SynthesisJournal of hospital medicine2026
Quality of hospital medicine care in Veterans Affairs hospitals versus non-Veterans Affairs hospitals: A systematic review of comparative studies.
Synthesis in Journal of hospital medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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
1 citing paper in PubMed.
- Community-Based Surgery and Postoperative Survival Among Veterans Affairs Enrollees.JAMA network open · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
backgroundThe Veterans Health Administration (VA) cares for more than one million hospitalized Veterans each year. There is limited knowledge on how hospital medicine care in VA facilities compares with non-VA hospitals in terms of the Institute of Medicine domains of healthcare access, patient experience, quality, clinical outcomes, and cost.
objectivesTo perform a systematic review that compares hospital-based care in VA and non-VA settings with a focus on general medicine conditions typically cared for by hospitalists.
methodsWe identified relevant articles across four databases from January 2015 to April 2025. Eligible studies were required to assess outcomes in any Institute of Medicine healthcare domain among Veterans receiving care in the VA for acute medical conditions. Relevant comparisons included outcomes of (1) Veterans receiving care in the community, or (2) members of the general population receiving care in the community.
resultsWe identified 13 studies. VA care generally exhibited equal or better outcomes compared with non-VA care, especially in risk-adjusted mortality rates. Most process-of-care studies showed VA care to be as good as or better than non-VA care. Findings on readmissions and patient experience were mixed, with some early findings showing VA care lagging behind but improving significantly by 2021. However, few studies were completed after the passage of the 2018 MISSION Act, which significantly shifted hospitalizations to non-VA care.
conclusionsMost published studies of comparisons of quality-of-care show that Veterans receiving hospital medicine care from VA receive the same or better quality care than Veterans getting community care.
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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.