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Health Services Research & Development

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Spotlight on Evidence Synthesis Program

Interventions to Improve Veterans' Access to Care: A Systematic Review of the Literature

by Nancy Greer, PhD ; Shannon Kehle, PhD, LP
Seminar date: 5/11/2011

Description: Access to healthcare has been identified as a critical issue, both by VA and the larger medical community. Historically, VA adopted the concept of access as an individual’s ability to obtain the healthcare they needed within an appropriate time frame. Recently, VA researchers have begun to develop an updated concept of access that takes into account the impact of new technology and places a greater focus on outcomes beyond increased access. Specifically, the new concept acknowledges post-access outcomes such as satisfaction, symptom levels, and functioning. Investigators at the VA Evidence-Based Practice Center in Minneapolis conducted a literature review of articles published in peer-reviewed journals from 1990 to June, 2010 to help answer two key questions regarding access to healthcare for Veterans.

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