Access to Care
Veterans’ access to timely, high-quality healthcare is affected by a combination of factors. Social determinants such as housing, transportation, and social support play important roles. Geography—how far Veterans live from VA facilities—presents another significant barrier, particularly for specialty care services like mental health, rehabilitation, oncology, and orthopedics. Veterans living in the most remote rural areas may even have difficulty accessing primary care or virtual care. HSR researchers study how these factors affect Veterans' access and evaluate innovations—including telehealth, mobile clinics, and community partnerships—for improving the availability, timeliness, and quality of care.
Each section below is populated by a search of the HSR website. Search results are generated based on the search term "Access" . Results are updated as new data are available.
VIEW: Citations | Publication Briefs | Studies | HSR Briefs, Reports, Newsletters | Cyberseminars | Videos | Podcasts | Other Resources
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Citations
(recent ACCESS publications)
- Smith JJ, Noonan M, Johnson CE, Humphreys K, Gupta R. Potential health impacts of comprehensive access to opioid use disorder treatment in United States correctional facilities: A synthetic analysis. Addiction (Abingdon, England). 2025 Nov 3 DOI: 10.1111/add.70170.
- Steverson AB, Fan J, Din N, Kalwani N, Varshney AS, Verma A, Bosworth HB, Jurga T, Hess PL, Heidenreich P, Sandhu A. Differences in guideline directed medical therapy for rural and non-rural Veterans with heart failure with reduced ejection fraction. American heart journal. 2025 Oct 31; 107300, DOI: 10.1016/j.ahj.2025.107300.
- Tisdale RL, Kalwani NM, Koos H, Fan J, Din N, Perino AC, Chan DC, Sandhu AT, Heidenreich PA. Variation in Telehealth Use for Patients With Incident Atrial Fibrillation Across the Veterans Health Administration: Retrospective Cohort Study. Journal of medical Internet research. 2025 Oct 28; 27:e76177, DOI: 10.2196/76177.
- Yoon J, Blonigen DM, Tsai J. Use of and Outcomes in Veterans Affairs and Other Hospitals Among Veterans Experiencing Homelessness After Expanded Access. Psychiatric services (Washington, D.C.). 2025 Oct 17; appips20250122, DOI: 10.1176/appi.ps.20250122.
- Ponzini GT, Choi Y, Dailey SA, Shapiro A, Fletcher TL, Calhoun PS, King HA. Assessment and treatment of obsessive compulsive disorder in veterans with PTSD: A qualitative descriptive study. Psychological Services. 2025 Oct 16 DOI: 10.1037/ser0000999.
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Publication Briefs
(recent ACCESS Publication Briefs )
- MISSION Act Associated with Higher Risk of Adverse Outcomes Among Veterans Receiving Major Cardiovascular Procedures in Non-VA Facilities
This study aimed to measure the MISSION Act’s impact on Veterans’ travel times and outcomes for major cardiovascular procedures. Investigators characterized Veterans who received non-VA MISSION Act care (lived >60 minutes from a VAMC) as “far” Veterans, vs. “near” Veterans, who received care at VAMCs. Findings showed that MISSION Act implementation was associated with decreased VA hospital use and...
Date: July 31, 2025
- Virtual Mental Health Services Reduce Suicide-Related Events Among Veterans
This study evaluated whether virtual mental health service use affects the risk of individual-level suicide-related events (SREs). Findings showed that a 1% increase in the percentage of virtual mental health visits relative to total visits was associated with a nearly 3% decrease in SREs among Veterans. In this sample, virtual mental health visits comprised 45% of all mental health visits. Findin...
Date: November 5, 2024
- VHA Spending for VHA-Medicare Advantage Dual Enrollee Veterans More than Doubled from 2011–2020 to $12B as Dual Enrollment Grew
VHA-Medicare Advantage (MA) dual enrollment may be a source of significant excess federal spending, as MA plans receive payments for comprehensive healthcare services, without having these payments reduced if Veterans receive care in VHA. Findings from this study showed that from 2011–2020, the number of VHA-MA dual enrollees who used VHA services increased by 63%, from 14% of all VHA-Medicare enr...
Date: October 2, 2024
- Dual Insurance Coverage Is Common Among VA Enrollees
This study sought to investigate changes in Veterans’ health insurance coverage and insurance sources from 2010 to 2021 by analyzing data from three national surveys, as well as a survey of VA enrollees. Findings showed that more than 90% of Veterans reported having health insurance coverage from any source. Of those enrolled in VA, more than 75% had another source of coverage. In 2010, 94% of all...
Date: August 26, 2024
- Veterans with Diabetes Receiving Community Primary Care Had Worse Diabetes Care Quality and Higher Costs than Veterans Receiving VA Primary Care
This study compared the quality, costs, and outcomes of community- and VA-provided primary care for Veterans with diabetes over 12 months during FY 2021–2022. Findings showed that Veterans who received community primary care had worse diabetes care quality and higher mean total costs (driven by higher inpatient and prescription drug costs) than Veterans who received VA primary care. There was no d...
Date: August 5, 2024
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Studies
(recent ACCESS projects
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| Project No. |
Title |
PI |
Funding End |
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MRA0-004-24W
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Optimizing Veteran Health through Evidence-based Learning Health Systems Science - Research Career
Scientist Award Application |
Martin, Jennifer |
2032-06-30 |
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RCS 14-232
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HSR&D Career Scientist |
Sox-Harris, Alexander |
2031-09-30 |
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RCS 24-265
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HSR&D Senior Research Career Scientist Award |
Damush, Teresa |
2031-03-31 |
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CDA 22-192
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Improving Specialty Care Through Virtual Care Models |
Tisdale, Rebecca |
2030-12-31 |
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CDA 23-137
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Improving Timely Access to Care for Veterans with Pulmonary Fibrosis Detected on Lung Cancer Screening |
Kaul, Bhavika |
2030-06-30 |
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HSR Briefs, Reports, Newsletters
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Cyberseminars
The most recent "Access" seminars are displayed.
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| Date |
Title |
Presenter(s) |
| 12/4/2025 |
The Application and Evolution of the Practical, Robust Implementation and Sustainability Model (PRISM): History and Innovations
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Glasgow, Russell
Rabin, Borsika
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| 1/8/2025 |
Incorporating Equity into Implementation Science: A Health Equity Adaptation to the Evidence-Based Quality Improvement Implementation Strategy
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Wong, Michelle
Gore, Kara
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| 1/7/2025 |
A Re-Introduction to VC CORE: Get to know our People, Products, and Programming
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Sherman, Scott
Zulman, Donna
Hogan, Timothy
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| 11/14/2024 |
VA Data Access Requirements for Operations
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Jannotta, Angela
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| 11/13/2024 |
Variation in Initiating Anticoagulation Therapy in Veterans with Atrial Fibrillation by Race, Ethnicity, and VA Facility
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Essien, Utibe
List, Justin
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