Does improving geographic access to VA primary care services impact patients' patterns of utilization and costs?

Journal Article (Journal Article)

The Department of Veterans Affairs (VA) has been establishing community-based outpatient clinics (CBOCs) across the country to improve veterans' access to and use of primary care services, thereby decreasing the need for costly specialty outpatient and inpatient care. Using a quasi-experimental, pre-post study design, we examined whether the establishment of CBOCs has affected access, use, and costs for VA patients residing in their catchment areas. Most patients residing in CBOC catchment areas did not receive care at CBOCs, resulting in only small increases in primary care utilization. While CBOCs improved veterans' access, they had little impact on overall patterns of utilization and cost.

Full Text

Duke Authors

Cited Authors

  • Fortney, JC; Maciejewski, ML; Warren, JJ; Burgess, JF

Published Date

  • 2005

Published In

Volume / Issue

  • 42 / 1

Start / End Page

  • 29 - 42

PubMed ID

  • 16013585

International Standard Serial Number (ISSN)

  • 0046-9580

Digital Object Identifier (DOI)

  • 10.5034/inquiryjrnl_42.1.29


  • eng

Conference Location

  • United States