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The work was prepared for the Office of Women’s Health, Veterans Health Administration, Department of Veterans Affairs, and funded by the same office. Findings are based on program evaluation analyses conducted by the Women’s Health Evaluation Initiative at the VA Palo Alto Health Care System, with results reflecting author responsibility rather than official agency positions.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":40,"@type":76,"position":81},"https://docshare.wps.com/document/research-report/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/sourcebook-vol-5-women-veterans-in-the-veterans-health-administration-longitudinal-trends-in-sociodemographics-and-utilization/295454/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/sourcebook-vol-5-women-veterans-in-the-veterans-health-administration-longitudinal-trends-in-sociodemographics-and-utilization/295454.png","ImageObject",300,407,{"name":92,"@type":93},"Bulrr","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-09","2026-09-18",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",13,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What is the document’s main focus in Volume 5?","Question",{"text":113,"@type":114},"It examines longitudinal trends in sociodemographics and health care utilization among women Veterans, including care type, modality, and source of care.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"Who prepared the sourcebook and for whom?",{"text":118,"@type":114},"Women’s Health Evaluation Initiative (WHEI) prepared it for the Office of Women’s Health, Veterans Health Administration, Department of Veterans Affairs.",{"name":120,"@type":111,"acceptedAnswer":121},"What is the basis for the reported findings?",{"text":122,"@type":114},"The findings are based on program evaluation analyses conducted by WHEI at the VA Palo Alto Health Care System in Palo Alto, California.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},295454,1790194711,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":39,"category_name":40,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":140,"language":141,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":142,"faqs":143,"seo_title":144,"seo_description":67,"update_tm":145,"read_time":146,"preview_page_count":147,"preview_urls":148},5909892115043,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","Sourcebook ★ Vol. 5  \nSourcebook: Women Veterans in the Veterans Health Administration  \nVolume 5: Longitudinal Trends in Sociodemographics and Utilization, including Type, Modality, and Source of Care  \nWomen’s Health Evaluation Initiative (WHEI) Center for Innovation to Implementation (Ci2i)  \nVA Palo Alto Health Care System Palo Alto, CA  \nOffice of Women’s Health Veterans Health Administration Department of Veteran Affairs Washington, DC  \nJune 2024  \nSourcebook:  \nWomen Veterans in the Veterans Health Administration  \nVolume 5: Longitudinal Trends in Sociodemographics and Utilization, Including Type, Modality, and Source of Care  \nPrepared for:  \nOffice of Women’s Health  \nVeterans Health Administration  \nDepartment of Veterans Affairs  \n810 Vermont Ave., NW  \nWashington, DC 20420  \nPrepared by:  \nWomen’s Health Evaluation Initiative (WHEI):  \nJessica Y. Breland, PhD, Senior Program Analyst*  \nSusan M. Frayne, MD, MPH, WHEI Director*  \nFay Saechao, MPH, Program Manager*  \nKritee Gujral, PhD, MA, Senior Technical Writer  \nAnita A. Vashi, MD, MPH, MHS, Senior Technical Writer  \nJonathan G. Shaw, MD, MS, Senior Technical Writer  \nKayla M. Gray, MA, Technical Writer  \nSamantha S. Illarmo, MPH, Technical Writer  \nTracy Urech, MPH, Technical Writer  \nNicole Grant, MD, Senior Clinical Consultant  \nEric Berg, MS, Senior Data Analyst  \nClaudine Offer, MPH, Data Analyst  \nSirishaVeldanda, MPH, Data Analyst  \nLena Schoemaker, MS, Data Analyst  \nAaron L. Dalton, MA, MSW, Data Analyst  \nAryan Esmaeili, MD, PhD, Data Analyst  \nCiaran S. Phibbs, PhD, WHEI Associate Director  \nOffice of Women’s Health  \nPatricia M. Hayes, PhD, Chief Officer Emerita  \nSally Haskell, MD, MS, Acting Chief Officer  \n* Equal first authors  \nRecommended citation: Breland JY, Frayne SM, Saechao F, Gujral K, Vashi AA, Shaw JG, Gray KM, Illarmo SS, UrechT, Grant N, Berg E, Offer C, Veldanda S, Schoemaker L, Dalton AL, Esmaeili A, Phibbs CS, Hayes PM, Haskell S. Sourcebook: Women Veterans in the Veterans Health Administration. Volume 5: Longitudinal Trends in Sociodemographics and Utilization, Including Type, Modality, and Source of Care. Women’s Health Evaluation Initiative, Office of Women’s Health, Veterans Health Administration, Department of Veterans Affairs, Washington DC. June 2024.  \nAcknowledgements: In addition to our appreciation to the groups acknowledged in prior volumes ofthe Sourcebook who contributed to the development of variable algorithms that continue to be used herein, the current Sourcebook also benefited from consultations with Michael D. Visconage and Robyn Rodgers of theVA History Office; Daniel Palmeri ofVHA’s Office of Rural Health; Sommer Kohlhoff of VHA’s Office of Connected Care –Telehealth; Michelle M. Mengeling, PhD, MS; Anne G. Sadler, PhD, RN; Aimee Sanders, MD, MPH; and Megan Vanneman, PhD, MPH. Last, we express our appreciation to other contributors who helped in the development of the Sourcebook, including Quy Vu, MA; Lakshmi Ananth, MS; Vilija R. Joyce, MS; Samina Iqbal, MD; Amanda M. Johnson, MD, FACOG; Chelsea Morgan, MD; Alicia Y. Christy, MD, MHSCR; Nancy Maher, PhD; Kristin Haeger, MPH, MAT; and Elizabeth W. Patton, MD, MPhil, MSc.  \nOur deepest gratitude goes to the women Veterans who have served our country across the generations.  \nThis report is based on program evaluation analyses conducted by the Women’s Health Evaluation Initiative at the VA Palo Alto Health Care System in Palo Alto, California. This work was funded by Office of Women’s Health, Veterans Health Administration, Department of Veterans Affairs. The findings and conclusions in this document are those of the authors who are responsible for its contents and do not necessarily represent the views of the Department of Veterans Affairs or the United States government. Therefore, no statement in this document should be construed as an official position of the Department of Veterans Affairs.  \nAll images contained in this report feature real women Veterans (wi","cbCaijq3k7osaYW0","https://ap.wps.com/l/cbCaijq3k7osaYW0","pdf",6579362,176,"English","# Executive Summary\n## Key Findings and Implications\n## Temporal Changes in Sociodemographic and Geographic Characteristics\n## Women VHA Users\n## Age\n## Race/Ethnicity\n## Urban/Rural Status\n## Service-connected Disability Rating\n## Health Care System-Level Growth\n## Temporal Changes in VHA User Status\n## Use of VHA and VA-purchased Community Care (VACC)\n## Location of care: VHA Facility-based vs. VA-purchased Community Care (VACC)\n## Conditions seen in VA-purchased Community Care Settings\n## Modality of Care\n## Type of Care\n## Emergency Department and Urgent Care\n## VHA-Covered Births\n## Endnotes\n# 1. Introduction\n## Background\n## Comment regarding the use of the phrase “women Veterans”\n## Methods\n## Endnotes","[{\"question\":\"What is the document’s main focus in Volume 5?\",\"answer\":\"It examines longitudinal trends in sociodemographics and health care utilization among women Veterans, including care type, modality, and source of care.