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Evaluation of the Department of Veterans Affairs community-based outpatient clinics.

Publication ,  Journal Article
Chapko, MK; Borowsky, SJ; Fortney, JC; Hedeen, AN; Hoegle, M; Maciejewski, ML; VanDeusen Lukas, C
Published in: Med Care
July 2002

OBJECTIVE: This paper describes the history of the Department of Veterans Affairs (VA) Community-Based Outpatient Clinics (CBOCs), CBOC Performance Evaluation Project, and characteristics of CBOCs within the VA, and summarizes the findings and implications of the CBOC Performance Evaluation Project. SUBJECTS: There were 139 CBOCs in operation at the end of fiscal year 1998. Ninety-eight percent of CBOCs offered primary health care, and 28% offered primary health care and primary mental health care. The average CBOC was 70.7 miles from its parent VAMC. Sixty-one percent of the CBOCs were located in urban areas and 39% were in rural areas. Sixty-four percent of the CBOCs were VA-staff and 36% were contract. RESULTS: The details of the project's findings are reported in four companion papers that describe, respectively, health care access and utilization, cost of care, patient perceptions of care, and quality of care in VA CBOCs. For most measures, CBOC performance was equivalent to their parent VAMCs. However, there were a few areas of potential concern: CBOCs had fewer patients that reported having one provider or team in charge of care; CBOC patients had fewer specialty visits; and CBOCs served a smaller percent of women and black persons. CONCLUSION: CBOCs appear to be performing comparably to their parent medical centers but will benefit from ongoing monitoring.

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Published In

Med Care

DOI

ISSN

0025-7079

Publication Date

July 2002

Volume

40

Issue

7

Start / End Page

555 / 560

Location

United States

Related Subject Headings

  • Utilization Review
  • United States Department of Veterans Affairs
  • United States
  • Quality of Health Care
  • Patient Satisfaction
  • Outpatient Clinics, Hospital
  • Humans
  • Hospitals, Veterans
  • Health Services Accessibility
  • Health Policy & Services
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Chapko, M. K., Borowsky, S. J., Fortney, J. C., Hedeen, A. N., Hoegle, M., Maciejewski, M. L., & VanDeusen Lukas, C. (2002). Evaluation of the Department of Veterans Affairs community-based outpatient clinics. Med Care, 40(7), 555–560. https://doi.org/10.1097/00005650-200207000-00001
Chapko, Michael K., Steven J. Borowsky, John C. Fortney, Ashley N. Hedeen, Marsha Hoegle, Matthew L. Maciejewski, and Carol VanDeusen Lukas. “Evaluation of the Department of Veterans Affairs community-based outpatient clinics.Med Care 40, no. 7 (July 2002): 555–60. https://doi.org/10.1097/00005650-200207000-00001.
Chapko MK, Borowsky SJ, Fortney JC, Hedeen AN, Hoegle M, Maciejewski ML, et al. Evaluation of the Department of Veterans Affairs community-based outpatient clinics. Med Care. 2002 Jul;40(7):555–60.
Chapko, Michael K., et al. “Evaluation of the Department of Veterans Affairs community-based outpatient clinics.Med Care, vol. 40, no. 7, July 2002, pp. 555–60. Pubmed, doi:10.1097/00005650-200207000-00001.
Chapko MK, Borowsky SJ, Fortney JC, Hedeen AN, Hoegle M, Maciejewski ML, VanDeusen Lukas C. Evaluation of the Department of Veterans Affairs community-based outpatient clinics. Med Care. 2002 Jul;40(7):555–560.

Published In

Med Care

DOI

ISSN

0025-7079

Publication Date

July 2002

Volume

40

Issue

7

Start / End Page

555 / 560

Location

United States

Related Subject Headings

  • Utilization Review
  • United States Department of Veterans Affairs
  • United States
  • Quality of Health Care
  • Patient Satisfaction
  • Outpatient Clinics, Hospital
  • Humans
  • Hospitals, Veterans
  • Health Services Accessibility
  • Health Policy & Services