Evidence map›Paper›PMID 33976082›Full record

ArticleMedical care2021

Community Urgent Care Use Following Implementation of the Veterans Affairs Maintaining Internal Systems and Strengthening Integrated Outside Networks Act.

Anita A Vashi, Tracy Urech, Siqi Wu, Derek Boothroyd, Paril Mehta, Aaron L Dalton, Elizabeth Brill, Chad Kessler, Steven M Asch

Open access · hybridAbstract read
In one paragraph

Article in Medical care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

6 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
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  6. Opportunity to increase deceased donation for United States veterans.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2021
    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

9 authors at 7 institutions in 2 countries.

Anita A VashiCenter for Innovation to Implementation, VA Palo Alto Healthcare System, Menlo Park.
Tracy UrechCenter for Innovation to Implementation, VA Palo Alto Healthcare System, Menlo Park.
Siqi WuCenter for Innovation to Implementation, VA Palo Alto Healthcare System, Menlo Park.
Derek BoothroydQuantitative Sciences Unit, Stanford University, Stanford, CA.
Paril MehtaDepartment of Veterans Affairs, VHA Office of Community Care (10D), Washington, DC.
Aaron L DaltonCenter for Innovation to Implementation, VA Palo Alto Healthcare System, Menlo Park.
Elizabeth BrillDepartment of Veterans Affairs, VHA Office of Community Care (10D), Washington, DC.
Chad KesslerDurham VA Medical Center, Durham, NC.
Steven M AschCenter for Innovation to Implementation, VA Palo Alto Healthcare System, Menlo Park.
VA Palo Alto Health Care System · USCenter for Innovation · USCommunity Care · USDurham VA Medical Center · USOffice of Patient Care Services · USPrimary Health Care · QAStanford University · US

Funding

Veteran Access to Emergency CareI01HX002362 · VA · VETERANS ADMIN PALO ALTO HEALTH CARE SYS · PI VASHI, ANITA A · 2018 to 2024
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HSRD VA I01 HX002362
6 · The paper itself

Abstract

backgroundEffective June 6, 2019, Veterans Affairs (VA) began offering a new urgent care (UC) benefit that provides eligible Veterans with greater choice and access to care for the treatment of minor injuries and illnesses in their local communities.

objectivesThe aim was to describe trends in UC use, identify predictors of UC benefit use, and understand the factors associated with community UC use versus VA emergency department (ED) or urgent care center (UCC) use. STUDY

designUsing VA administrative data, this was a retrospective cross-sectional study of Veterans that were enrolled in VA in FY19. Veterans were classified into 3 groups: UC benefit users, benefit non-users, and VA ED/UCC users.

methodsWe used summary statistics to compare population characteristics across user groups. To determine whether predisposing, enabling, and need factors predicted UC benefit use and setting choice (community UCC vs. VA ED/UCC), 2 logistic regression models were fitted to assess odds of UC use.

resultsFrom June 6, 2019 through February 29, 2020, 138,305 Veterans made 175,821 community UC visits. The majority of visits were made by White males who were not subject to co-pays. The average cost to VA for UC visits was $132 (SD=$135). Upper respiratory infections were the most common reason for UC use. Being younger, female, and living farther from a VA ED/UCC was associated with greater UC benefit use compared with both benefit non-users and VA ED/UCC users.

conclusionsThe new benefit expands Veteran access to UC services for low-acuity conditions.

Indexed as

AdultAgedAmbulatory CareAmbulatory Care FacilitiesCommunity Health ServicesCommunity NetworksCross-Sectional StudiesEmergency Service, HospitalFemaleHealth Plan ImplementationHumansLogistic ModelsMaleMiddle AgedPatient Acceptance of Health CareRetrospective Studies

Identifiers

PMID33976082
PMCPMC8132890
OpenAlexW3161717944

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.