Addressing challenges and barriers to rural Veteran participation in clinical research within the Veterans Affairs healthcare system
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View abstract on PubMed
Summary
This summary is machine-generated.Conducting clinical research at rural facilities is difficult. The VA Cooperative Studies Program (CSP) developed the ACCESS initiative to improve clinical research capacity at rural VA Medical Centers (VAMCs).
Area Of Science
- Clinical research operations
- Healthcare systems research
- Rural health disparities
Background
- Clinical research execution is challenging in rural and lower complexity medical facilities compared to larger institutions.
- Barriers include isolation, resource limitations, participant enrollment difficulties, and staff retention issues.
- The U.S. Department of Veterans Affairs (VA) seeks to enhance its research infrastructure across its integrated healthcare system.
Purpose Of The Study
- To address challenges in conducting clinical research at rural/lower complexity VA Medical Centers (VAMCs).
- To describe the VA Cooperative Studies Program (CSP) "Advancing Capacity for Clinical Research through Engagement with Strategic Sites (ACCESS)" initiative.
- To report on the successes, challenges, and lessons learned during the pilot implementation of the ACCESS initiative.
Main Methods
- Development and implementation of a pilot plan by the CSP ACCESS Workgroup (AW).
- Focus on engaging rural/lower complexity VAMCs as strategic sites for CSP clinical research.
- Utilized feedback from a subset of VAMCs to inform the enterprise-level strategy.
Main Results
- The ACCESS initiative pilot plan was developed and implemented.
- Engagement strategies for rural/lower complexity VAMCs were tested.
- Initial successes, challenges, and lessons learned were documented during the pilot phase.
Conclusions
- A comprehensive, enterprise-level strategy is needed to support clinical research at rural/lower complexity VAMCs.
- The CSP ACCESS initiative provides a framework for improving research capacity within the VA.
- Lessons learned from the pilot will inform future efforts to expand clinical research participation at diverse VA sites.
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