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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).

Search results were generated based on the search term "Access to Care". Results are updated weekly, 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 74 ACCESS TO CARE focused publications)


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Publication Briefs

(5 of more than 12 ACCESS TO CARE focused publication briefs)

  • 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
  • Lack of Awareness among VA Providers about Risk Associated with Prescribing Inhaled Corticosteroids to Veterans with COPD
    More than 50% of patients with mild-to-moderate COPD in the U.S. are prescribed inhaled corticosteroids despite recommendations to restrict use to patients with frequent breathing exacerbations. This study explored VA primary care providers’ experiences prescribing inhaled corticosteroids among Veterans with mild-to-moderate COPD. Of the Veterans with COPD in this study cohort, 15% were prescribed...
    Date: August 8, 2019
  • Mental Health Integration in VA Primary Care Settings Increased Access to Care – and Costs
    This study examined the effect of the Primary Care-Mental Health Integration Program (PC-MHI) on healthcare use and cost patterns among 5.4 million primary care patients in 396 VA clinics (FY2014-FY2016), while also accounting for the implementation of VA’s Patient Aligned Care Team (PACT) model of care. Investigators assessed VA outpatient and inpatient care and total cost of VA care as a functio...
    Date: August 1, 2019

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Studies

( 5 of more than 4 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
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

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HSR&D Briefs, Reports, Newsletters

5 sample "Access to Care" publications displayed.

  • Measuring the Value of Improving Access to Community Care || In Progress

    ...a team approach to primary care through Patient Aligned Care Teams or PACTs,...a primary care provider, clinical pharmacist, registered nurse care manager,...skip to page content Talk to the Veterans Crisis Line now An official website...https:// ensures that you're connecting to the official website and that any information

  • 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...skip to page content Talk to the Veterans Crisis Line now An official website...https:// ensures that you're connecting to the official website and that any information

  • 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...skip to page content Talk to the Veterans Crisis Line now An official website...https:// ensures that you're connecting to the official website and that any information

  • 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...skip to page content Talk to the Veterans Crisis Line now An official website...https:// ensures that you're connecting to the official website and that any information

  • 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...skip to page content Talk to the Veterans Crisis Line now An official website...https:// ensures that you're connecting to the official website and that any information

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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)
11/18/2020 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  
9/22/2020 Access Research Priorities: Perspectives of the Office of Veterans Access to Care (OVAC) and Veterans Access Research Consortium Ho, Michael  
Kirsh, Susan  
6/10/2020 Access Expansions through Virtual Modalities: Research-Based Insights for the COVID-19 Pandemic and Beyond Jones, Audrey  
Possemato, Kyle  
Zulman, Donna  
Slightam, Cindie  
Kuhn, Eric  
2/19/2020 Introduction to the HSRD Veterans Access Research Consortium (VARC) Shimada, Stephanie  
Saini, Sameer  
Kaboli, Peter  
Ho, Michael  

» View more Cyberseminars

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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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