Use of outpatient care in Veterans Health Administration and Medicare among veterans receiving primary care in community-based and hospital outpatient clinics.

Liu CF, Chapko M, Bryson CL, Burgess JF, Fortney JC, Perkins M, Sharp ND, Maciejewski ML. Use of outpatient care in Veterans Health Administration and Medicare among veterans receiving primary care in community-based and hospital outpatient clinics. Health services research. 2010 Oct 1; 45(5 Pt 1):1268-86.

Related HSR&D Project(s)

• RCS 10-391 – Research Career Scientist
• IIR 04-292 – Dual Use, Continuity of Care and Duplication in VA and Medicare

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Abstract:

Medicare-eligible VA primary care patients followed over 4 consecutive years used significant primary care and specialty care outside of VA. Community-based patients offset decreased VA use with increased service use paid by Medicare, suggesting that increasing access to VA primary care via community clinics may fragment veteran care in unintended ways. Coordination of care between VA and non-VA providers and health care systems is essential to improve the quality and continuity of care.