Application of Whole Health Using the Donabedian Model During COVID-19 at Veteran Administration Facilities

Primary Author

Lynnsey Boldt

Faculty Mentor

Dr. Christine Booker


Veterans Affairs is a specialized form of healthcare as it is dedicated to those who have provided military service and those affiliated with them. The aim of this project is to define three forms of healthcare administration; holistic health, person centered care, and whole health, and identify the practice at the VA. The Donabedian model is made up of three measures (structure, process, and outcome) and will be used to analyze the application of the Veterans Affairs administration of health care (Whole Health). Whole health embodies health in all areas (physical, social, emotional, and spiritual) and gives the patient the power to be in charge of their own care. The goal is that allowing the patient to be at the center will increase their quality of life. Donabedian’s structure measure is the process a facility will instrument to provide high quality care and is the basis for the process measure (what a facility will do to implement high quality care) and the outcome measure (the impact the care will have on the patient). This project seeks to identify what stages of the Donabedian Model continued to be assessed at the flagship sites during Covid-19. The Donabedian’s structure measure continued to be implemented through a patient’s assessment of eight areas of self-care termed the personal health inventory. It is unclear how the VA will follow through with the patient’s personal health inventory to achieve goals and facilitate a better quality of life beyond that during the COVID 19 pandemic. More research will need to be done to identify how the process and outcomes will be achieved.



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