ArticleMedical care2019
Veterans' Reliance on VA Care by Type of Service and Distance to VA for Nonelderly VA-Medicaid Dual Enrollees.
Article in Medical care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 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
9 citing papers in PubMed.
- Developing a Community of Practice to Provide Care Coordination and Address Health-Related Social Needs for Veterans Receiving Care in Community-Based Settings: Program Development and Survey Study.JMIR formative research · 2025Article
- Veterans Health Administration benefit value has little effect on reliance.The American journal of managed care · 2025Article
- Trends in Bundled Outpatient Behavioral Health Services in VA-Direct Versus VA-Purchased Care.Administration and policy in mental health · 2024Article
- Payer shifting after expansions in access to private care among veterans.Health services research · 2023Article
- 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
- Veterans' ambulatory care experience during COVID-19: veterans' access to and satisfaction with primary care early in the pandemic.BMC primary care · 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
- Primary care experiences of veterans with opioid use disorder in the Veterans Health Administration.Journal of substance abuse treatment · 2020Article
- Reasons Older Veterans Use the Veterans Health Administration and Non-VHA Care in an Urban Environment.Journal of the American Board of Family Medicine : JABFMArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
backgroundNot much is known about nonelderly veterans and their reliance on care from the Veterans Affairs (VA) health care system when they have access to non-VA care.
objectivesTo estimate VA reliance for nonelderly veterans enrolled in VA and Medicaid. RESEARCH
designRetrospective, longitudinal analysis of Medicaid claims data and VA administrative data to compare patients' utilization of VA and Medicaid services 12 months before and for up to 12 months after Medicaid enrollment began. SUBJECTS: Nonelderly veterans (below 65 y) receiving VA care and newly enrolled in Medicaid, calendar years 2006-2010 (N=19,890). MEASURES: VA reliance (proportion of care received in VA) for major categories of outpatient and inpatient care.
resultsPatients used VA outpatient care at similar levels after enrolling in Medicaid with the exceptions of emergency department (ED) and obstetrics/gynecology care, which decreased. VA inpatient utilization was similar after Medicaid enrollment for most types of care. VA-adjusted outpatient reliance was highest for mental health care (0.99) and lowest for ED care (0.02). VA-adjusted inpatient reliance was highest for respiratory (0.80) and cancer stays (0.80) and lowest for musculoskeletal stays (0.20). Associations between VA reliance and distance to VA providers varied by type of care.
conclusionsVeterans dually enrolled in Medicaid received most of their outpatient care from the VA except ED, obstetrics/gynecology, and dental care. Patients received most of their inpatient care from Medicaid except mental health, respiratory, and cancer care. Sensitivity to travel distance to VA providers explained some of these differences.
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Registered trials
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