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VA-Community Dual Care: Veteran and Clinician Perspectives.

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Area of Science:

  • Health Services Research
  • Veterans Affairs Healthcare
  • Patient Care Coordination

Background:

  • Recent legislation expanded veteran access to community care, increasing dual healthcare utilization.
  • This expansion raises concerns regarding the safety and coordination of care for veterans using both VA and community providers.

Purpose of the Study:

  • To investigate the benefits and challenges of dual care from the perspectives of veterans and their clinicians.
  • To understand veteran and clinician experiences with integrated healthcare systems.

Main Methods:

  • Surveys and focus groups were conducted with veterans utilizing both VA and community care in VT and NH.
  • A web-based survey and focus group were administered to primary care clinicians in both settings.
  • Key measures included reasons for dual care, experienced problems, health status associations, and rurality impacts.

Main Results:

  • Veterans utilized dual care for convenience, accessing services, and seeking second opinions.
  • Over half of veterans reported their providers were informed about their other care.
  • Clinicians identified system issues in communication, medication management, and results sharing between VA and community settings.

Conclusions:

  • Significant system issues exist in coordinating veteran care between VA and community providers.
  • These coordination gaps pose potential risks to patient safety and veteran satisfaction.
  • Addressing these challenges is crucial for effective dual healthcare delivery.