Veterans' Experiences With Outpatient Care: Comparing The Veterans Affairs System With Community-Based Care.
Veterans' Experiences With Outpatient Care: Comparing The Veterans Affairs System With Community-Based Care.
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DOI：
10.1377/hlthaff.2019.01375
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发表时间：
2020-08
期刊：
影响因子：
9.7
通讯作者：
Rosen, Amy K.
中科院分区：
文献类型：
--
作者：
Vanneman, Megan E.;Wagner, Todd H.;Shwartz, Michael;Meterko, Mark;Francis, Joseph;Greenstone, Clinton L.;Rosen, Amy K.
及时获得门诊护理是退伍军人健康管理局根据《选择法》增加购买社区护理的主要驱动力。为了比较退伍军人在选择实施后VA提供和社区门诊护理的经验，我们比较了退伍军人在2016-2017年接受的门诊专科，初级和精神卫生保健的四个方面的经验-访问，沟通，协调和提供者评级。患者的经验，更好的VA比社区护理在所有方面，除了访问。对于专科护理，访问分数更好地在社区和初级和精神卫生保健，访问分数在两个设置相似。虽然所有专科护理评分和初级保健协调评分随着时间的推移而提高，但设置之间的差距并没有缩小。随着购买护理在《使命法》下的进一步扩大，应继续监测不同环境之间有意义的差异，监测结果用于告知VA购买决策和患者的护理选择。
Timely access to outpatient care was a primary driver behind the Veterans Health Administration’s increased purchase of community-based care under the Choice Act. To compare veterans’ experiences in VA-delivered and community-based outpatient care after Choice implementation, we compared veterans’ scores on four dimensions of experience—access, communication, coordination, and provider rating—for outpatient specialty, primary, and mental health care received 2016–2017. Patient experiences were better for VA than community care in all respects except access. For specialty care, access scores were better in the community; and for primary and mental health care, access scores were similar in the two settings. While 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 MISSION Act, 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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影响因子：
24
作者：
Barnett PG;Hong JS;Carey E;Grunwald GK;Joynt Maddox K;Maddox TM
通讯作者：
Maddox TM
影响因子：
3.4
作者：
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影响因子：
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影响因子：
2.3
作者：
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通讯作者：
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影响因子：
3.2
作者：
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通讯作者：
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