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Comparing Quality of Surgical Care Between the US Department of Veterans Affairs and Non-Veterans Affairs Settings: A Systematic Review.

J Am Coll Surg

August 2023

From the Veterans Health Administration, Greater Los Angeles Healthcare System, Los Angeles, CA (Blegen, Salzman, Begashaw, Ulloa, Girgis, Shekelle, Maggard-Gibbons) University of California-Los Angeles, Los Angeles, CA.

Article Synopsis
  • The Choice Act of 2014 and the MISSION Act of 2018 were enacted to improve healthcare access for veterans by allowing them to receive care at non-VA facilities, addressing long wait times in the VA system.
  • A review of 18 studies from 2015 to 2021 found that the quality and safety of surgical care in VA facilities were generally equal to or better than that in non-VA facilities, while patient experience ratings were similar.
  • Although non-VA care may reduce inpatient length of stay and potentially cost less, the overall findings suggest that expanding community care for veterans might not improve access or quality of surgical procedures.
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