Observational studyJournal of general internal medicine2019
Survey of Patient-Centered Coordination of Care for Diabetes with Cardiovascular and Mental Health Comorbidities in the Department of Veterans Affairs.
Observational study 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 16 papers.
What it found
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The trial behind it
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Who cites it
16 citing papers in PubMed.
- Patient Perspectives of Care Integration During Early Implementation of a Care Coordination Initiative.Medical care research and review : MCRR · 2026Article
- Article
- Experiences With VA-Purchased Community Care for US Veterans With Mental Health Conditions.JAMA network open · 2025Article
- Coordination of care in health systems for users with diabetes and hypertension: a scoping review.Revista latino-americana de enfermagem · 2025Article
- Content validity of patient-reported measures evaluating experiences of the quality of transitions in healthcare settings-a scoping review.BMC health services research · 2024Article
- Medication adherence in patients with type 2 diabetes after disability onset: a difference-in-differences analysis using nationwide data.BMC medicine · 2024Article
- Association Between Mental Health Conditions and Outpatient Care Fragmentation: a National Study of Older High-Risk Veterans.Journal of general internal medicine · 2022Article
- Patient perspectives on primary care for multimorbidity: An integrative review.Health expectations : an international journal of public participation in health care and health policy · 2022Review
- Experiences of care coordination among older adults in the United States: Evidence from the Health and Retirement Study.Patient education and counseling · 2022Article
- 2022 National Standards for Diabetes Self-Management Education and Support.Diabetes spectrum : a publication of the American Diabetes Association · 2022Article
- Inequalities in Health Care Experience of Patients with Chronic Conditions: Results from a Population-Based Study.Healthcare (Basel, Switzerland) · 2021Article
- Are there sex differences in potentially inappropriate prescribing in adults with multimorbidity?Journal of the American Geriatrics Society · 2021Article
- Intention to Use Behavioral Health Data From a Health Information Exchange: Mixed Methods Study.JMIR mental health · 2021Article
- VA-Community Dual Care: Veteran and Clinician Perspectives.Journal of community health · 2020Article
- Improving Care Coordination for Veterans Within VA and Across Healthcare Systems.Journal of general internal medicine · 2019Article
- How Do Older People Experience Person-Centred Integrated Care? An Integrative Review of the Evidence.International journal of integrated careArticle
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
backgroundMultiple comorbidities thought to be associated with poor coordination due to the need for shared treatment plans and active involvement of patients, among other factors. Cardiovascular and mental health comorbidities present potential coordination challenges relative to diabetes.
objectiveTo determine how cardiovascular and mental health comorbidities relate to patient-centered coordinated care in the Department of Veterans Affairs.
designThis observational study used a 2 × 2 factorial design to determine how cardiovascular and mental health comorbidities are associated with patient perceptions of coordinated care among patients with type 2 diabetes mellitus as a focal condition.
participantsFive thousand eight hundred six patients attributed to 262 primary care providers, from a national sample of 29 medical centers, who had completed an online survey of patient-centered coordinated care in the Department of Veterans Affairs (VA). MAIN MEASURES: Eight dimensions from the Patient Perceptions of Integrated Care (PPIC) survey, a state-of-the-art measure of patients' perspective on coordinated and patient-centered care. KEY
resultsMental health conditions were associated with significantly lower patient experiences of coordinated care. Hypotheses for disease severity were not supported, with associations in the hypothesized direction for only one dimension.
conclusionsResults suggest that VA may be adequately addressing coordination needs related to cardiovascular conditions, but more attention could be placed on coordination for mental health conditions. While specialized programs for more severe conditions (e.g., heart failure and serious mental illness) are important, coordination is also needed for more common, less severe conditions (e.g., hypertension, depression, anxiety). Strengthening coordination for common, less severe conditions is particularly important as VA develops alternative models (e.g., community care) that may negatively impact the degree to which care is coordinated.
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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.