Evidence map›Paper›PMID 31098966›Full record

ArticleJournal of general internal medicine2019

Coordinating Care Across VA Providers and Settings: Policy and Research Recommendations from VA's State of the Art Conference.

Kristina M Cordasco, Susan M Frayne, Devan Kansagara, Donna M Zulman, Steven M Asch, Robert E Burke, Edward P Post, Stephan D Fihn, Thomas Klobucar, Laurence J Meyer and 2 more

Abstract read
In one paragraph

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 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Article
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  3. The impact of social determinants on care for veterans with cancer: a qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Kristina M CordascoVA Health Services Research & Development (HSR&D) Center for the Study of Healthcare Innovation, Implementation, and Policy (CSHIIP), VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA. kristina.cordasco@va.gov.
Susan M FrayneVA HSR&D Center for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, Palo Alto, CA, USA.
Devan KansagaraVA Portland Healthcare System, Portland, OR, USA.
Donna M ZulmanWomen's Health Section, VA Palo Alto Health Care System, Palo Alto, CA, USA.
Steven M AschWomen's Health Section, VA Palo Alto Health Care System, Palo Alto, CA, USA.
Robert E BurkeCenter for Health Equity Research and Promotion, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, USA.
Edward P PostVA Center for Clinical Management Research, Ann Arbor, MI, USA.
Stephan D FihnVA Office of Clinical System Development and Evaluation, Seattle, WA, USA.
Thomas KlobucarVA Office of Rural Health, Washington, DC, USA.
Laurence J MeyerVA Office of Specialty Care Services, Washington, DC, USA.
Susan R KirshOffice of Veterans Access to Care, Washington, DC, USA.
David AtkinsVA Office of Research and Development, Health Services Research and Development, Washington, DC, USA.

Funding

HSRD VA IK2 HX001796
6 · The paper itself

Abstract

Delivering well-coordinated care is essential for optimizing clinical outcomes, enhancing patient care experiences, minimizing costs, and increasing provider satisfaction. The Veterans Health Administration (VA) has built a strong foundation for internally coordinating care. However, VA faces mounting internal care coordination challenges due to growth in the number of Veterans using VA care, high complexity in Veterans' care needs, the breadth and depth of VA services, and increasing use of virtual care. VA's Health Services Research and Development service with the Office of Research and Development held a conference assessing the state-of-the-art (SOTA) on care coordination. One workgroup within the SOTA focused on coordination between VA providers for high-need Veterans, including (1) Veterans with multiple chronic conditions; (2) Veterans with high-intensity, focused, specialty care needs; (3) Veterans experiencing care transitions; (4) Veterans with severe mental illness; (5) and Veterans with homelessness and/or substance use disorders. We report on this workgroup's recommendations for policy and organizational initiatives and identify questions for further research. Recommendations from a separate workgroup on coordinating VA and non-VA care are contained in a companion paper. Leaders from research, clinical services, and VA policy will need to partner closely as they develop, implement, assess, and spread effective practices if VA is to fully realize its potential for delivering highly coordinated care to every Veteran.

Indexed as

Needs AssessmentCongresses as TopicDelivery of Health Care, IntegratedHumansResearchUnited StatesUnited States Department of Veterans AffairsVeteranscase managementhealth servicesintegrated delivery systemsorganization and managementresearchVeterans Health

Identifiers

PMID31098966
PMCPMC6542870

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.