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 articlepeer-review

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

Keywords

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

ASJC Scopus subject areas

  • Applied Psychology
  • Behavioral Neuroscience

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