ArticleHealth services research2018
Differences in Risk Scores of Veterans Receiving Community Care Purchased by the Veterans Health Administration.
Article in Health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 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
28 citing papers in PubMed.
- Impact of a National Stepped-Care Model of Opioid Use Disorder Treatment on Access to Medication Therapies Among Homeless-Experienced Veterans.Health services research · 2026Article
- Establishing criteria for emergency department-based episode of care definitions: a modified Delphi study.BMJ open · 2026Article
- "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
- Access to medications for opioid use disorder among primary care patients with homeless experience in the Department of Veterans Affairs.Drug and alcohol dependence · 2026Article
- Factors Associated With Veterans Use of Community vs VA Emergency Departments.JAMA network open · 2025Article
- Examining the Joint Effects of Epilepsy and Mental Health Conditions on Severe Maternal Morbidity.Journal of women's health (2002) · 2025Article
- Identifying Veterans with a Higher Risk of Social Needs Using Cluster Analysis.Journal of general internal medicine · 2025Article
- Trends in Bundled Outpatient Behavioral Health Services in VA-Direct Versus VA-Purchased Care.Administration and policy in mental health · 2024Article
- Developing Evidence to Support Policy: Protocol for the StrAtegic PoLicy EvIdence-Based Evaluation CeNTer (SALIENT).JMIR research protocols · 2024Article
- Characteristics of Veterans With Depression Who Use the Veterans Choice Program of the Veterans Health Administration.Psychiatric services (Washington, D.C.) · 2024Article
- Community Nursing Home Program Oversight: Can the VA Meet Increased Demand for Community-Based Care?Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2023Article
- "Low-value" glycemic outcomes among older adults with diabetes cared for by primary care nurse practitioners or physicians: A retrospective cohort study.International journal of nursing studies · 2023Article
- Peer-to-Patient-Aligned Care Team (Peer-to-PACT; P2P), a Peer-Led Home Visit Intervention Program for Targeting and Improving Long-term Care Services and Support for Veterans With High Needs and High Risk: Protocol for a Mixed Methods Feasibility Study.JMIR research protocols · 2023Article
- Disparities in Wait Times for Care Among US Veterans by Race and Ethnicity.JAMA network open · 2023Article
- Association of Quality of Care With Where Veterans Choose to Get Knee Replacement Surgery.JAMA network open · 2022Article
- Healthcare service utilization for formerly homeless veterans in permanent supportive housing: Do neighborhoods matter?Psychological services · 2022Article
- Comparing Complication Rates After Elective Total Knee Arthroplasty Delivered Or Purchased By The VA.Health affairs (Project Hope) · 2021Article
- Launching a Competency-Based Training Program in Evidence-Based Treatments for PTSD: Supporting Veteran-Serving Mental Health Providers in Texas.Community mental health journal · 2021Article
- Rural Veterans' Experiences With Outpatient Care in the Veterans Health Administration Versus Community Care.Medical care · 2021Article
- Comparing cataract surgery complication rates in veterans receiving VA and community care.Health services research · 2020Article
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.
Funding
Abstract
objectiveTo assess differences in risk (measured by expected costs associated with sociodemographic and clinical profiles) between Veterans receiving outpatient services through two community care (CC) programs: the Fee program ("Fee") and the Veterans Choice Program ("Choice"). DATA SOURCES/STUDY
settingAdministrative data from VHA's Corporate Data Warehouse in fiscal years (FY) 2014-2015. STUDY
designWe compared the clinical characteristics of Veterans across three groups (Fee only, Choice only, and Fee & Choice). We classified Veterans into risk groups based on Nosos risk scores and examined the relationship between type of outpatient utilization and risk within each CC group. We also examined changes in utilization of VHA and CC in FY14-FY15. We used chi-square tests, t tests, and ANOVAs to identify significant differences between CC groups. PRINCIPAL
findingsOf the 1,400,977 Veterans using CC in FY15, 91.4 percent were Fee-only users, 4.4 percent Choice-only users, and 4.2 percent Fee & Choice users. Mean concurrent risk scores were higher for Fee only and Fee & Choice (1.9, SD = 2.7; 1.8, SD = 2.2) compared to Choice-only users (1.0, SD = 1.2) (p < .0001). Most CC users were "dual users" of both VHA and CC in FY14-FY15.
conclusionsAs care transitions from VHA to CC, VHA should consider how best to coordinate care with community providers to reduce duplication of efforts, improve handoffs, and achieve the best outcomes for Veterans.
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Registered trials
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