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

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Interventions to Improve Veterans' Access to Care: A Systematic Review of the Literature (November 2010)

Investigators: Shannon M. Kehle, PhD; Co-Investigator: Nancy Greer, PhD

Evidence-based Synthesis Program (ESP) Center, Minneapolis VA Health Care System

Washington (DC): Department of Veterans Affairs; January 2011

Download PDF: Complete Report, Executive Summary, Report, Appendices

Summary / Overview

In this systematic literature review, the following key questions were addressed:

Key Question #1: What is the evidence that variation in veterans' ability to obtain needed health care (i.e., access) contributes to variation in system level (e.g., utilization, satisfaction) or patient level (e.g., quality of life, functional ability, mortality) outcomes? Key Question #1A: Does the effect of access on system and/or patient level outcomes differ by patient (e.g., demographics, overall health, illness severity), treatment (e.g., mental health, physical health), or setting (e.g., rural, urban, community, VA) characteristics? Key Question #2: What interventions have been successful in improving access for patient populations with reduced health care access? Key Question #2A: Have interventions that have improved health care access led to improvements in system level and patient level outcomes?

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