Does improving geographic access to VA primary care services impact patients' patterns of utilization and costs?

被引:16
|
作者
Fortney, JC
Maciejewski, ML
Warren, JJ
Burgess, JF
机构
[1] Univ Arkansas Med Sci, Coll Med, Dept Psychiat, Div Hlth Serv Res, Little Rock, AR 72205 USA
[2] Univ Arkansas Med Sci, Coll Publ Hlth, Dept Hlth Policy & Management, Little Rock, AR 72205 USA
[3] Puget Sound Hlth Care Syst, NW Ctr Outcomes Res Older Adults, Hlth Serv Res & Dev, Seattle, WA USA
[4] Univ Washington, Sch Publ Hlth, Dept Hlth Serv, Seattle, WA 98195 USA
[5] Cent Arkansas Vet Healthcare Syst, Ctr Mental Healthcare & Outcomes Res, Hlth Serv Res & Dev Ctr, Little Rock, AR USA
[6] Univ Arkansas Med Sci, Coll Med, Dept Psychiat, Div Hlth Serv Res, Little Rock, AR 72205 USA
[7] Dept Vet Affairs, Management Sci Grp, Bedford, MA USA
[8] Boston Univ, Sch Publ Hlth, Dept Hlth Serv, Boston, MA 02215 USA
关键词
D O I
10.5034/inquiryjrnl_42.1.29
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
The Department of Veterans Affairs (VA) has been establishing community-based outpatient clinics (CBOCs) across the country to improve veterans' access to and use of primary care services, thereby decreasing the need for costly specialty outpatient and inpatient care. Using a quasi-experimental, pre-post study design, we examined whether the establishment of CBOCs has affected access, use, and costs for VA patients residing in their catchment areas. Most patients residing in CBOC catchment areas did not receive care at CBOCs, resulting in only small increases in primary care utilization. While CBOCs improved veterans' access, they had little impact on overall patterns of utilization and cost.
引用
收藏
页码:29 / 42
页数:14
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