improves surrogate goals, such
as cholesterol levels, blood pressures, hemoglobin A1c, or medication adherence as well as harder
outcomes, such as risk of cardiovascular outcomes, diabetic
complications, and mortality.
The questionnaire was used at only
1 health care system within the
VA. Whether it could be generalizable to PCPs with other baseline
demographic information, non-VA facilities, or even other VA facilities, is not known. Since this
survey was administered to PCPs,
the authors also do not know the
impact of implementing the PHI in
Although the concept of the PHI
is favored by the majority of PCPs
within VACHS, significant barriers, the most common being time
constraints, need to be overcome
before it is widely adopted. Implementation of novel collaborative
systems of PHI administration may
The authors report no actual or potential conflicts of interest with regard to
The opinions expressed herein are those
of the authors and do not necessarily
reflect those of Federal Practitioner,
Frontline Medical Communications
Inc., the U.S. Government, or any of its
1. U.S. Department of Veterans Affairs.VA patient centered
Updated March 3, 2016. Accessed March 30, 2017.
2. U.S. Department of Veterans Affairs. MyStory:
personal health inventory. http://www.va.gov
-inventory-final-508.pdf. Published October 7, 2013.
Accessed March 30, 2017.
3. Martin LR, Williams SL, Haskard KB, Dimatteo MR.
The challenge of patient adherence. Ther Clin Risk
Manag. 2005;1( 3):189-199.
4. Nieuwlaat R, Wilczynski N, Navarro T, et al. Interventions for enhancing medication adherence. Cochrane
Database Syst Rev. 2014;( 11):CD000011.
5. Iuga AO, McGuire MJ. Adherence and health care
costs. Risk Manag Healthc Policy. 2014;7: 35-44.
6. Viswanathan M, Golin CE, Jones CD, et al. Interventions
to improve adherence to self-administered medications
for chronic diseases in the United States: a systematic
review. Ann Intern Med. 2012;157( 11):785-795.
7. Simmons LA, Drake CD, Gaudet TW, Snyderman R.
Personalized health planning in primary care settings.
Fed Pract. 2016; 33(1): 27-34.
CALL FOR MANUSCRIPTS
Federal Practitioner welcomes submissions on all aspects of
federal health care, including clinical reviews and original research.
We are especially interested in the following topics:
• Allergy and
• Chronic obstructive
• Diabetes mellitus
• Geriatrics and
• Kidney disease
• Mental health
• Substance abuse
• Traumatic brain
To submit a manuscript, go to: http://www.editorialmanager.com/fedprac
For submission requirements, see the Submission Guidelines at http://www.fedprac.com.