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McCarthy JF, Valenstein M, Zivin K, Zeber JE, Kilbourne AM. Access-related measures and out-of-system utilization among veterans with bipolar disorder. Psychiatric services (Washington, D.C.). 2010 Oct 1; 61(10):1035-8.
Out-of-system utilization was associated with multiple measures of access and indicators specific to VA and non-VA providers. Enhancing health system access for patients with bipolar disorder may reduce out-of-system utilization, potentially enhancing continuity of care.