ArticleJournal of general internal medicine2019
A Qualitative Study of Primary Care Providers' Experiences with the Veterans Choice Program.
Article in Journal of general internal medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.
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Who cites it
30 citing papers in PubMed.
- Comparison of 30-Day Mortality After Diagnostic Coronary Angiography at VA and Community Hospitals.Journal of general internal medicine · 2026Article
- Implementation of a stroke/TIA e-consult increases outpatient stroke Teleneurology consults placed in VHA compared to community care.Frontiers in health services · 2026Article
- Veterans Health System Leader and Clinician Perspectives on Expanding Access to Methadone Treatment for Opioid Use Disorder.Journal of addiction medicine · 2025Article
- Experiences With Complementary and Integrative Health Among People With Rheumatoid Arthritis and Systemic Lupus Erythematosus: A Qualitative Study.The Journal of rheumatology · 2025Article
- Barriers and Facilitators to Cross-Institutional Referrals: System Configuration Analysis of VA Staff Experiences.Journal of general internal medicine · 2025Article
- Experiences With VA-Purchased Community Care for US Veterans With Mental Health Conditions.JAMA network open · 2025Article
- Trends in Bundled Outpatient Behavioral Health Services in VA-Direct Versus VA-Purchased Care.Administration and policy in mental health · 2024Article
- Racial and Ethnic Differences in Health Care Experiences for Veterans Receiving VA Community Care from 2016 to 2021.Journal of general internal medicine · 2024Observational
- Rising to the Challenge: An ID Provider-Led Initiative to Address Penicillin Allergy Labels at a Large Veterans Affairs Medical Center.Open forum infectious diseases · 2024Article
- Payer shifting after expansions in access to private care among veterans.Health services research · 2023Article
- Is There a VA Advantage? Evidence from Dually Eligible Veterans.The American economic review · 2023Article
- Jumping Through Hoops: Community Care Clinician and Staff Experiences Providing Primary Care to Rural Veterans.Journal of general internal medicine · 2023Article
- Evaluation of the Veteran's Choice Program for Pulmonary Function Tests.Journal of general internal medicine · 2023Article
- VA-Delivered or VA-Purchased Care: Important Factors for Veterans Navigating Care Decisions.Journal of general internal medicine · 2023Article
- Veterans' Experiences With Accessing Community Emergency Care.Military medicine · 2023Article
- Identification of the factors affecting the referral system of veterans' health services: A scoping review.Journal of education and health promotion · 2023Article
- A comparison of patient-reported mental health outcomes for the Department of Veterans Affairs' regional telehealth and Community Care Programs.Health services research · 2022Article
- Implications of Cross-System Use Among US Veterans With Advanced Kidney Disease in the Era of the MISSION Act: A Qualitative Study of Health Care Records.JAMA internal medicine · 2022Article
- Preventive Care Delivery After the Veterans Choice Program.American journal of preventive medicine · 2021Article
- Developing network adequacy standards for VA Community Care.Health services research · 2021Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundThe Veterans Access, Choice and Accountability Act (hereafter, Choice Program) seeks to improve access to care by enabling eligible Veterans to receive care from community providers. Veterans Affairs (VA) primary care providers (PCPs) play a key role in making referrals to community specialists, but their frontline experiences with referrals are not well understood.
objectiveTo understand VA PCPs' experiences referring patients to community specialists while VA works to expand and refine the implementation of the Choice Program.
designQualitative study using interview methods.
participantsSemi-structured telephone interviews were conducted with VA primary care providers (N = 72 out of 599 contacted) recruited nationally. APPROACH: Open-ended interview questions elicited PCP perceptions and experiences with referrals to community specialists via the Choice Program. Keywords were identified using automated coding features in ATLAS.ti and evaluated using conventional content analysis to inductively describe the qualitative data. KEY
resultsVA PCPs emphasized problems with care coordination and continuity between the VA and community specialists (e.g., "It is extremely difficult for us to obtain and continue continuity of care because there's not much communication with the community specialist"). They described difficulties with tracking the initial referral, coordinating care after receiving community specialty care, accessing community medical records, and aligning community specialists' prescriptions with the VA formulary.
conclusionsThe VA Choice Program provides access to community specialists for VA patients; however, VA primary care providers face challenges tracking referrals to community specialists and in coordinating care. Strategies to improve care coordination between the VA and community providers should focus on providing PCPs with information to follow Veterans throughout the Choice referral process and follow-up.
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