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

Publication ,  Journal Article
Fortney, JC; Maciejewski, ML; Warren, JJ; Burgess, JF
Published in: Inquiry
2005

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.

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Published In

Inquiry

DOI

ISSN

0046-9580

Publication Date

2005

Volume

42

Issue

1

Start / End Page

29 / 42

Location

United States

Related Subject Headings

  • United States Department of Veterans Affairs
  • United States
  • Primary Health Care
  • Mississippi
  • Middle Aged
  • Male
  • Humans
  • Health Services Accessibility
  • Health Policy & Services
  • Health Expenditures
 

Citation

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Fortney, J. C., Maciejewski, M. L., Warren, J. J., & Burgess, J. F. (2005). Does improving geographic access to VA primary care services impact patients' patterns of utilization and costs? Inquiry, 42(1), 29–42. https://doi.org/10.5034/inquiryjrnl_42.1.29
Fortney, John C., Matthew L. Maciejewski, James J. Warren, and James F. Burgess. “Does improving geographic access to VA primary care services impact patients' patterns of utilization and costs?Inquiry 42, no. 1 (2005): 29–42. https://doi.org/10.5034/inquiryjrnl_42.1.29.
Fortney JC, Maciejewski ML, Warren JJ, Burgess JF. Does improving geographic access to VA primary care services impact patients' patterns of utilization and costs? Inquiry. 2005;42(1):29–42.
Fortney, John C., et al. “Does improving geographic access to VA primary care services impact patients' patterns of utilization and costs?Inquiry, vol. 42, no. 1, 2005, pp. 29–42. Pubmed, doi:10.5034/inquiryjrnl_42.1.29.
Fortney JC, Maciejewski ML, Warren JJ, Burgess JF. Does improving geographic access to VA primary care services impact patients' patterns of utilization and costs? Inquiry. 2005;42(1):29–42.
Journal cover image

Published In

Inquiry

DOI

ISSN

0046-9580

Publication Date

2005

Volume

42

Issue

1

Start / End Page

29 / 42

Location

United States

Related Subject Headings

  • United States Department of Veterans Affairs
  • United States
  • Primary Health Care
  • Mississippi
  • Middle Aged
  • Male
  • Humans
  • Health Services Accessibility
  • Health Policy & Services
  • Health Expenditures