Evidence map›Paper›PMID 34028535›Full record

ArticleMilitary medicine2023

Veterans' Experiences With Accessing Community Emergency Care.

Andrea L Nevedal, Emily P Wong, Tracy H Urech, Jennifer L Peppiatt, Michelle R Sorie, Anita A Vashi

Open access · hybridAbstract read
In one paragraph

Article in Military medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.0field-weighted citation impact, top 25% 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

8 citing papers in PubMed, 7 citations in OpenAlex.

  1. Bridging Gaps in Acute Care Access for Rural Veterans: The Reach and Impact of VA's Virtual Emergency and Urgent Care Programs.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026
    Article
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  6. Observational
  7. 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
  8. Research and policy recommendations from the SOTA XVI: State of the Art Conference on VA Emergency Medicine.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2023
    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

6 authors at 4 institutions in 1 country.

Andrea L NevedalCenter for Innovation to Implementation, VHA Palo Alto Health Care System, Menlo Park, CA 94025, USA.
Emily P WongCenter for Innovation to Implementation, VHA Palo Alto Health Care System, Menlo Park, CA 94025, USA.
Tracy H UrechCenter for Innovation to Implementation, VHA Palo Alto Health Care System, Menlo Park, CA 94025, USA.
Jennifer L PeppiattDepartment of Veterans Affairs, VHA Office of Community Care/Clinical Integration & Field Operations (10D), Washington, DC 20420, USA.
Michelle R SorieDepartment of Veterans Affairs, VHA Office of Community Care/Clinical Integration & Field Operations (10D), Washington, DC 20420, USA.
Anita A VashiCenter for Innovation to Implementation, VHA Palo Alto Health Care System, Menlo Park, CA 94025, USA.
Center for Innovation · USCommunity Care · USOffice of Patient Care Services · USStanford 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

introductionUnder current regulations, there are three separate authorities for which the Veterans Health Administration (VHA) can pay for emergency medical care received by Veterans in the community. The three VHA authorities have overlapping criteria and eligibility requirements that contribute to a complex and confusing landscape for Veterans when they obtain emergency care in the community. Given the intricacies in how VHA provides coverage for community emergency care and the desire to provide seamless Veteran-centric care, it is imperative to understand Veterans' experiences with navigating coverage for community emergency care. The purpose of this study was to elicit feedback from Veterans about their experiences with and perceptions of community emergency care coverage paid for by VHA. MATERIALS AND

methodsVeterans Health Administration data were used to identify geographically diverse Veterans who recently used emergency care. We conducted semi-structured, qualitative interviews with 50 Veterans to understand their VHA coverage and experiences with accessing community emergency care. Interviews were audio recorded and transcribed verbatim. We conducted directed content analysis of interview transcripts.

resultsVeterans emphasized three major concerns with navigating community emergency care: (1) they lack information about benefits and eligibility when they need it most, (2) they require assistance with medical billing to avoid financial hardship and future delays in care, and (3) they desire multimodal communication about VHA policies or updates in emergency coverage.

conclusionsOur results highlight the challenges Veterans experience in understanding VHA coverage for community emergency care. Feedback suggests that improving information, support, and communication may help Veterans make timely, informed decisions when experiencing unexpected illness or injury.

Indexed as

Emergency Medical ServicesVeteransEmergency TreatmentHumansSalaries and Fringe BenefitsUnited StatesUnited States Department of Veterans Affairs

Identifiers

PMID34028535
PMCPMC8611117
OpenAlexW3165843105

What OpenQuestion holds

Textmetadata
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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.