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Health Services Research & Development

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Research Topics


Access to Care

Access to healthcare includes a variety of concerns, including how close Veterans live to VA healthcare facilities, and whether or not they are older, disabled, and/or chronically ill and so may experience difficulty traveling. HSR&D researchers study several important aspects of access, including how living in rural settings or being a minority Veteran may affect access to care, as well as all Veterans' access to specialty care (i.e., mental healthcare, rehabilitation services, HIV treatment).

Each "widget" below is populated by a dynamic search of the HSR&D website and its underlying databases. Search results are generated based on the search term "Access to Care". Results are updated regularly, as new data are available.

VIEW: Citations | Publication Briefs | Studies | HSR&D Briefs, Reports, Newsletters | Topic Spotlight | Cyberseminars | Videos | Podcasts | Other Resources



Citations

(5 of more than 81 ACCESS TO CARE focused publications)



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Publication Briefs

(5 of more than 14 ACCESS TO CARE focused publication briefs)


  • Referral Coordination Team Improves Timeliness of VA Specialty Care Delivery and Patient Experience
    In 2018, the Office of Veterans Access to Care (OVAC) partnered with local providers at the VA Puget Sound Medical Center to pilot a referral coordination team to manage new referrals in sleep medicine. Investigators then compared the referral coordination team and the traditional specialist-led referral method in terms of timeliness and community care referrals. Findings showed that the referral ...
    Date: February 1, 2021
  • VA’s Primary Care-Mental Health Integration Affects Access Differently for Women and Men Veterans
    This study of 5.4 million Veterans (including 448,455 women), who received care at one of 396 VA primary care clinics between FY2013 and FY2016, set out to answer the following question: Did VA’s national Primary Care-Mental Health Integration (PC-MHI) initiative improve access to care equally among men and women Veterans? Findings showed that PC-MHI was associated with greater use of all outpatie...
    Date: October 20, 2020
  • VA Policies to Establish National Dialysis Contracts Reduce Reimbursement Without Compromising Access or Survival
    This study examined whether changes in VA reimbursement and contracting policies were associated with VA spending on dialysis, Veterans’ access to dialysis care, and mortality. Findings showed that VA policies to standardize payment and establish national dialysis contracts increased the value of community dialysis care by reducing costs without compromising access to care or survival. Over the ti...
    Date: September 22, 2020
  • Nurse Practitioners as Primary Care Providers May Be a High-Value Solution to Increasing Access to Care for All Veterans
    Investigators in this study assessed patient outcomes between primary care nurse practitioners (NPs) and MDs, including utilization, costs, and quality of care – one year after patient reassignment to a new primary care provider (due to a Veteran’s prior MD PCP leaving VA). Findings showed that compared to Veterans newly assigned to MDs, those newly assigned to NPs were less likely to use primary ...
    Date: April 1, 2020
  • Social Stressors Strongly Associated with Suicide Ideation and Attempt among Veterans
    This study examined documented social stressors in VA’s electronic health record (EHR) and how these stressors were associated with suicidal ideation and suicide attempt. Seven types of social stressors were included: 1) experiences of violence, 2) housing instability, 3) employment or financial problems, 4) legal problems, 5) social or familial problems, 6) lack of access to care or transportatio...
    Date: November 19, 2019

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Studies

( 5 of more than 5 ACCESS TO CARE focused projects )

Project No.  Title  PI  Funding Start   
PPO 18-121 From Screening to Treatment: Mapping Access to Care Pathways for Veterans who Screen Positive for PTSD Bovin, Michelle 2019-06-01
IIR 15-084 Impact of New Physician Residents on Veterans' Access to Care Kashner, Terrell 2016-06-01
IBA 09-061 Access to Care for Veterans with Chronic Lower Limb Wounds Reiber, Gayle 2010-04-01
SDR 21-133 Identifying Modifiable Factors that Affect Veterans At-Risk due to Social Determinants of Health and Psychological Distress Access to Care Within Integrated Primary Care Settings Funderburk, Jennifer
PPO 18-121 From Screening to Treatment: Mapping Access to Care Pathways for Veterans who Screen Positive for PTSD Bovin, Michelle 2019-06-01

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HSR&D Briefs, Reports, Newsletters

5 sample "Access to Care" publications displayed.


  • Improving Care and Access for LGBTQ Veterans || In Progress

    ...health risks and unique challenges in accessing healthcare.2 For example, a recent...79% were satisfied with their medical care, and 69% were satisfied with their mental...investigations designed to improve clinical decision-making and care, inform patients...topics. In This Issue: Improving Care and Access for LGBTQ Veterans Overview: New

  • Improving Care and Access for LGBTQ Veterans || In Progress

    ...health risks and unique challenges in accessing healthcare.2 For example, a recent...79% were satisfied with their medical care, and 69% were satisfied with their mental...investigations designed to improve clinical decision-making and care, inform patients...topics. In This Issue: Improving Care and Access for LGBTQ Veterans Overview: New

  • VA Video Connect to Improve Access to Multi-disciplinary Specialty Care || In Progress

    Video Connect to Improve Access to Multi-disciplinary Specialty Care...and Virtual Care >> Table of Contents June 2021 VA Video Connect to Improve Access...Access to Multi-disciplinary Specialty Care Takeaway: This study is expected

  • Forum Summer 2019: Access and the MISSION Act

    ...affects access to care in VA, from MISSION Act eligibility for community care to...meeting the urgent needs of Veterans to the implementation of a more comprehensive...2019 Access and the MISSION Act A range of factors affects access to care in VA...for community care to meeting the urgent needs of Veterans to the implementation

  • Forum Spring 2019: Specialty Care and the MISSION Act

    ...instituted many innovations to try to improve access to specialists, and HSR&D researchers...Spring 2019 Specialty Care and the MISSION Act » Back to Table of Contents Research...Mobile Teledermatology to Enhance Veterans' Access to Skin Care Sara B. Peracca, MPH

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Topic Spotlight

Read more on this topic and related topics


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Cyberseminars

The most recent "Access to Care" seminars are displayed.

Date Title Presenter(s)
11/3/2021 Spotlight on Access: Findings from the Veterans Access Research Consortium (VARC) Pilot Projects Possemato, Kyle  
DeBeer, Bryann  
Goldstein, Karen  
Augustine, Matthew  
9/23/2021 Advancing Access to Care Through Partnered Research with the Office of Rural Health Gurewich, Deborah  
Ward, Michael  
Lovejoy, Travis  
3/3/2021 Access and Virtual Care COREs: Complementary Initiatives to Speed the Research Cycle Wray, Charlie  
Hogan, Timothy  
Haun, Jolie  
Hebert, Paul  
11/18/2020 Impact of Virtual Integrated Multisite PACT (V-IMPACT) for Teleprimary Care on Patients’ Utilization and Costs Oh, Anna  
Yoon, Jean  
11/17/2020 Using VA data and information systems to support the ORH TeleSleep Enterprise Wide Initiative (a QUERI/Operational Partnership) Sarmiento, Kathleen  
Whooley, Mary  

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Videos


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Podcasts


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Other Resources

  • Learn about the VHA's Priorities for Strategic Action in the area of Veteran Access to care
  • Read the QUERI-funded Partnered Evidence-Based Policy Resource Center's Policy Brief about how economic and policy effects Veterans' access to care. 
  • Learn more about what kinds of research questions are included within the HSR&D Access Portfolio.
  • Read about projects to improve access included within the HSR&D Collaborative Research to Enhance and Advance Transformation (CREATE) initiative. 
  • Veterans Rural Health Resource Centers

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