ArticleHealth services research2020
Patient experience of health care system hassles: Dual-system vs single-system users.
Article in Health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
What it found
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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.
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Who cites it
15 citing papers in PubMed, 25 citations in OpenAlex.
- The Coordination Toolkit and Coaching Project: Cluster-Randomized Quality Improvement Initiative to Improve Patient Experience of Care Coordination.Journal of general internal medicine · 2022Trial
- Racial and Ethnic Differences in Healthcare Experiences for Veterans Receiving Care from VA and Non-VA Providers.Journal of general internal medicine · 2026Observational
- Changing Patterns of Specialty Care for Diabetic Foot Ulcers Among Rural and Urban Veterans Following the VA MISSION Act.International wound journal · 2026Article
- Mental Health Leadership Perspectives on the Value of a National Virtual Contingency Staffing Program in the Veterans Health Administration.Administration and policy in mental health · 2026Article
- Patient administrative burden: a scoping review.Health affairs scholar · 2025Review
- Dissemination, adaptation, and uptake of patient-facing materials to improve care coordination in primary care.PEC innovation · 2025Article
- Drivers of Veterans' Healthcare Choices and Experiences with Veterans Affairs and Civilian Healthcare.Healthcare (Basel, Switzerland) · 2024Article
- Content validity of patient-reported measures evaluating experiences of the quality of transitions in healthcare settings-a scoping review.BMC health services research · 2024Article
- Characteristics of Veterans With Depression Who Use the Veterans Choice Program of the Veterans Health Administration.Psychiatric services (Washington, D.C.) · 2024Article
- Jumping Through Hoops: Community Care Clinician and Staff Experiences Providing Primary Care to Rural Veterans.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
- Provider discussion of health goals and psychosocial needs: Comparing older to younger veteran experience.Health services research · 2023Article
- Patient administrative burden in the US health care system.Health services research · 2021Article
- Toolkit and distance coaching strategies: a mixed methods evaluation of a trial to implement care coordination quality improvement projects in primary care.BMC health services research · 2021Article
- Patient experience of health care system hassles: Dual-system vs single-system users.Health services research · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo compare health care system problems or "hassles" experienced by Veterans receiving VA health care only versus those receiving dual care from both VA and non-VA community providers. DATA SOURCES: We collected survey data in 2017-2018 from 2444 randomly selected Veterans with four or more primary care visits in the prior year at one of 12 VA primary care clinics located in four geographically diverse regions of the United States. STUDY
designWe used baseline surveys from the Coordination Toolkit and Coaching quality improvement project to explore Veterans' experience of hassles (dependent variable), source of health care, self-rated physical and mental health, and sociodemographics. DATA COLLECTION: Participants responded to mailed surveys by mail, telephone, or online. PRINCIPAL
findingsThe number of reported hassles ranged from 0 to 16; 79 percent of Veterans reported experiencing one or more hassles. Controlling for sociodemographic characteristics and self-rated physical and mental health, zero-inflated negative binominal regression indicated that dual care users experienced more hassles than VA-only users (adjusted predicted average 5.5 [CI: 5.2, 5.8] vs 4.3 [CI: 4.1, 4.6] hassles [P < .0001]).
conclusionsAnticipated increases in Veterans accessing community-based care may require new strategies to help VA primary care teams optimize care coordination for dual care users.
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What OpenQuestion holds
Registered trials
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.