ArticleJournal of hospital management and health policy2018
A review of dual health care system use by veterans with cardiometabolic disease.
Article in Journal of hospital management and health policy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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
6 citing papers in PubMed, 8 citations in OpenAlex.
- "This Is What I Acquired in the Military, I Want to Keep It at the VA": Healthcare Perspectives and Preferences Among Rural American Indian/Alaska Native Women Veterans.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026Article
- Participation in Advance Care Planning Among Medically At-Risk Rural Veterans: Protocol for a Personalized Engagement Model.JMIR research protocols · 2024Article
- Medicaid Expansion and Veterans' Reliance on the VA for Depression Care.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2022Article
- Improvements and Gaps in Financial Risk Protection Among Veterans Following the Affordable Care Act.Journal of general internal medicine · 2022Article
- An Evaluation of Statin Use Among Patients with Type 2 Diabetes at High Risk of Cardiovascular Events Across Multiple Health Care Systems.Journal of managed care & specialty pharmacy · 2020Article
- Examining Health Care Mobility of Transgender Veterans Across the Veterans Health Administration.LGBT healthArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 2 institutions in 1 country.
Funding
Abstract
Many Veterans Affairs (VA) patients with the complications of cardiometabolic syndrome (CMS) use both VA and community providers and facilities outside of VA. Although dual health care systems increase care options, dual use also increases coordination needs. The fragmentation and duplication of health care due to the use of multiple facilities and providers may hinder effective care coordination, result in less efficient and more costly care, and lead to poorer outcomes. This article, which is based upon bibliographic searches in PubMed, reviews the evidence on dual use of VA and community health care by Veterans for acute myocardial infarction (AMI), congestive heart failure (CHF), and diabetes mellitus, the most common CMS complications requiring acute care and post-acute care services. A total of 179 articles were identified. After screening the full texts or abstracts of the 179 articles, 11 studies met the criteria, including two qualitative studies and 9 quantitative using administrative and Medicare records for veterans with AMI, CHF, or diabetes. Among the analytic studies, 3 had a cross-sectional design and 6 were cohort studies. The results of studies completed to date suggest that dual healthcare system use by older male veterans with cardiometabolic conditions is not associated with improved outcomes and may lead to unnecessary tests or procedures and increased healthcare costs. Additional research is warranted to examine the prevalence of dual health care system use by male and female veterans during recent time periods and to compare outcomes among patients who receive only VA care, only community care, or both VA and community care.
Indexed as
Identifiers
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.