A Mixed Methods Study of the Association of Non-Veterans Affairs Care With Veterans' and Clinicians' Experiences of Care Coordination

Medical Care
Justin K BenzerMartin P Charns

Abstract

Poor coordination between the Department of Veterans Affairs (VA) and non-VA care may negatively impact health care quality. Recent legislation is intended to increase Veterans' access to care, in part through increased use of non-VA care. However, a possible consequence may be diminished patient experiences of coordination. The objective of this study was to determine VA patients' and clinicians' experiences of coordination across VA and non-VA settings. Observational mixed methods using patient surveys and clinician interviews. Sampled patients were diagnosed with type 2 diabetes mellitus and either cardiovascular or mental health comorbidities. Patient perspectives on coordination were elicited between April and September 2016 through a national survey supplemented with VA administrative records (N=5372). Coordination was measured with the 8-dimension Patient Perceptions of Integrated Care survey. Receipt of non-VA care was measured through patient self-report. Clinician perspectives were elicited through individual interviews (N=100) between May and October 2017. Veterans who received both VA and non-VA care reported significantly worse care coordination experiences than Veterans who only receive care in VA. Clinicians repo...Continue Reading

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May 18, 2019·Journal of General Internal Medicine·David C MohrMartin P Charns

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Citations

Dec 8, 2020·Health Services Research·Sara J SingerDenis Agniel
May 27, 2021·The Journal of Behavioral Health Services & Research·M Bryant HowrenThad E Abrams
Jul 27, 2021·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Rebecca L KinneyKristin M Mattocks

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