ArticleHealth services research2010
Use of outpatient care in Veterans Health Administration and Medicare among veterans receiving primary care in community-based and hospital outpatient clinics.
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 56 papers.
What it found
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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.
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Who cites it
56 citing papers in PubMed, 96 citations in OpenAlex.
- Effectiveness of Implementing a Collaborative Chronic Care Model for Clinician Teams on Patient Outcomes and Health Status in Mental Health: A Randomized Clinical Trial.JAMA network open · 2019Trial
- Use of VA Facility and VA-Purchased Behavioral Health Services Among Post-9/11 Veterans With and Without Traumatic Brain Injury.The Journal of head trauma rehabilitation · 2026Article
- Article
- Quality of Care in Veterans Affairs Health Care System In-Person and National TeleOncology Service-Delivered Care.JCO oncology practice · 2025Article
- Investigation of the role of perceived access to primary care in mediating and moderating racial and ethnic disparities in chronic disease control in the veterans health administration.Health services research · 2024Article
- Characteristics of Veterans Experiencing Homelessness using Telehealth for Primary Care Before and After COVID-19 Pandemic Onset.Journal of general internal medicine · 2024Article
- Inhaler Formulary Change in COPD and the Association with Exacerbations, Health Care Utilization, and Costs.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2024Article
- Primary care provider perspectives on virtual and in-person depression management during the COVID-19 pandemic.Families, systems & health : the journal of collaborative family healthcare · 2023Article
- Guideline-discordant inhaler regimens after COPD hospitalization: associations with rurality, drive time to care, and fragmented care - a United States cohort study.Lancet regional health. Americas · 2023Article
- Dual utilization of Medicare and VA outpatient care among Veterans with spinal cord injuries and disorders.The journal of spinal cord medicine · 2023Observational
- Veterans Health Administration National TeleOncology Service.JCO oncology practice · 2023Article
- Rates of Primary Care and Integrated Mental Health Telemedicine Visits Between Rural and Urban Veterans Affairs Beneficiaries Before and After the Onset of the COVID-19 Pandemic.JAMA network open · 2023Article
- Differences Between VHA-Delivered and VHA-Purchased Behavioral Health Care in Service and Patient Characteristics.Psychiatric services (Washington, D.C.) · 2023Article
- Outpatient care fragmentation in Veterans Affairs patients at high-risk for hospitalization.Health services research · 2022Article
- Effect of the Affordable Care Act on healthcare utilization for Veterans with spinal cord injuries and disorders.The journal of spinal cord medicine · 2022Article
- Mental and physical health factors related to dual use of veterans affairs and non-veterans affairs healthcare among U.S. reserve soldiers.Psychology, health & medicine · 2022Article
- Veterans utilizing a federally qualified health center: a clinical snapshot.Military Medical Research · 2022Article
- Electronic Population-Based Depression Detection and Management Through Universal Screening in the Veterans Health Administration.JAMA network open · 2022Article
- Factors affecting primary care physician decision-making for patients with complex multimorbidity: a qualitative interview study.BMC primary care · 2022Article
- Primary Care Physician Perspectives on the Influence of Patient Values, Health Priorities, and Preferences on Clinical Decision-Making for Complex Patients with Multimorbidity: A Qualitative Study.Risk management and healthcare policy · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine differences in use of Veterans Health Administration (VA) and Medicare outpatient services by VA primary care patients. DATA SOURCES/STUDY
settingVA administrative and Medicare claims data from 2001 to 2004. STUDY
designRetrospective cohort study of outpatient service use by 8,964 community-based and 6,556 hospital-based VA primary care patients. PRINCIPAL
findingsA significant proportion of VA patients used Medicare-reimbursed primary care (>30 percent) and specialty care (>60 percent), but not mental health care (3-4 percent). Community-based patients had 17 percent fewer VA primary care visits (p<.001), 9 percent more Medicare-reimbursed visits (p<.001), and 6 percent fewer total visits (p<.05) than hospital-based patients. Community-based patients had 22 percent fewer VA specialty care visits (p<.0001) and 21 percent more Medicare-reimbursed specialty care visits (p<.0001) than hospital-based patients, but no difference in total visits (p=.80).
conclusionsMedicare-eligible VA primary care patients followed over 4 consecutive years used significant primary care and specialty care outside of VA. Community-based patients offset decreased VA use with increased service use paid by Medicare, suggesting that increasing access to VA primary care via community clinics may fragment veteran care in unintended ways. Coordination of care between VA and non-VA providers and health care systems is essential to improve the quality and continuity of care.
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What OpenQuestion holds
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.