SynthesisJournal of general internal medicine2011
Interventions to improve veterans' access to care: a systematic review of the literature.
Synthesis in Journal of general internal medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses 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
34 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Comparing VA and Non-VA Quality of Care: A Systematic Review.Journal of general internal medicine · 2017Pooled it
- A systematic review of barriers to optimal outpatient specialist services for individuals with prevalent chronic diseases: what are the unique and common barriers experienced by patients in high income countries?International journal for equity in health · 2015Pooled it
- Behavioral health coaching for rural veterans with diabetes and depression: a patient randomized effectiveness implementation trial.BMC health services research · 2014Trial
- Incarceration History, Dental Care Utilization, and Oral Health Difficulties Among U.S. Military Veterans.Journal of public health dentistry · 2026Article
- Prevalence and Correlates of Social Risks and Receipt of Resources Among Rural and Urban Veterans.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026Article
- Re-evaluating the access imperative in healthcare in the United States.Journal of public health policy · 2026Review
- Regional Differences in Dementia Incidence Among US Veterans.JAMA neurology · 2025Article
- Telemedicine Compared to Office-Based Care of Patients With Cardiac Symptoms: Treatment and Outcomes.JACC. Advances · 2024Article
- Drivers of Veterans' Healthcare Choices and Experiences with Veterans Affairs and Civilian Healthcare.Healthcare (Basel, Switzerland) · 2024Article
- The role of depression and anxiety symptom severity in remotely delivered mental health care.Psychological services · 2024Article
- Engaging Operational Partners Is Critical for Successful Implementation of Research Products: a Coincidence Analysis of Access-Related Projects in the Veterans Affairs Healthcare System.Journal of general internal medicine · 2023Article
- Engaging Stakeholders in Identifying Access Research Priorities for the Department of Veterans Affairs.Journal of general internal medicine · 2022Article
- Initial concurrent and convergent validity of the Perceived Access Inventory (PAI) for mental health services.Psychological services · 2022Article
- Accelerating Implementation of Virtual Care in an Integrated Health Care System: Future Research and Operations Priorities.Journal of general internal medicine · 2021Article
- Impact of Attitudes and Rurality on Veterans' Use of Veterans Health Administration Mental Health Services.Psychiatric services (Washington, D.C.) · 2021Article
- Time and Organizational Cost for Facilitating Implementation of Primary Care Mental Health Integration.Journal of general internal medicine · 2020Article
- Remote Temperature Monitoring of the Diabetic Foot: From Research to Practice.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2020Article
- Development of the Perceived Access Inventory: A patient-centered measure of access to mental health care.Psychological services · 2020Article
- Provider Perspectives on Integrating Sensor-Captured Patient-Generated Data in Mental Health Care.Proceedings of the ACM on human-computer interaction · 2019Article
- Veterans' experiences initiating VA-based mental health care.Psychological services · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo conduct a systematic review to address the following key questions: (1) what interventions have been successful in improving access for veterans with reduced health care access? (2) Have interventions that have improved health care access led to improvements in process and clinical outcomes? DATA SOURCES: OVID MEDLINE, CINAHL, PsychINFO. STUDY ELIGIBILITY CRITERIA, PARTICIPANTS, AND
interventionsEnglish language articles published in peer-reviewed journals from 1990 to June 2010. All interventions designed to improve access to health care for US veterans that reported the impact of the intervention on perceived (e.g., satisfaction with access) or objective (e.g., travel time, wait time) access were included. APPRAISAL AND SYNTHESIS
methodsInvestigators abstracted data on study design, study quality, intervention, and impact of the intervention on access, process outcomes, and clinical outcomes.
resultsNineteen articles (16 unique studies) met the inclusion criteria. While there were a small number of studies in support of any one intervention, all showed a positive impact on either perceived or objective measures of access. Implementation of Community Based Outpatient Clinics (n = 5 articles), use of Telemedicine (n = 5 articles), and Primary Care Mental Health Integration (n = 6 articles) improved access. All 16 unique studies reported process outcomes, most often satisfaction with care and utilization. Four studies reported clinical outcomes; three found no differences. LIMITATIONS: Included studies were largely of poor to fair methodological quality. CONCLUSIONS AND IMPLICATIONS OF KEY
findingsInterventions can improve access to health care for veterans. Increased access was consistently linked to increased primary care utilization. There was a lack of data regarding the link between access and clinical outcomes; however, the limited data suggest that increased access may not improve clinical outcomes. Future research should focus on the quality and appropriateness of care and clinical outcomes.
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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.