ArticleHealth services research2021
Developing network adequacy standards for VA Community Care.
Article in Health services research, 2021. 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
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.
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.
Who cites it
15 citing papers in PubMed.
- Are the Best Worth the Wait? Physician Quality Scores and Access Delays.Health services research · 2026Article
- Clocking Injustice: Racial Disparities in Specialty Wait Times.Health services research · 2025Article
- Does the Veterans Health Administration Purchase High-Quality Home Health Care?Journal of the American Medical Directors Association · 2025Observational
- Comparing Quality, Costs, and Outcomes of VA and Community Primary Care for Patients with Diabetes.Journal of general internal medicine · 2025Article
- Exploring Veterans' Experiences Accessing Chronic Pain Treatment in the VA Community Care Network.Journal of general internal medicine · 2024Article
- Racial and Ethnic and Rural Variations in Access to Primary Care for Veterans Following the MISSION Act.JAMA health forum · 2024Article
- Physicians and Specialties in the Veterans Health Administration's Community Care Network.JAMA network open · 2024Article
- Determinants of referral network size for screening colonoscopies in the Veterans Health Administration after the implementation of the MISSION Act.Health services research · 2024Article
- Veterans Health Administration enrollees' choice of care setting relates to the expansion of care options: Evidence from screening colonoscopies before and after the MISSION Act.Health services research · 2024Article
- Jumping Through Hoops: Community Care Clinician and Staff Experiences Providing Primary Care to Rural Veterans.Journal of general internal medicine · 2023Article
- Early Impact of VA MISSION Act Implementation on Primary Care Appointment Wait Time.Journal of general internal medicine · 2023Article
- Gynecologist Supply Deserts Across the VA and in the Community.Journal of general internal medicine · 2022Article
- Geographic Variation in Appointment Wait Times for US Military Veterans.JAMA network open · 2022Article
- Engaging Stakeholders in Identifying Access Research Priorities for the Department of Veterans Affairs.Journal of general internal medicine · 2022Article
- Developing network adequacy standards for VA Community Care.Health services research · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
objectivesTo inform how the VA should develop and implement network adequacy standards, we convened an expert panel to discuss Community Care Network (CCN) adequacy and how VA might implement network adequacy standards for community care. DATA SOURCES/STUDY
settingData were generated from expert panel ratings and from an audio-recorded expert panel meeting conducted in Arlington, Virginia, in October 2017. STUDY
designWe used a modified Delphi panel process involving one round of expert panel ratings provided by nine experts in network adequacy standards. Expert panel members received a list of network adequacy standard measures used in commercial and government market and were provided a rating form listing a total of 11 measures and characteristics to rate. DATA COLLECTION
methodsItems on the rating form were individually discussed during an expert panel meeting between the nine expert panel members and VA Office of Community Care leaders. Attendees addressed discordant views and generated revised or new standards accordingly. Recorded audio data were transcribed to facilitate thematic analysis regarding opportunities and challenges with implementing network adequacy standards in VA Community Care. PRINCIPAL
findingsThe five highest ranked standards were network directories for Veterans, regular reporting of network adequacy data to VA, maximum wait time/distance standards, minimum ratio of providers to enrolled population, and qualitative assessments of network adequacy. During the expert panel discussion with VA Community Care leaders, opportunities and challenges implementing network adequacy standards were highlighted.
conclusionsOur expert panel shed light on priorities for network adequacy to be implemented under CCN contracts, such as developing comprehensive provider directories for Veterans to use when selecting community providers. Remaining questions focus on whether the VA could reasonably develop and implement network adequacy standards given current Congressional restraints on VA reimbursement to community providers.
Indexed as
Identifiers
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.