Publications by authors named "W Neil Steers"

Two separate wildfires in different Los Angeles communities illustrate the disparate effects of and recovery from wildfires. Our comparison of patient and community characteristics of Veterans living in the affected areas related to social vulnerability identified specific vulnerabilities, and can inform policy levers to support more equitable disaster response and recovery efforts.

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Maintaining primary care during disasters is crucial for mitigating health impacts. Telehealth can facilitate continuity but is often underutilized. The Veteran's Health Administration (VA) rapidly increased telehealth capacity in 2020, but the impact on disaster telehealth utilization remains unknown.

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Objective: To examine primary care (PC) team members' characteristics associated with video use at the Veterans Health Administration (VA).

Methods: VA electronic data were used to identify PC team characteristics associated with any video-based PC visit, during the three-year study period (3/15/2019-3/15/2022). Multilevel mixed-effects logistic regression models on repeated yearly observations were used, adjusting for patient- and healthcare system-level characteristics, and study year.

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Objective: To evaluate racial and ethnic differences in patient experience among VA primary care users at the Veterans Integrated Service Network (VISN) level.

Data Source And Study Setting: We performed a secondary analysis of the VA Survey of Healthcare Experiences of Patients-Patient Centered Medical Home for fiscal years 2016-2019.

Study Design: We compared 28 patient experience measures (six each in the domains of access and care coordination, 16 in the domain of person-centered care) between minoritized racial and ethnic groups (American Indian or Alaska Native [AIAN], Asian, Black, Hispanic, Multi-Race, Native Hawaiian or Other Pacific Islander [NHOPI]) and White Veterans.

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Article Synopsis
  • - The study compared state veterans homes (SVHs) and community nursing homes (CNHs) during the COVID-19 pandemic, focusing on infection rates and mortality outcomes across the U.S.
  • - Results indicated that SVHs had 18% fewer COVID-19 cases but 25% higher death rates than CNHs, with significant geographical trends observed in infection and mortality rates, particularly in Midwestern and Southern states.
  • - Despite higher mortality risk in SVHs, they recorded fewer extreme cases of infection and mortality compared to CNHs, suggesting variations in how these facilities managed COVID-19 challenges.
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