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.
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(5 of more than 11 ACCESS TO CARE focused publication briefs)
- 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
- Veterans Eligible for VA Purchased Healthcare Based on Distance from VA Facilities Face Shortage of Non-VA Providers
This study examined the potential impacts of reforms to improve access to care for Veterans living in rural areas on these Veterans and healthcare providers. Findings showed that initiatives to purchase care for Veterans living more than 40 miles from VA facilities may not significantly improve their access to care, as these areas are underserved by non-VA providers. For example, about 16% of thes...
Date: May 29, 2018
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( 5 of more than 0 ACCESS TO CARE focused projects
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The most recent "Access to Care" seminars are displayed.
Access Expansions through Virtual Modalities: Research-Based Insights for the COVID-19 Pandemic and Beyond
|| Jones, Audrey
Introduction to the HSRD Veterans Access Research Consortium (VARC)
|| Shimada, Stephanie
Access to Care: Update on Metrics and Performance in VHA
|| Kaboli, Peter
Personalized Implementation of Video Telehealth (PIVOT)
|| Lindsay, Jan
|| Funk, Wendy
» 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