Transitions in dual care for veterans

Non-federal physician perspectives

Preethy Nayar, Anh T. Nguyen, Diptee Ojha, Kendra K Schmid, Bettye Apenteng, Peter Woodbridge

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Many veterans receive care from both the Veterans Health Administration (VHA) and the non-VHA health system, or dual care. Non-federal physicians practicing in Nebraska were surveyed to examine their perspectives on the organization and delivery of dual care provided to veterans. A paper-based survey was mailed to all 1,287 non-federal primary care physicians (PCPs) and a purposive sample of 765 specialist physicians practising in Nebraska. Rural physicians are more likely to incorporate care coordination practices in their clinical practice, compared to urban physicians. More rural physicians report difficulties in patient transfers, and referrals to the VHA, in prescribing for veteran patients, and in contacting a VHA provider in an emergent situation regarding their veteran patient. More PCPs also report difficulties in referrals to the VHA. However, more rural and primary care physicians follow up with their veteran patients post referral to the VHA. There was agreement among the physicians that the current dual care system needed improvements to provide timely, efficient, coordinated and high quality care to veterans. The specific areas identified for improvement were coordination of care, information sharing, medication management, streamlining of patient transfers, reimbursement for care provided outside the VA, and better delineation and clarity of the boundaries of each system and roles and responsibilities of VA and non-VA providers in the care of veterans.

Original languageEnglish (US)
Pages (from-to)225-237
Number of pages13
JournalJournal of Community Health
Volume38
Issue number2
DOIs
StatePublished - Apr 1 2013

Fingerprint

Veterans
Veterans Health
United States Department of Veterans Affairs
physician
Physicians
Primary Care Physicians
Patient Transfer
Referral and Consultation
health
Information Dissemination
Quality of Health Care
Health
Organizations
medication
organization
responsibility

Keywords

  • Care transitions
  • Dual care
  • Non federal physician perspectives
  • Veterans

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health

Cite this

Transitions in dual care for veterans : Non-federal physician perspectives. / Nayar, Preethy; Nguyen, Anh T.; Ojha, Diptee; Schmid, Kendra K; Apenteng, Bettye; Woodbridge, Peter.

In: Journal of Community Health, Vol. 38, No. 2, 01.04.2013, p. 225-237.

Research output: Contribution to journalArticle

Nayar, Preethy ; Nguyen, Anh T. ; Ojha, Diptee ; Schmid, Kendra K ; Apenteng, Bettye ; Woodbridge, Peter. / Transitions in dual care for veterans : Non-federal physician perspectives. In: Journal of Community Health. 2013 ; Vol. 38, No. 2. pp. 225-237.
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