic regressionWeeks of pregnancyCare coordination servicesVA Medical CenterTimely prenatal carePosttraumatic stress disorderCommunity obstetriciansPostpartum veteransPregnancy surveyCohort studyPregnancy carePerinatal periodMedical CenterPerceived AccessDual Use of Department of Veterans Affairs and Medicare Benefits on High‐Risk Opioid Prescriptions in Veterans Aged 65 Years and Older: Insights from the VA Musculoskeletal Disorders Cohort
Chui PW, Bastian LA, DeRycke E, Brandt CA, Becker WC, Goulet JL. Dual Use of Department of Veterans Affairs and Medicare Benefits on High‐Risk Opioid Prescriptions in Veterans Aged 65 Years and Older: Insights from the VA Musculoskeletal Disorders Cohort. Health Services Research 2018, 53: 5402-5418. PMID: 30298672, PMCID: PMC6235820, DOI: 10.1111/1475-6773.13060.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsAgedAnalgesics, OpioidComorbidityCross-Sectional StudiesFemaleHumansInsurance Claim ReviewMaleMedicareMusculoskeletal DiseasesRacial GroupsRetrospective StudiesSeverity of Illness IndexSex FactorsUnited StatesUnited States Department of Veterans AffairsConceptsVeterans Health AdministrationOpioid prescriptionsHigh-risk opioid prescriptionsLong-term opioid therapyLong-term opioid useMultivariable logistic regressionMusculoskeletal disorder diagnosisMSD cohortOpioid therapyClinical characteristicsOpioid useVHA dataRetrospective analysisHealth AdministrationNational MedicareDisorder cohortDual useLogistic regressionDisorder diagnosisMedicareMedicare benefitsVeteransPrescriptionCohortAssociationUnderstanding Pain and Pain Treatment for Veterans: Responding to the Federal Pain Research Strategy
Bastian LA, Heapy A, Becker WC, Sandbrink F, Atkins D, Kerns RD. Understanding Pain and Pain Treatment for Veterans: Responding to the Federal Pain Research Strategy. Pain Medicine 2018, 19: s1-s4. PMID: 30203012, DOI: 10.1093/pm/pny143.Peer-Reviewed Original ResearchBiomedical ResearchHumansPainPain ManagementUnited StatesUnited States Department of Veterans AffairsVeteransVeterans HealthOpioid Use Among Veterans of Recent Wars Receiving Veterans Affairs Chiropractic Care
Lisi AJ, Corcoran KL, DeRycke EC, Bastian LA, Becker WC, Edmond SN, Goertz CM, Goulet JL, Haskell SG, Higgins DM, Kawecki T, Kerns RD, Mattocks K, Ramsey C, Ruser CB, Brandt CA. Opioid Use Among Veterans of Recent Wars Receiving Veterans Affairs Chiropractic Care. Pain Medicine 2018, 19: s54-s60. PMID: 30203014, DOI: 10.1093/pm/pny114.Peer-Reviewed Original ResearchMeSH KeywordsAdultAfghan Campaign 2001-Analgesics, OpioidCross-Sectional StudiesDrug PrescriptionsFemaleHumansIraq War, 2003-2011MaleManipulation, ChiropracticMiddle AgedOpioid-Related DisordersUnited StatesUnited States Department of Veterans AffairsVeteransConceptsOEF/OIF/OND veteransOpioid prescriptionsChiropractic visitsOpioid useChiropractic careOperations Enduring Freedom/Iraqi Freedom/New DawnMore opioid prescriptionsVA chiropractic servicesPercentage of veteransCross-sectional analysisOpioid receiptClinic visitsClinical characteristicsCurrent smokingSevere painChiropractic clinicChiropractic servicesVisitsHigher likelihoodVeteransPrescriptionCareFurther studiesAdministrative dataOne-thirdExamining Women Veteran’s Experiences, Perceptions, and Challenges With the Veterans Choice Program
Mattocks KM, Yano EM, Brown A, Casares J, Bastian L. Examining Women Veteran’s Experiences, Perceptions, and Challenges With the Veterans Choice Program. Medical Care 2018, 56: 557-560. PMID: 29768310, DOI: 10.1097/mlr.0000000000000933.Peer-Reviewed Original ResearchMeSH KeywordsContinuity of Patient CareEligibility DeterminationFemaleHumansInterviews as TopicMiddle AgedPerceptionUnited StatesUnited States Department of Veterans AffairsVeteransWomen's HealthConceptsVeterans Choice ProgramWomen veterans' experiencesVHA facilitiesWomen veteransVeterans Health Administration (VHA) careVeterans Affairs (VA) careImproved care coordinationCare coordination systemsHealth care systemCoordination of servicesCare coordinationMaternity careVHA providersCommunity providersCare resultsHealth servicesEligibility informationVeterans' experiencesCare systemCareWomenSemistructured interviewsVeteransChoice programsProviders