Association of Quality of Care With Where Veterans Choose to Get Knee Replacement Surgery

Article Health Care Sciences & Services

Comparing Postoperative Readmission Rates Between Veterans Receiving Total Knee Arthroplasty in the Veterans Health Administration Versus Community Care

Amy K. Rosen et al.

Summary: This study compared the rates of hospital readmissions following TKAs performed in VA versus those purchased through CC, and found that nationally, the risk of readmission was significantly lower for TKAs performed in VA. Most VA facilities performed similarly to their corresponding CC providers, but there were a few VA facilities that performed worse.

MEDICAL CARE (2022)

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Article Health Care Sciences & Services

Did Access to Care Improve Since Passage of the Veterans Choice Act? Differences Between Rural and Urban Veterans

Deborah Gurewich et al.

Summary: The 2014 Veterans Choice Program aimed to improve care access for Veterans through expanded availability of community care. The study found that between FY2015 and FY2018, mean wait times decreased for all services for both rural and urban Veterans. By FY2018, CC mean wait times for most services were longer than VHA wait times for both rural and urban Veterans.

MEDICAL CARE (2021)

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Article Health Care Sciences & Services

Comparing Driving Miles for Department of Veterans Affairs-delivered Versus Department of Veterans Affairs-purchased Cataract Surgery

Warren B. P. Pettey et al.

Summary: The study found that although many veterans drove farther than needed to get cataract surgery in CC, this was not true for obtaining care in the VA. Our findings suggest that there may be additional reasons, besides driving distance, that affect whether Veterans choose CC and, if they do, where they seek CC.

MEDICAL CARE (2021)

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Editorial Material Health Care Sciences & Services

Innovations in Community Care Programs, Policies, and Research

Kristin M. Mattocks et al.

MEDICAL CARE (2021)

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Article Health Care Sciences & Services

Comparing Complication Rates After Elective Total Knee Arthroplasty Delivered Or Purchased By The VA

Alex H. S. Harris et al.

Summary: The study compared the postoperative complication rates for total knee arthroplasties delivered in VA facilities versus purchased from community providers, finding significantly lower complication rates for VA-delivered surgeries. However, there were instances where VA-purchased care outperformed VA-delivered care, highlighting the importance of monitoring hospital performance to improve quality of care across all settings.

HEALTH AFFAIRS (2021)

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Article Health Care Sciences & Services