ArticleHealth affairs (Project Hope)2020
Veterans' Experiences With Outpatient Care: Comparing The Veterans Affairs System With Community-Based Care.
Article in Health affairs (Project Hope), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.
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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
35 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Veterans Health Administration (VA) vs. Non-VA Healthcare Quality: A Systematic Review.Journal of general internal medicine · 2023Pooled it
- Racial and Ethnic Differences in Healthcare Experiences for Veterans Receiving Care from VA and Non-VA Providers.Journal of general internal medicine · 2026Observational
- Who receives DXA in VHA direct care vs. community care? Insights into bone health care for veterans.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026Article
- Post-Intensive Care Fragmentation Among Rural Veterans: Transitions Between VA and Community Health Systems.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026Article
- "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 · 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
- Perceptions of behavioral health care quality for justice-involved veterans: a multi-jurisdictional analysis of Veterans Treatment Court team insights.Health & justice · 2025Article
- Population-Level Health Intervention and Primary Care Quality for Veterans.JAMA network open · 2025Article
- Developing a Community of Practice to Provide Care Coordination and Address Health-Related Social Needs for Veterans Receiving Care in Community-Based Settings: Program Development and Survey Study.JMIR formative research · 2025Article
- Veterans Health System Leader and Clinician Perspectives on Expanding Access to Methadone Treatment for Opioid Use Disorder.Journal of addiction medicine · 2025Article
- Provider Perspectives on the Need for Child Care Assistance During Veteran Health Care Appointments.Journal of general internal medicine · 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
- Access to Evaluation for Liver Transplantation in the Veterans Health Administration.Digestive diseases and sciences · 2025Article
- Utilization and Cost of Veterans Health Administration Referrals to Community Care-Based Physical Therapy.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2025Article
- US Veterans' Experiences With VA and Non-VA Health Care.JAMA internal medicine · 2025Article
- Quality improvement lessons learned from National Implementation of the "Patient Safety Events in Community Care: Reporting, Investigation, and Improvement Guidebook".Health services research · 2024Article
- Screening, brief intervention, and referral to treatment for pain management for veterans separating from military service: study protocol of a hybrid type 2 study testing implementation facilitation versus training-as-usual.Pain medicine (Malden, Mass.) · 2024Article
- Developing Evidence to Support Policy: Protocol for the StrAtegic PoLicy EvIdence-Based Evaluation CeNTer (SALIENT).JMIR research protocols · 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
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
Timely access to outpatient care was a primary driver behind the Department of Veterans Affairs' (VA's) increased purchase of community-based care under the Veterans Access, Choice, and Accountability Act of 2014, known as the Choice Act. To compare veterans' experiences in VA-delivered and community-based outpatient care after implementation of the act, we assessed veterans' scores on four dimensions of experience-access, communication, coordination, and provider rating-for outpatient specialty, primary, and mental health care received during 2016-17. Patient experiences were better for VA than for community care in all respects except access. For specialty care, access scores were better in the community; for primary and mental health care, access scores were similar in the two settings. Although all specialty care scores and the primary care coordination score improved over time, the gaps between settings did not shrink. As purchased care further expands under the VA Maintaining Internal Systems and Strengthening Integrated Outside Networks Act of 2018, which replaced the Choice Act in 2019, monitoring of meaningful differences between settings should continue, with the results used to inform both VA purchasing decisions and patients' care choices.
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