\"},{\"question\":\"Who prepared the sourcebook and for whom?\",\"answer\":\"Women’s Health Evaluation Initiative (WHEI) prepared it for the Office of Women’s Health, Veterans Health Administration, Department of Veterans Affairs.\"},{\"question\":\"What is the basis for the reported findings?\",\"answer\":\"The findings are based on program evaluation analyses conducted by WHEI at the VA Palo Alto Health Care System in Palo Alto, California.\"}]","Sourcebook - Vol. 5 - Women Veterans in the Veterans Health Administration - Longitudinal Trends in Sociodemographics and Utilization | PDF",1789719110,444,18,[149,153,157,161,165,169,173,177,181,185,189,194,199,203,208,213,218,223],{"page_no":8,"url":150,"width":151,"height":152},"https://res-academy.cache.wpscdn.com/upload/kdocshare/2026-11-08/4c94fd6610fef016b03e73d1d66a200f.webp",983,1272,{"page_no":14,"url":154,"width":155,"height":156},"https://res-academy.cache.wpscdn.com/upload/kdocshare/2026-11-08/cd6eb6c74f13fed628dfb1406cb261ab.webp",982,1270,{"page_no":81,"url":158,"width":159,"height":160},"https://res-academy.cache.wpscdn.com/upload/kdocshare/2026-11-08/ba1521ce6580f0bbe99a75baf2d0c07b.webp",981,1269,{"page_no":19,"url":162,"width":163,"height":164},"https://res-academy.cache.wpscdn.com/upload/kdocshare/2026-11-08/2ff3a57297f16ade5550af529deabd14.webp",980,1268,{"page_no":24,"url":166,"width":167,"height":168},"https://res-academy.cache.wpscdn.com/upload/kdocshare/2026-11-08/f8b6c888408f397517e9791fd6d6096f.webp",979,1267,{"page_no":29,"url":170,"width":171,"height":172},"https://res-academy.cache.wpscdn.com/upload/kdocshare/2026-11-08/f42efe220ff116d8ff9194431d8c6423.webp",978,1265,{"page_no":34,"url":174,"width":175,"height":176},"https://res-academy.cache.wpscdn.com/upload/kdocshare/2026-11-08/659bcd8425117bd6a31f2976acba8549.webp",977,1264,{"page_no":39,"url":178,"width":179,"height":180},"https://res-academy.cache.wpscdn.com/upload/kdocshare/2026-11-08/d218a4a974ebc2d84afdef4982818db0.webp",976,1263,{"page_no":44,"url":182,"width":183,"height":184},"https://res-academy.cache.wpscdn.com/upload/kdocshare/2026-11-08/c6eb8ac6009081f230f5de9b9f424970.webp",975,1261,{"page_no":52,"url":186,"width":187,"height":188},"https://res-academy.cache.wpscdn.com/upload/kdocshare/2026-11-08/1d30401db4e62ec7ad0974e8b32ed537.webp",974,1260,{"page_no":190,"url":191,"width":192,"height":193},11,"https://res-academy.cache.wpscdn.com/upload/kdocshare/2026-11-08/daa63a8e5f3a26a16739c1916b6f87dc.webp",973,1259,{"page_no":195,"url":196,"width":197,"height":198},12,"https://res-academy.cache.wpscdn.com/upload/kdocshare/2026-11-08/3834b90b7da12b632d0e0cbd304cac79.webp",972,1257,{"page_no":105,"url":200,"width":201,"height":202},"https://res-academy.cache.wpscdn.com/upload/kdocshare/2026-11-08/8d108f9c9159129b7f7d68f31559acf4.webp",971,1256,{"page_no":204,"url":205,"width":206,"height":207},14,"https://res-academy.cache.wpscdn.com/upload/kdocshare/2026-11-08/bef70d9d0e0b7799d8668d705ca811c0.webp",970,1255,{"page_no":209,"url":210,"width":211,"height":212},15,"https://res-academy.cache.wpscdn.com/upload/kdocshare/2026-11-08/c0ecb77d8214701690633b6061a54c1b.webp",969,1254,{"page_no":214,"url":215,"width":216,"height":217},16,"https://res-academy.cache.wpscdn.com/upload/kdocshare/2026-11-08/3f2bd50b64ccc23acabc663a51b979d2.webp",968,1252,{"page_no":219,"url":220,"width":221,"height":222},17,"https://res-academy.cache.wpscdn.com/upload/kdocshare/2026-11-08/6f5a8d78ba4f949299394c0e07049903.webp",967,1251,{"page_no":147,"url":224,"width":225,"height":226},"https://res-academy.cache.wpscdn.com/upload/kdocshare/2026-11-08/3245174bf8a9b6a7ac4114ecd707690e.webp",966,1250]