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 71 ACCESS TO CARE focused publications)
- Kaboli PJ, Miake-Lye IM, Ruser C, Yano EM, Orshansky G, Rubenstein L, Curtis I, Kirsh S, Hempel S. Sequelae of an Evidence-based Approach to Management for Access to Care in the Veterans Health Administration. Medical care. 2019 Oct 1; 57 Suppl 10 Suppl 3:S213-S220.
- SoRelle R, Shea JA, Shasha B, Keddem S, Long JA, Werner RM. Patient Engagement, Access to Care, and Perceptions of Competing Priorities in the VA Primary Care Setting. Journal of general internal medicine. 2019 Oct 1; 34(10):1971-1972.
- Garrido MM, Pizer SD. Improving Veterans' Access to Care through Research Operations Partnerships. VA Forum. 2019 Jul 1; 2(Summer 2019): 3 & 9.
- Lukowsky LR, Dobalian A, Goldfarb DS, Kalantar-Zadeh K, Der-Martirosian C. Access to Care for VA Dialysis Patients During Superstorm Sandy. Journal of primary care & community health. 2019 Jan 1; 10:2150132719863599.
- Done N, Oh DH, Weinstock MA, Whited JD, Jackson GL, King HA, Peracca SB, Elwy AR, Prentice JC. study: protocol for a stepped-wedge cluster randomised trial to compare access to care for a mobile app versus a workstation-based store-and-forward teledermatology process. BMJ open. 2018 Dec 14; 8(12):e022218.
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(5 of more than 9 ACCESS TO CARE focused publication briefs)
- 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
- Racial/Ethnic and Gender Variations in Veteran Satisfaction with VA Healthcare
This study of Veterans’ satisfaction with outpatient, inpatient, and specialist care in a diverse sample of Veterans from predominantly minority-serving VAMCs sought to better understand racial/ethnic and gender variations in healthcare satisfaction. Findings showed generally high levels of healthcare satisfaction across 16 domains, with 83% of respondents somewhat or very satisfied with VA health...
Date: March 1, 2018
- Racial and Ethnic Differences in Primary Care Experiences for Veterans with Mental Health and Substance Use Disorders
This study examined racial and ethnic differences in positive and negative experiences in VA Patient-Centered Medical Home (PCMH) settings among Veterans with mental health or substance use disorders (MHSUDs) who completed VA’s 2013 PCMH Survey of Healthcare Experiences of Patients. Findings showed that positive experiences were reported least often for access. Negative experiences were reported m...
Date: June 20, 2016
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( 5 of more than 4 ACCESS TO CARE focused projects
|| 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
||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
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Read more on this topic and related topics
- 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