It remains unclear where the Veterans Health Administration (VA) finds itself in the spectrum
of care currently available in the United States. The quality of care provided by the VA has been
subject to debate since, and well before, the VA's system transformation starting in the mid-90s.
Media and entertainment vehicles have, rightly or wrongly, not infrequently portrayed VA care
in less than optimal light, although there have been notable exceptions. Regardless of media
views, the VA has established itself as an innovative healthcare system, including implementation
of its advanced electronic medical record, with broad clinical and educational missions.
The immediate objective of this project is to conduct a systematic literature review of the
published literature comparing the quality of medical and surgical care provided by the VA to
relevant non-VA healthcare facilities and systems.
In this systematic literature review, the following key question was addressed: