التفاصيل البيبلوغرافية
| العنوان: |
Comparing Quality of Surgical Care Between the US Department of Veterans Affairs and Non-Veterans Affairs Settings: A Systematic Review. |
| المؤلفون: |
Blegen, Mariah, Ko, Jamie, Salzman, Garrett, Begashaw, Meron M, Ulloa, Jesus G, Girgis, Mark, Shekelle, Paul, Maggard-Gibbons, Melinda |
| المصدر: |
Journal of the American College of Surgeons, vol 237, iss 2 |
| بيانات النشر: |
eScholarship, University of California |
| سنة النشر: |
2023 |
| المجموعة: |
University of California: eScholarship |
| مصطلحات موضوعية: |
Humans, United States Department of Veterans Affairs, Hospitals, Veterans, Health Services Accessibility, United States, Patient Safety, Clinical Research, Clinical Trials and Supportive Activities, Comparative Effectiveness Research, Health Services, Health and social care services research, 8.1 Organisation and delivery of services, Generic health relevance, Good Health and Well Being, Clinical Sciences, Surgery |
| جغرافية الموضوع: |
352 - 361 |
| الوصف: |
In response to concerns about healthcare access and long wait times within the Veterans Health Administration (VA), Congress passed the Choice Act of 2014 and the Maintaining Internal Systems and Strengthening Integrated Outside Networks (MISSION) Act of 2018 to create a program for patients to receive care in non-VA sites of care, paid by VA. Questions remain about the quality of surgical care between these sites in specific and between VA and non-VA care in general. This review synthesizes recent evidence comparing surgical care between VA and non-VA delivered care across the domains of quality and safety, access, patient experience, and comparative cost/efficiency (2015 to 2021). Eighteen studies met the inclusion criteria. Of 13 studies reporting quality and safety outcomes, 11 reported that quality and safety of VA surgical care were as good as or better than non-VA sites of care. Six studies of access did not have a preponderance of evidence favoring care in either setting. One study of patient experience reported VA care as about equal to non-VA care. All 4 studies of cost/efficiency outcomes favored non-VA care. Based on limited data, these findings suggest that expanding eligibility for veterans to get care in the community may not provide benefits in terms of increasing access to surgical procedures, will not result in better quality, and may result in worse quality of care, but may reduce inpatient length of stay and perhaps cost less. |
| نوع الوثيقة: |
article in journal/newspaper |
| وصف الملف: |
application/pdf |
| اللغة: |
unknown |
| العلاقة: |
qt5mf9g2g1; https://escholarship.org/uc/item/5mf9g2g1Test |
| الإتاحة: |
https://escholarship.org/uc/item/5mf9g2g1Test |
| حقوق: |
public |
| رقم الانضمام: |
edsbas.8D5A2371 |
| قاعدة البيانات: |
BASE |
