Access to Care
Veterans’ access to timely, high-quality healthcare is affected by a combination of factors. Social determinants such as housing, transportation, and social support play important roles. Geography—how far Veterans live from VA facilities—presents another significant barrier, particularly for specialty care services like mental health, rehabilitation, oncology, and orthopedics. Veterans living in the most remote rural areas may even have difficulty accessing primary care or virtual care. HSR researchers study how these factors affect Veterans' access and evaluate innovations—including telehealth, mobile clinics, and community partnerships—for improving the availability, timeliness, and quality of care.
Each section below is populated by a search of the HSR website. Search results are generated based on the search term "Access" . Results are updated as new data are available.
VIEW: Citations | Publication Briefs | Studies | HSR Briefs, Reports, Newsletters | Cyberseminars | Videos | Podcasts | Other Resources
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Citations
(recent ACCESS publications)
- Gabrielian S, Chang ET, Treichler EBH, Barnard J, Nelson RE, Wong MS, Jackson NJ, Finley EP. Comparing two strategies to support the implementation of evidence-based practices for substance use disorders in VA's permanent supportive housing program: a protocol for a type 3 hybrid cluster-randomized controlled trial. Implementation science : IS. 2026 Mar 24 DOI: 10.1186/s13012-026-01498-z.
- Sadler AG, Cook BL, Mecham B, Hamilton AB, Mengeling MA, Torner JC, Vander Weg M, Heeren A, Fuhrmeister L, Smith JL. Addressing Firearm Suicide Risk Reduction with an Online Patient Decision Aid Tailored to Women Veterans. Journal of women''s health (2002). 2026 Mar 19; 15409996261434153, DOI: 10.1177/15409996261434153.
- Bolbocean C, Hayes C, Bogulski C. Telehealth Use and Modality Choice Among US Adults: Shorrocks-Shapley Decomposition of a 2022 Cross-Sectional National Survey. Journal of medical Internet research. 2026 Mar 18; 28:e81879, DOI: 10.2196/81879.
- Larson AE, Escarce JJ, Ettner SL, Leung LB. Effect of State Medicaid Reimbursement Policies on Telehealth Visits in Community-Based Health Centers. Telemedicine journal and e-health : the official journal of the American Telemedicine Association. 2026 Mar 12; 15305627261430589, DOI: 10.1177/15305627261430589.
- Purcell N, Usman H, Mehlman H, Gloria R, Burkman K, Lehrner A, Maguen S. The Impact of Killing (IOK) mental health treatment for moral injury: U.S. military veteran perspectives on acceptability, fit, and impact. Psychological Services. 2026 Mar 9 DOI: 10.1037/ser0001035.
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Publication Briefs
(recent ACCESS Publication Briefs )
- Veterans Who Receive VA Tele-Emergency Care Have Fewer Emergency Department Visits within 7 Days
Emergency department (ED) crowding contributes to care delays, adverse patient outcomes, and provider burnout. Tele-emergency care (TEC) enables real-time virtual encounters with emergency clinicians following triage by the VA nurse advice line, offering Veterans timely access to emergency medicine expertise without requiring an in-person ED visit. In this national evaluation, investigators review...
Date: April 6, 2026
- Attrition from VA Care Much Lower for New Women Patients Receiving Primary Care from a Women’s Health Provider
Data suggest women new to VA are more likely than established patients to stop using VA care. This study assessed whether receiving care from a women’s health primary care provider (PCP) was associated with lower risk of attrition among new women VA primary care patients. Findings showed that among women Veterans new to VA, attrition rates were much lower among women who saw a women’s health PCP c...
Date: March 18, 2026
- MISSION Act Associated with Higher Risk of Adverse Outcomes Among Veterans Receiving Major Cardiovascular Procedures in Non-VA Facilities
This study aimed to measure the MISSION Act’s impact on Veterans’ travel times and outcomes for major cardiovascular procedures. Investigators characterized Veterans who received non-VA MISSION Act care (lived >60 minutes from a VAMC) as “far” Veterans, vs. “near” Veterans, who received care at VAMCs. Findings showed that MISSION Act implementation was associated with decreased VA hospital use and...
Date: July 31, 2025
- Virtual Mental Health Services Reduce Suicide-Related Events Among Veterans
This study evaluated whether virtual mental health service use affects the risk of individual-level suicide-related events (SREs). Findings showed that a 1% increase in the percentage of virtual mental health visits relative to total visits was associated with a nearly 3% decrease in SREs among Veterans. In this sample, virtual mental health visits comprised 45% of all mental health visits. Findin...
Date: November 5, 2024
- VHA Spending for VHA-Medicare Advantage Dual Enrollee Veterans More than Doubled from 2011–2020 to $12B as Dual Enrollment Grew
VHA-Medicare Advantage (MA) dual enrollment may be a source of significant excess federal spending, as MA plans receive payments for comprehensive healthcare services, without having these payments reduced if Veterans receive care in VHA. Findings from this study showed that from 2011–2020, the number of VHA-MA dual enrollees who used VHA services increased by 63%, from 14% of all VHA-Medicare enr...
Date: October 2, 2024
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Studies
(recent ACCESS projects
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| Project No. |
Title |
PI |
Funding End |
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RCS 14-232
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HSR&D Career Scientist |
Sox-Harris, Alexander |
2031-09-30 |
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RCS 24-265
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HSR&D Senior Research Career Scientist Award |
Damush, Teresa |
2031-03-31 |
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HSR7-001-24W
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Geriatrics and Extended care-focused Network to Enhance Research Across the Enterprise (GENERATE) |
Pimentel, Camilla |
2031-02-28 |
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HSR1-024-24W
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Implementing an integrated mental health care model to reduce distress in Veterans with cancer |
Tsao, Phoebe |
2031-01-31 |
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HSR2-015-24W
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Optimizing Delivery of Evidence-Based COPD Care for Rural Veterans |
Baldomero, Arianne |
2030-12-31 |
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HSR Briefs, Reports, Newsletters
» View more Publications
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Cyberseminars
The most recent "Access" seminars are displayed.
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| Date |
Title |
Presenter(s) |
| 5/5/2026 |
Impact of VA-Purchased Community Care on Potentially Inappropriate Medication Use in Older Veterans
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Hwang, Catherine
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| 1/8/2025 |
Incorporating Equity into Implementation Science: A Health Equity Adaptation to the Evidence-Based Quality Improvement Implementation Strategy
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Wong, Michelle
Gore, Kara
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| 1/7/2025 |
A Re-Introduction to VC CORE: Get to know our People, Products, and Programming
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Sherman, Scott
Zulman, Donna
Hogan, Timothy
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| 11/14/2024 |
VA Data Access Requirements for Operations
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Jannotta, Angela
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| 11/13/2024 |
Variation in Initiating Anticoagulation Therapy in Veterans with Atrial Fibrillation by Race, Ethnicity, and VA Facility
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Essien, Utibe
List, Justin
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