Evidence map›Paper›PMID 32112237›Full record

ArticleJournal of community health2020

VA-Community Dual Care: Veteran and Clinician Perspectives.

James Schlosser, Donald Kollisch, Deborah Johnson, Troi Perkins, Ardis Olson

Open access · greenAbstract read
In one paragraph

Article in Journal of community health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
5.4field-weighted citation impact, top 4% of its field
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

18 citing papers in PubMed, 33 citations in OpenAlex.

  1. Observational
  2. "Hit or Miss": Rural Veterans' Experiences Receiving Community Mental Health Care.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Article
  8. Article
  9. 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 · 2023
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Preventive Care Delivery After the Veterans Choice Program.American journal of preventive medicine · 2021
    Article
  15. Article
  16. Article
  17. Veteran Caretaker Perspectives of the Need for Childcare Assistance During Health Care Appointments.Women's health issues : official publication of the Jacobs Institute of Women's Health
    Article
  18. Article
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

5 authors at 3 institutions in 1 country.

James SchlosserVA New England Healthcare System, the Manchester VA Medical Center, Manchester, USA. james.schlosser@va.gov.ORCID 0000-0002-5732-5442
Donald KollischVA New England Healthcare System, the White River Junction VA Medical Center, White River Junction, USA.
Deborah JohnsonGeisel School of Medicine At Dartmouth, Hanover, USA.
Troi PerkinsNicholas School of the Environment, Duke University, Durham, USA.
Ardis OlsonGeisel School of Medicine At Dartmouth, Hanover, USA.
Dartmouth College · USDuke University · USJames Madison University · US

Funding

SYNERGY: The Dartmouth Center for clinical and Translational ScienceUL1TR001086 · NCATS · DARTMOUTH COLLEGE · PI GREEN, ALAN I · 2013 to 2017
$18.3M
NCATS NIH HHS UL1 TR001086
6 · The paper itself

Abstract

Many veterans receive care in both community settings and the VA. Recent legislation has increased veteran access to community providers, raising concerns about safety and coordination. This project aimed to understand the benefits and challenges of dual care from the perceptions of both the Veterans their clinicians. We conducted surveys and focus groups of veterans who use both VA and community care in VT and NH. We also conducted a web-based survey and a focus group involving primary care clinicians from both settings. The main measures included (1) reasons that veterans seek care in both settings; (2) problems faced by veterans and clinicians; (3) association of health status and ease of managing care with sites of primary care; and (4) association of veteran rurality with dual care experiences. The primary reasons veterans reported for using both VA and community care were (1) for convenience, (2) to access needed services, and (3) to get a second opinion. Veterans reported that community and VA providers were informed about the others' care more than half the time. Veterans in isolated rural towns reported better overall health and ease of managing their care. VA and community primary care clinicians reported encountering systems problems with dual-care including communicating medication changes, sharing lab and imaging results, communicating with specialists, sharing discharge summaries and managing medication renewals. Both Veterans and their primary clinicians report substantial system issues in coordinating care between the VA and the community, raising the potential for significant patient safety and Veteran satisfaction concerns.

Indexed as

Veterans Health ServicesFemaleHealth StatusHumansQualitative ResearchReferral and ConsultationRural PopulationSurveys and QuestionnairesUnited StatesUnited States Department of Veterans AffairsVeteransCare coordinationDual carePrimary careRural careVeterans

Identifiers

PMID32112237
PMCPMC7319870
OpenAlexW3007612530

What OpenQuestion holds

Textmetadata
LicenceTDM
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.