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Hospital medicine in the Veterans Health Administration: Strengths, opportunities, and future directions
Naseema B Merchant1,2, Joel C Boggan3,4, Attila Nemeth5,6
1Department of Medicine, Hospital Medicine, Hospital Medicine, VA Connecticut Health Care System, West Haven, Connecticut, USA.
Abstract:
The Veterans Health Administration (VHA) is America's largest integrated health care system, serving 9.1 million enrolled veterans annually in 1,380 inpatient and outpatient healthcare facilities.1 VHA aims to provide high-quality, holistic, and veteran-centered care. This mission-driven approach has produced notable, unique strengths, including comprehensive service delivery with a strong emphasis on care quality, safety, and continuity customized to the specific needs of the patients it serves.2 However, structural, operational, and policy-related issues increasingly threaten VHAs ability to fully achieve its mission. In this perspective, we will highlight some key strengths of VHA clinical care, emerging threats relevant to hospital-based care delivery, and propose actionable strategies to support sustained excellence for hospitalized veterans.
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