Comparing VA and Non-VA Medical Centers
Informing Veteran Health Care Choice at the Mission Act Watershed
Bibliographic Data
| ID | 22158201 |
|---|---|
| Authors | Jill Inderstrodt (0000-0002-2281-6938, Richard L. Roudebush VA Medical Center, corresponding author), Shelley M Macdermid Wadsworth (0000-0002-5443-2760, Purdue University West Lafayette), Kayla Williams (0000-0003-2582-5183, RAND Corporation) |
| Year | 2022 |
| Volume | 8 |
| Issue | 3 |
| Pages | 93-101 |
| Publication date | 2022-09-16 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Journal of Veterans Studies (JOURNAL) |
| Journal identifiers | ISSN: 2470-4768 • E-ISSN: 2470-4768 |
| Publisher | Virginia Tech Libraries (PUBLISHER) |
| DOI | 10.21061/jvs.v8i3.343 |
| OpenAlex | W4295979443 |
| Language | EN |
| References cited | 13 |
This study compared clinical quality and patient experience in US Department of Veterans Affairs (VA) and non-VA hospitals. One hospital was identified for each full-service VA hospital (n = 125 pairs). Hospitals were compared on four Agency for Healthcare Research and Quality (AHRQ) clinical indicators: Influenza immunization (IMM-2), Patient Safety Indicator 04 (PSI 04), Catheter-associated Urinary Tract Infection (CAUTI), Methicillin-resistant Staphylococcus aureus infection (MRSA); and three patient experience indicators: the three-item care transition measure (CTM-3) and Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) #18 and #19. In aggregate, VA hospitals fared significantly better than non-VA hospitals for PSI 04 and CTM-3. Non-VA hospitals fared significantly better for IMM-2 and HCAHPS #18. No differences were found for CAUTI, MRSA, and HCAHPS #19. At the pairwise level, VA hospitals performed the same as or better than the grand mean for each measure except for IMM-2. This study reinforces previous findings in that the data do not mirror public perception of a universally troubled VA system. This study will be helpful as it is one of the last studies published with the latest pre-MISSION Act data
Family medicine · Health care · Infection control · Intensive care medicine · Medical emergency · Patient safety · Patient satisfaction · Veterans Affairs · Healthcare Policy and Management · Medicine · Nursing · Patient Satisfaction in Healthcare · Primary Care and Health Outcomes · Emergency Medicine · Internal Medicine
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| Citation velocity | historical |
|---|---|
| Highly cited | No |