October 27, 2010
A recent evidence synthesis led by Amal Trivedi, MD, MPH, part of HSR&D's Center on Systems, Outcomes and Quality in Chronic Disease & Rehabilitation, found that the VA healthcare system generally outperforms the private sector in following recommended processes of care for non-surgical healthcare. The results appeared the October 18 online edition of Medical Care.
In the 1990s, VA initiated a system-wide organizational transformation that focused on improving the quality of patient care. Since that time, peer-reviewed literature and the lay media have reported both favorable and unfavorable findings about VA's quality of care. Investigators sought to understand the totality of evidence by assessing 36 studies published between 1990 and August 2009. These studies were then used to assess different domains of quality, including: evidence-based processes of care, intermediate outcomes (e.g., control of blood pressure and cholesterol), and mortality.
Specific findings of the review include:
Investigators from the RAND Corporation, the University of California, Los Angeles, and the VA Greater Los Angeles Healthcare System collaborated with Dr. Trivedi on this evidence synthesis, which was funded through HSR&D's Evidence-based Synthesis Program. Dr. Trivedi is supported by an HSR&D Career Development Award