Quality care process in the VA

A synopsis and comment on "Comparison of the quality of medical care in veterans affairs and non-veterans affairs settings"

Molly Jean Ferguson, Bonnie Spring

Research output: Contribution to journalReview article

Abstract

The fourth column on Evidence-Based Behavioral Medicine presents a synopsis of the systematic review by Trivedi et al. (2011) comparing the quality of medical care in veterans affairs (VA) and non-VA settings. Thirty-six studies were included in the synthesis. Each article was given a grade of A, B, or C based on the six elements of high-quality studies. Most studies assessing adherence to recommended processes of care showed that the VA performed better that non-VA sites. Similar rates were found for both groups in studies that assessed risk-adjusted mortality. This implies that a greater adherence to evidence-based processes (e. g., preventive care, medication prescription, and referral) did not result in decreased morbidity and mortality. It is established that engaging in evidence-based practices and processes improves short-term intermediate endpoints (e. g., patient satisfaction). Future research is needed to test whether short-term benefits of evidence-based care processes connect to mortality outcomes.

Original languageEnglish (US)
Pages (from-to)511-512
Number of pages2
JournalTranslational Behavioral Medicine
Volume1
Issue number4
DOIs
StatePublished - Dec 1 2011

Fingerprint

Quality of Health Care
Veterans
Mortality
Behavioral Medicine
Preventive Medicine
Evidence-Based Practice
Evidence-Based Medicine
Patient Satisfaction
Prescriptions
Referral and Consultation
Morbidity

Keywords

  • Care processes
  • Evidence-based practice
  • Outcomes
  • Quality of care
  • Research-to-practice translation

ASJC Scopus subject areas

  • Applied Psychology
  • Behavioral Neuroscience

Cite this

@article{10d64ef2a46648398db9fbb04842a462,
title = "Quality care process in the VA: A synopsis and comment on {"}Comparison of the quality of medical care in veterans affairs and non-veterans affairs settings{"}",
abstract = "The fourth column on Evidence-Based Behavioral Medicine presents a synopsis of the systematic review by Trivedi et al. (2011) comparing the quality of medical care in veterans affairs (VA) and non-VA settings. Thirty-six studies were included in the synthesis. Each article was given a grade of A, B, or C based on the six elements of high-quality studies. Most studies assessing adherence to recommended processes of care showed that the VA performed better that non-VA sites. Similar rates were found for both groups in studies that assessed risk-adjusted mortality. This implies that a greater adherence to evidence-based processes (e. g., preventive care, medication prescription, and referral) did not result in decreased morbidity and mortality. It is established that engaging in evidence-based practices and processes improves short-term intermediate endpoints (e. g., patient satisfaction). Future research is needed to test whether short-term benefits of evidence-based care processes connect to mortality outcomes.",
keywords = "Care processes, Evidence-based practice, Outcomes, Quality of care, Research-to-practice translation",
author = "Ferguson, {Molly Jean} and Bonnie Spring",
year = "2011",
month = "12",
day = "1",
doi = "10.1007/s13142-011-0087-2",
language = "English (US)",
volume = "1",
pages = "511--512",
journal = "Translational Behavioral Medicine",
issn = "1869-6716",
publisher = "Springer Publishing Company",
number = "4",

}

TY - JOUR

T1 - Quality care process in the VA

T2 - A synopsis and comment on "Comparison of the quality of medical care in veterans affairs and non-veterans affairs settings"

AU - Ferguson, Molly Jean

AU - Spring, Bonnie

PY - 2011/12/1

Y1 - 2011/12/1

N2 - The fourth column on Evidence-Based Behavioral Medicine presents a synopsis of the systematic review by Trivedi et al. (2011) comparing the quality of medical care in veterans affairs (VA) and non-VA settings. Thirty-six studies were included in the synthesis. Each article was given a grade of A, B, or C based on the six elements of high-quality studies. Most studies assessing adherence to recommended processes of care showed that the VA performed better that non-VA sites. Similar rates were found for both groups in studies that assessed risk-adjusted mortality. This implies that a greater adherence to evidence-based processes (e. g., preventive care, medication prescription, and referral) did not result in decreased morbidity and mortality. It is established that engaging in evidence-based practices and processes improves short-term intermediate endpoints (e. g., patient satisfaction). Future research is needed to test whether short-term benefits of evidence-based care processes connect to mortality outcomes.

AB - The fourth column on Evidence-Based Behavioral Medicine presents a synopsis of the systematic review by Trivedi et al. (2011) comparing the quality of medical care in veterans affairs (VA) and non-VA settings. Thirty-six studies were included in the synthesis. Each article was given a grade of A, B, or C based on the six elements of high-quality studies. Most studies assessing adherence to recommended processes of care showed that the VA performed better that non-VA sites. Similar rates were found for both groups in studies that assessed risk-adjusted mortality. This implies that a greater adherence to evidence-based processes (e. g., preventive care, medication prescription, and referral) did not result in decreased morbidity and mortality. It is established that engaging in evidence-based practices and processes improves short-term intermediate endpoints (e. g., patient satisfaction). Future research is needed to test whether short-term benefits of evidence-based care processes connect to mortality outcomes.

KW - Care processes

KW - Evidence-based practice

KW - Outcomes

KW - Quality of care

KW - Research-to-practice translation

UR - http://www.scopus.com/inward/record.url?scp=84862861608&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84862861608&partnerID=8YFLogxK

U2 - 10.1007/s13142-011-0087-2

DO - 10.1007/s13142-011-0087-2

M3 - Review article

VL - 1

SP - 511

EP - 512

JO - Translational Behavioral Medicine

JF - Translational Behavioral Medicine

SN - 1869-6716

IS - 4

ER -