Does improving geographic access to VA primary care services impact patients' patterns of utilization and costs?

Fortney JC, Maciejewski ML, Warren JJ, Burgess JF. Does improving geographic access to VA primary care services impact patients' patterns of utilization and costs? Inquiry : A Journal of Medical Care Organization, Provision and Financing. 2005 Jan 1; 42(1):29-42.

Related HSR&D Project(s)

• ACC 97-068 – Improving Service Delivery Through Access Points

Dimensions for VA is a web-based tool available to VA staff that enables detailed searches of published research and research projects.

If you have VA-Intranet access, click here for more information vaww.hsrd.research.va.gov/dimensions/

VA staff not currently on the VA network can access Dimensions by registering for an account using their VA email address.    Search Dimensions for VA for this citation
* Don't have VA-internal network access or a VA email address? Try searching the free-to-the-public version of Dimensions

Search for Abstract from PubMed

---

Abstract:

The Department of Veterans Affairs (VA) has been establishing community-based outpatient clinics (CBOCs) across the country to improve veterans' access to and use of primary care services, thereby decreasing the need for costly specialty outpatient and inpatient care. Using a quasi-experimental, pre-post study design, we examined whether the establishment of CBOCs has affected access, use, and costs for VA patients residing in their catchment areas. Most patients residing in CBOC catchment areas did not receive care at CBOCs, resulting in only small increases in primary care utilization. While CBOCs improved veterans' access, they had little impact on overall patterns of utilization and cost.