Veterans’ Experiences With Outpatient Care: Comparing The Veterans Affairs System With Community-Based Care

Vanneman, Megan E.; Shwartz, Michael; Meterko, Mark; Francis, Joseph; Greenstone, Clinton L.; Rosen, Amy K.

doi:10.1377/hlthaff.2019.01375

Cited by 40 publications

(58 citation statements)

References 20 publications

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“…This result may reflect the positive relationship that Veterans have with their VAF primary care providers; prior research has shown better patient experience among Veterans receiving primary care at VA compared with in the community for communication, coordination and provider ratings. 12 , 13 It is possible that Veterans value the ability to use technologies such as secure messaging and telehealth modalities to communicate and interact with their VAF providers between visits. Our findings are also in line with prior research during the first year of VCP, which found that Veterans who used some VA community outpatient care were still very likely to stick with their VA primary care provider.…”

Section: Discussionmentioning

confidence: 99%

“…Our findings are also in line with prior research during the first year of VCP, which found that Veterans who used some VA community outpatient care were still very likely to stick with their VA primary care provider. 5 Monitoring these trends, especially gauging experiences of both patients and primary care providers in VAF and VA-CCN, 13 is vital to ensuring the implementation of community care is aligned with patient and provider needs.…”

Section: Discussionmentioning

confidence: 99%

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Veterans’ Use of Veterans Health Administration Primary Care in an Era of Expanding Choice

et al. 2021

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Background: The Veterans Choice Program (VCP), aimed at improving access to care, included expanded options for Veterans to receive primary care through community providers. Objectives: The objective of this study was to characterize and compare Veterans use of Veterans Health Administration (VA) primary care services at VA facilities and through a VA community care network (VA-CCN) provider. Research Design: This was a retrospective, observational over fiscal years (FY) 2015–2018. Subjects: Veterans receiving primary care services paid for by the VA. Measures: Veteran demographic, socioeconomic and clinical factors and use of VA primary care services under the VCP each year. Results: There were 6.3 million Veterans with >54 million VA primary care visits, predominantly (98.5% of visits) at VA facility. The proportion of VA-CCN visits increased in absolute terms from 0.7% in 2015 to 2.6% in 2018. Among Veterans with any VA-CCN primary care, the proportion of VA-CCN visits increased from 22.6% to 55.3%. Logistic regression indicated that Veterans who were female, lived in rural areas, had a driving distance >40 miles, had health insurance or had a psychiatric/depression condition were more likely to receive VA-CCN primary care. Veterans who were older, identified as Black race, required to pay VA copayments, or had a higher Nosos score, were less likely to receive VA-CCN primary care. Conclusion: As the VA transitions from the VCP to MISSION and VA facilities gain experience under the new contracts, attention to factors that impact Veterans’ use of primary care services in different settings are important to monitor to identify access barriers and to ensure Veterans’ health care needs are met.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Veterans’ Use of Veterans Health Administration Primary Care in an Era of Expanding Choice

et al. 2021

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“…(See Supplementary Materials [A] for the individual items included in each composite, Supplemental Digital Content 1, http://links.lww.com/MLR/C232 ). As in Vanneman et al’s study, 7 we used composite measures versus individual items to allow greater comparability since there were slight differences across surveys in the wording of individual questions. We averaged individual items to create the composite measures.…”

Section: Methodsmentioning

confidence: 99%

Rural Veterans’ Experiences With Outpatient Care in the Veterans Health Administration Versus Community Care

et al. 2021

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“…5 Satisfaction with VA care is at an all-time high, with veterans rating VA care better than community care in 3 of 4 categories: Overall provider rating, communication, and coordination. 6 The comprehensive care offered by the VA includes a multidisciplinary patient-aligned care team (PACT) of primary care providers, pharmacists, social workers, nurses, and dieticians who focus on whole health care and lifelong health and wellness. Homebased primary care and telehealth services have expanded access to care, especially in rural areas.…”

Section: Contents Lists Available At Sciencedirectmentioning

confidence: 99%

Do Veterans Need Access to Care Outside Veterans Administration Facilities?

Gardenier¹,

Siegel²,

Ballard-Hernandez³

2021

The Journal for Nurse Practitioners

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Veterans’ Experiences With Outpatient Care: Comparing The Veterans Affairs System With Community-Based Care

Cited by 40 publications

References 20 publications

Veterans’ Use of Veterans Health Administration Primary Care in an Era of Expanding Choice

Veterans’ Use of Veterans Health Administration Primary Care in an Era of Expanding Choice

Rural Veterans’ Experiences With Outpatient Care in the Veterans Health Administration Versus Community Care

Do Veterans Need Access to Care Outside Veterans Administration Facilities?

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