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VA community-based outpatient clinics: access and utilization performance measures.

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

OBJECTIVES: The purpose of this study was to compare access and utilization performance measures between Community-Based Outpatient Clinics (CBOC) and primary care clinics at parent VA Medical Centers (VAMC) and between VA-staff CBOCs and contract CBOCs. METHODS: The study design was cross-sectional and retrospective. Performance measures were based on data routinely collected for administrative and research purposes by the VA. The sample included all primary care patients (n = 37,084) treated at the 38 CBOCs opened before 4/1/98 (30 VA-staff and 8 contract) and all primary care patients (n = 318,369) treated at the 32 parent VAMCs. Six months of service use data were used to derive the access and utilization performance measures. Multivariate regression analyses were used to control for observable casemix differences. RESULTS: CBOCs are attracting new high priority patients to the VA health care system. CBOC patients had more primary care encounters and fewer specialty encounters than patients in the primary care clinics of the parent VAMCs. VA-staffed CBOC patients had more primary care encounters and fewer specialty encounters than contract CBOC patients. CONCLUSIONS: CBOCs are helping the VA achieve its goals of attracting new patients and shifting the focus of care from the specialty to the primary care setting.

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Published In

Med Care

DOI

ISSN

0025-7079

Publication Date

July 2002

Volume

40

Issue

7

Start / End Page

561 / 569

Location

United States

Related Subject Headings

  • Utilization Review
  • United States Department of Veterans Affairs
  • United States
  • Specialization
  • Primary Health Care
  • Outpatient Clinics, Hospital
  • Medicine
  • Humans
  • Hospitals, Veterans
  • Health Services Accessibility
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Fortney, J. C., Borowsky, S. J., Hedeen, A. N., Maciejewski, M. L., & Chapko, M. K. (2002). VA community-based outpatient clinics: access and utilization performance measures. Med Care, 40(7), 561–569. https://doi.org/10.1097/00005650-200207000-00002
Fortney, John C., Steven J. Borowsky, Ashley N. Hedeen, Matthew L. Maciejewski, and Michael K. Chapko. “VA community-based outpatient clinics: access and utilization performance measures.Med Care 40, no. 7 (July 2002): 561–69. https://doi.org/10.1097/00005650-200207000-00002.
Fortney JC, Borowsky SJ, Hedeen AN, Maciejewski ML, Chapko MK. VA community-based outpatient clinics: access and utilization performance measures. Med Care. 2002 Jul;40(7):561–9.
Fortney, John C., et al. “VA community-based outpatient clinics: access and utilization performance measures.Med Care, vol. 40, no. 7, July 2002, pp. 561–69. Pubmed, doi:10.1097/00005650-200207000-00002.
Fortney JC, Borowsky SJ, Hedeen AN, Maciejewski ML, Chapko MK. VA community-based outpatient clinics: access and utilization performance measures. Med Care. 2002 Jul;40(7):561–569.

Published In

Med Care

DOI

ISSN

0025-7079

Publication Date

July 2002

Volume

40

Issue

7

Start / End Page

561 / 569

Location

United States

Related Subject Headings

  • Utilization Review
  • United States Department of Veterans Affairs
  • United States
  • Specialization
  • Primary Health Care
  • Outpatient Clinics, Hospital
  • Medicine
  • Humans
  • Hospitals, Veterans
  • Health Services Accessibility