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
(5 of more than 86 ACCESS TO CARE focused publications)
- Pearson E, Kirsh S, Pizer SD. Modeling underservedness: An evidence-based approach to managing access to care. Health services research. 2022 Jun 1; 57 Suppl 1:77-82.
- Fletcher TL, Amspoker AB, Wassef M, Hogan JB, Helm A, Jackson C, Jacobs A, Shammet R, Speicher S, Lindsay JA, Cloitre M. Increasing access to care for trauma-exposed rural veterans: A mixed methods outcome evaluation of a web-based skills training program with telehealth-delivered coaching. The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association. 2021 Oct 14.
- Shafer PR, Woodruff A. Can medical scribes help increase access to care for veterans? The Incidental Economist: the Health Services Research Blog [Internet]. 2021 Oct 7. Available from: https://theincidentaleconomist.com/wordpress/can-medical-scribes-help-increase-access-to-care-for-veterans/.
- McCullough MB, Zogas A, Gillespie C, Kleinberg F, Reisman JI, Ndiwane N, Tran MH, Ourth HL, Morreale AP, Miller DR. Introducing clinical pharmacy specialists into interprofessional primary care teams: Assessing pharmacists' team integration and access to care for rural patients. Medicine. 2021 Sep 24; 100(38):e26689.
- Gurewich D, Shwartz M, Beilstein-Wedel E, Davila H, Rosen AK. Did Access to Care Improve Since Passage of the Veterans Choice Act?: Differences Between Rural and Urban Veterans. Medical care. 2021 Jun 1; 59(Suppl 3):S270-S278.
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(5 of more than 15 ACCESS TO CARE focused publication briefs)
- Early Expansion of Benefits under Choice Act Increased Community Hospital Use but Did Not Change Mortality
This study examined changes in VA enrollees’ use of VA and non-VA hospitals from 2012-2017, as well as mortality associated with policies intended to increase access to care, such as the Choice Act. Findings showed that over the five-year study period, Veterans increased their use of community hospitals paid by VA and Medicaid and decreased their use of VA hospitals when access to non-VA care expa...
Date: June 10, 2022
- 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
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( 5 of more than 5 ACCESS TO CARE focused projects
|| 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
|| From Screening to Treatment: Mapping Access to Care Pathways for Veterans who Screen Positive for PTSD
|| Impact of New Physician Residents on Veterans' Access to Care
|| Access to Care for Veterans with Chronic Lower Limb Wounds
||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
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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
Teledermatology Mobile Apps Improve Veterans' Access to Dermatology || In Progress
The Anywhere to Anywhere VA Health Care Initiative, established in May 2018...healthcare providers to offer telehealth treatment to Veterans no matter where...Teledermatology Mobile Apps Improve Veterans’ Access to Dermatology Feature Article Teledermatology...effective option to enhance access to high-quality skin care in the VA healthcare
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
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,...Primary Care » Table of Contents Measuring the Value of Improving Access to Community...Community Care Feature Article Takeaway: This study will identify key determinants
Process Access Data
Process Access Data...Process Access Data Process Access Author Year Full citation N Clinical area...support, income support, and use. Med Care. 2014;52(10 Suppl 3):S17-24. 16370 Rehabilitative
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Read more on this topic and related topics
The most recent "Access to Care" seminars are displayed.
Provider Supply and Access to Care
|| Yee, Christine
Telehealth Delivery of Multimodal Complementary Integrated Health (CIH) Intervention for Suicide Prevention
|| Haghighi, Fatemeh
Enhancing Primary Care Experience in Patients with Homeless Experience and Chronic Pain: Lessons learned from the Primary Care Quality-Homeless Services Tailoring (PCQ-HOST) study
|| Kertesz, Stefan
A Novel Gap Staffing Metric for Primary Care Providers and Implications for Urban and Rural Areas
|| O'Shea, Amy
Spotlight on Access: Findings from the Veterans Access Research Consortium (VARC) Pilot Projects
|| Possemato, Kyle
» View more Cyberseminars
- 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