{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T05:31:57Z","timestamp":1791437517604,"version":"4.3.3"},"reference-count":15,"publisher":"Springer Science and Business Media LLC","issue":"S2","license":[{"start":{"date-parts":[[2013,6,27]],"date-time":"2013-06-27T00:00:00Z","timestamp":1372291200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/2.0"},{"start":{"date-parts":[[2013,6,27]],"date-time":"2013-06-27T00:00:00Z","timestamp":1372291200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/2.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J GEN INTERN MED"],"published-print":{"date-parts":[[2013,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n          <jats:sec>\n            <jats:title>BACKGROUND<\/jats:title>\n            <jats:p>More women are using Veterans\u2019 Health Administration (VHA) Emergency Departments (EDs), yet VHA ED capacities to meet the needs of women are unknown.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>OBJECTIVE<\/jats:title>\n            <jats:p>We assessed VHA ED resources and processes for conditions specific to, or more common in, women Veterans.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>DESIGN\/SUBJECTS<\/jats:title>\n            <jats:p>Cross-sectional questionnaire of the census of VHA ED directors<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>MAIN MEASURES<\/jats:title>\n            <jats:p>Resources and processes in place for gynecologic, obstetric, sexual assault and mental health care, as well as patient privacy features, stratified by ED characteristics.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>KEY RESULTS<\/jats:title>\n            <jats:p>All 120 VHA EDs completed the questionnaire. Approximately nine out of ten EDs reported having gynecologic examination tables within their EDs, 24\/7 access to specula, and Gonorrhea\/Chlamydia DNA probes. All EDs reported 24\/7 access to pregnancy testing. Fewer than two-fifths of EDs reported having radiologist review of pelvic ultrasound images available 24\/7; one-third reported having emergent consultations from gynecologists available 24\/7. Written transfer policies specific to gynecologic and obstetric emergencies were reported as available in fewer than half of EDs. Most EDs reported having emergency contraception 24\/7; however, only approximately half reported having Rho(D) Immunoglobulin available 24\/7. Templated triage notes and standing orders relevant to gynecologic conditions were reported as uncommon. Consistent with VHA policy, most EDs reported obtaining care for victims of sexual assault by transferring them to another institution. Most EDs reported having some access to private medical and mental health rooms. Resources and processes were found to be more available in EDs with more encounters by women, more ED staffed beds, and that were located in more complex facilities in metropolitan areas.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>CONCLUSIONS<\/jats:title>\n            <jats:p>Although most VHA EDs have resources and processes needed for delivering emergency care to women Veterans, some gaps exist. Studies in non-VA EDs are required for comparison. Creative solutions are needed to ensure that women presenting to VHA EDs receive efficient, timely, and consistently high-quality care.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s11606-012-2327-7","type":"journal-article","created":{"date-parts":[[2013,6,26]],"date-time":"2013-06-26T18:49:01Z","timestamp":1372272541000},"page":"583-590","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["An Inventory of VHA Emergency Departments\u2019 Resources and Processes for Caring for Women"],"prefix":"10.1007","volume":"28","author":[{"given":"Kristina M.","family":"Cordasco","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurie C.","family":"Zephyrin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chad S.","family":"Kessler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meri","family":"Mallard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ismelda","family":"Canelo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa V.","family":"Rubenstein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth M.","family":"Yano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2013,6,27]]},"reference":[{"key":"2327_CR1","unstructured":"Frayne SM, Phibbs C, Friedman SA, et al. Sourcebook: Women Veterans in the Veterans Health Administration. Volume 1. Sociodemographic Characteristics and Utilization of VHA Care. Washington DC: Department of Veterans Affairs; 2010."},{"issue":"2","key":"2327_CR2","doi-asserted-by":"publisher","first-page":"267","DOI":"10.1089\/jwh.2008.1262","volume":"19","author":"SG Haskell","year":"2010","unstructured":"Haskell SG, Gordon KS, Mattocks K, et al. Gender differences in rates of depression, PTSD, pain, obesity, and military sexual trauma among Connecticut War Veterans of Iraq and Afghanistan. J Women\u2019s Health (Larchmt). 2010;19(2):267\u2013271.","journal-title":"J Women\u2019s Health (Larchmt)"},{"key":"2327_CR3","volume-title":"Prevalence, Incidence and Consequences of Violence Against Women Findings From the National Violence Against Women Survey","author":"P Tjaden","year":"1998","unstructured":"Tjaden P, Thoennes N. Prevalence, Incidence and Consequences of Violence Against Women Findings From the National Violence Against Women Survey. Washington, DC: Department of Justice, National Institute of Justice; 1998. NCJ 172837."},{"issue":"3","key":"2327_CR4","doi-asserted-by":"publisher","first-page":"291","DOI":"10.1177\/088626000015003005","volume":"15","author":"KM Skinner","year":"2000","unstructured":"Skinner KM, Kressin N, Frayne S, et al. The prevalence of military sexual assault among female Veterans\u2019 Administration outpatients. J Interpers Viol. 2000;15(3):291\u2013310.","journal-title":"J Interpers Viol"},{"issue":"3","key":"2327_CR5","doi-asserted-by":"publisher","first-page":"133","DOI":"10.1016\/j.whi.2005.12.003","volume":"16","author":"DL Washington","year":"2006","unstructured":"Washington DL, Yano EM, Goldzweig C, Simon B. VA emergency health care for women: \u2013critical or stable? 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Emergency Department Planning and Resource Guidelines. 2007. http:\/\/www.acep.org\/policystatements\/, accessed Nov 12th, 2012."},{"issue":"3","key":"2327_CR11","doi-asserted-by":"publisher","first-page":"683","DOI":"10.1016\/j.emc.2004.04.016","volume":"22","author":"MJ Lambert","year":"2004","unstructured":"Lambert MJ, Villa M. Gynecologic ultrasound in emergency medicine. 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