ArticleHealth services research2010
Comparison of health outcomes for male seniors in the Veterans Health Administration and Medicare Advantage plans.
Article in Health services research, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Comparing VA and Non-VA Quality of Care: A Systematic Review.Journal of general internal medicine · 2017Pooled it
- Effect of Intensive Blood-Pressure Treatment on Patient-Reported Outcomes.The New England journal of medicine · 2017Trial
- Veterans' Motivation, Preference, and Feedback After Completing a Novel Physical Therapy Treatment.Journal of aging and physical activity · 2025Article
- The Impact of Executive Function on Retention and Compliance in Physical Therapy in Veterans.Archives of rehabilitation research and clinical translation · 2024Article
- Feasibility and Preliminary Efficacy of Virtual Rehabilitation for Middle and Older Aged Veterans With Mobility Limitations: A Pilot Study.Archives of rehabilitation research and clinical translation · 2024Article
- The Live Long Walk Strong Rehabilitation Program Study: Design and Methods.Archives of rehabilitation research and clinical translation · 2022Article
- Social Characteristics, Health, and Mortality Among Male Centenarians Using Veterans Affairs (VA) Health Care.Research on aging · 2022Article
- Reliance on Medicare Providers by Veterans after Becoming Age-Eligible for Medicare is Associated with the Use of More Outpatient Services.Health services research · 2018Article
- Reliability & validity of the LIBRE Profile.Burns : journal of the International Society for Burn Injuries · 2018Article
- Renal Replacement Therapy and Incremental Hemodialysis for Veterans with Advanced Chronic Kidney Disease.Seminars in dialysis · 2017Review
- Racial and Ethnic Differences in Satisfaction with Care Coordination Among VA and non-VA Medicare Beneficiaries.Health equity · 2017Article
- Unhealthy alcohol use in older adults: Association with readmissions and emergency department use in the 30 days after hospital discharge.Drug and alcohol dependence · 2016Article
- Variation in use of echocardiography among veterans who use the Veterans Health Administration vs Medicare.American heart journal · 2015Article
- Linking Physical and Mental Health Summary Scores from the Veterans RAND 12-Item Health Survey (VR-12) to the PROMIS(®) Global Health Scale.Journal of general internal medicine · 2015Article
- Geographic variation in cancer-related imaging: Veterans Affairs health care system versus Medicare.Annals of internal medicine · 2014Observational
- Patient preference and contraindications in measuring quality of care: what do administrative data miss?Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2013Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo compare the Veterans Health Administration (VHA) with the Medicare Advantage (MA) plans with regard to health outcomes. DATA SOURCES: The Medicare Health Outcome Survey, the 1999 Large Health Survey of Veteran Enrollees, and the Ambulatory Care Survey of Healthcare Experiences of Patients (Fiscal Years 2002 and 2003). STUDY
designA retrospective study. EXTRACTION
methodsMen 65+ receiving care in MA (N=198,421) or in VHA (N=360,316). We compared the risk-adjusted probability of being alive with the same or better physical (PCS) and mental (MCS) health at 2-years follow-up. We computed hazard ratio (HR) for 2-year mortality. PRINCIPAL
findingsVeterans had a higher adjusted probability of being alive with the same or better PCS compared with MA participants (VHA 69.2 versus MA 63.6 percent, p<.001). VHA patients had a higher adjusted probability than MA patients of being alive with the same or better MCS (76.1 versus 69.6 percent, p<.001). The HRs for mortality in the MA were higher than in the VHA (HR, 1.26 [95 percent CI 1.23-1.29]).
conclusionsOur findings indicate that the VHA has better patient outcomes than the private managed care plans in Medicare. The VHA's performance offers encouragement that the public sector can both finance and provide exemplary health care.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.