1993 managed care survey

Rubenstein LV, Simon B, Yano EM, Gonzalez I, Wang MM, Lanto AB. 1993 managed care survey. Sepulveda, CA: Center for the Study of Healthcare Provider Behavior; 1999 Aug 1. Report No.: 99-MC810.

Project BackgroundVA medical centers (VAMC's) have extensive capabilities for providing hospital-based care to a medically, psychiatrically and socially complex group of veterans, as well as for training future physicians. However, under health care reform legislation proposed early in President Clinton's first administration, the demands on the Veterans Health Administration (VHA) were likely to change significantly. Policymakers and planners quickly realized that they needed a systematic assessment of the resources for and potential barriers to delivery of managed care in VAMC's. In 1993, the Center for the Study of Healthcare Provider Behavior was asked by the VA Central Office Managed Care Task Force to carry out a national survey of VA medical centers (VAMC's) to determine the staffing and programmatic resources in the ambulatory care arena to support their assessment of VHA readiness for managed care.1993 VHA Managed Care SurveyThe Survey of Outpatient Services and Primary Care (also referred to as the 'VHA Managed Care Survey') was designed to answer the following questions:1. What proportion of fulltime equivalents (FTEE's) in VHA are devoted to ambulatory care?2. How much training among VHA internal medicine residency programs is in the ambulatory care setting?3. How many VAMC's have instituted primary care programs and what are their characteristics?4. What barriers to managed care does VHA face?