Assessing Workplace Perceptions of Military Veteran Compared to Nonveteran Employees

Qualitative methods were used to examine differences in workplace perceptions between military veteran and nonveteran employees at the Veterans Health Administration (VHA). Prior research using employee satisfaction survey data found veteran employees reported a stronger connection to the organizational mission yet were overall less satisfied than nonveteran employees. The authors examined the open-text comments from that same survey to determine whether veteran employees identified the reasons for their discontent and whether these were similar to nonveterans’ concerns. They found that in cases when veteran employees indicated dissatisfaction or concerns, favoritism/unfairness was an overarching theme in their comments, more so than for nonveterans. Pragmatically, given these findings, enhanced vocational strategies for veterans transitioning into civilian employment is one way to socialize them into the new requirements and thus improve veterans’ workplace perceptions. Another approach is to develop organizational leaders’ understanding of military skills and culture to enable a better use of veteran employees’ strengths at civilian jobs.</p

Early Policy Responses to the Human Papillomavirus Vaccine in the United States, 2006-2010

Purpose: To examine the policies state governments pursued and enacted across the United States in the 5-year period after the U.S. Food and Drug Administration licensed the human papillomavirus (HPV) vaccine in 2006, including the timing and number of bills introduced, the policies proposed, and the legislative success of HPV vaccine policy proposals. Methods: Content abstraction and analysis of state-level HPV vaccine-related bills across the 50 states and the District of Columbia introduced between 2006 and 2010. Results: All but five states (Alaska, Delaware, Idaho, New Hampshire, and Wyoming) introduced HPV vaccine bills between 2006 and 2010. Two-thirds of all bills were introduced in 2007. In all, 141 bills were introduced and 23% or 32 bills were enacted. Of the bills that were enacted, 43.8% provided information for parents and schools about the vaccine; 37.5% provided public financing for HPV vaccines; 34.4% were classified as other policies; 25% created awareness campaigns; 25% required private insurance coverage of the HPV vaccination; 12.5% included voluntary vaccination, and 9.4% mandated vaccination for school entry. One bill reversed prior mandatory vaccination policies. Overall, 91% of enacted HPV vaccine bills did not refer to mandated vaccinations but adopted alternate policy strategies in response to the availability of the new HPV vaccine. Conclusions: Nationwide, states responded to the new HPV vaccine by introducing policies designed to increase the availability of information about the vaccine, provide funding, and regulate private insurance coverage rather than require vaccination for school entry

Planning for chronic disease medications in disaster: perspectives from patients, physicians, pharmacists, and insurers.

BackgroundRecent US disasters highlight the current imbalance between the high proportion of chronically ill Americans who depend on prescription medications and their lack of medication reserves for disaster preparedness. We examined barriers that Los Angeles County residents with chronic illness experience within the prescription drug procurement system to achieve recommended medication reserves.MethodsA mixed methods design included evaluation of insurance pharmacy benefits, focus group interviews with patients, and key informant interviews with physicians, pharmacists, and insurers.Results and discussionMost prescriptions are dispensed as 30-day units through retail pharmacies with refills available after 75% of use, leaving a monthly medication reserve of 7 days. For patients to acquire 14- to 30-day disaster medication reserves, health professionals interviewed supported 60- to 100-day dispensing units. Barriers included restrictive insurance benefits, patients' resistance to mail order, and higher copay-ments. Physicians, pharmacists, and insurers also varied widely in their preparedness planning and collective mutual-aid plans, and most believed pharmacists had the primary responsibility for patients' medication continuity during a disaster.ConclusionsTo strengthen prescription drug continuity in disasters, recommendations include the following: (1) creating flexible drug-dispensing policies to help patients build reserves, (2) training professionals to inform patients about disaster planning, and (3) building collaborative partnerships among system stakeholders