Association between Continuity and Team-Based Care and Health Care Utilization: An Observational Study of Medicare-Eligible Veterans in VA Patient Aligned Care Team

Home health care and patterns of subsequent VA and medicare health care utilization for veterans.

PURPOSE The Veterans Affairs or VA health care system is in the process of significantly expanding home health care (HHC) nationwide. We describe VA HHC use in 2003 for all VA HHC users from 2002; we examine whether VA utilization across a broad spectrum of services differed for a sample of VA HHC users and their propensity-score-matched controls. We also consider crossover between the VA and M...

Applying the interprofessional patient aligned care team in the Department of Veterans Affairs: Transforming primary care.

The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, serving more than 8 million veterans. VHA is currently undergoing extensive changes to its health care delivery model, moving toward the full implementation of the patient-centered medical home. Mental health providers, including psychologists working in primary care, are playing key role...

Sibbald in primary care : an observational study Team structure , team climate and the quality of care

Team structure, team climate and the quality of care in primary care: an observational study.

OBJECTIVES To determine whether practice structure (for example, list size, number of staff) predicts team processes and whether practice structure and team process in turn predict team outcomes DESIGN Observational study using postal questionnaires and medical note audit. Team process was assessed through a measure of "climate" which examines shared perceptions of organisational policies, pr...

Use of outpatient care in VA and Medicare among disability-eligible and age-eligible veteran patients

BACKGROUND More than half of veterans who use Veterans Health Administration (VA) care are also eligible for Medicare via disability or age, but no prior studies have examined variation in use of outpatient services by Medicare-eligible veterans across health system, type of care or time. OBJECTIVES To examine differences in use of VA and Medicare outpatient services by disability-eligible or...