Quality and equity of care in the veterans affairs health-care system and in medicare advantage health plans

Medical Care

Volumn 49, Issue 6, 2011, Pages 560-568

  Trivedi, Amal N ^a,b   Grebla, Regina C ^a,b  

^a VETERANS AFFAIRS MEDICAL CENTER   (United States)

^b BROWN UNIVERSITY   (United States)

Author keywords

managed care programs; Medicare; outcome and assessment (health care); quality of health care; Veterans Administration

Indexed keywords

BETA ADRENERGIC RECEPTOR BLOCKING AGENT; CHOLESTEROL; GLYCOSYLATED HEMOGLOBIN; LOW DENSITY LIPOPROTEIN CHOLESTEROL;

AGED; ARTICLE; BLOOD PRESSURE REGULATION; BREAST CANCER; CANCER SCREENING; CARDIOVASCULAR DISEASE; CHOLESTEROL BLOOD LEVEL; COLON CANCER; COLORECTAL CANCER; COMPARATIVE STUDY; CONTROLLED STUDY; CORONARY ARTERY DISEASE; CROSS-SECTIONAL STUDY; DIABETES MELLITUS; EDUCATION; FEMALE; HEALTH CARE DISPARITY; HEALTH CARE QUALITY; HEALTH CARE SYSTEM; HEMOGLOBIN BLOOD LEVEL; HUMAN; ISCHEMIC HEART DISEASE; MAJOR CLINICAL STUDY; MALE; MEDICARE; PRIORITY JOURNAL; SOCIAL STATUS; VETERANS HEALTH;

AGED; COMMUNITY HEALTH CENTERS; CROSS-SECTIONAL STUDIES; FEMALE; HEALTH SERVICES ACCESSIBILITY; HEALTH SERVICES RESEARCH; HOSPITALS, PRIVATE; HOSPITALS, VETERANS; HUMANS; MALE; MEDICARE PART C; OUTCOME AND PROCESS ASSESSMENT (HEALTH CARE); QUALITY INDICATORS, HEALTH CARE; UNITED STATES; UNITED STATES DEPARTMENT OF VETERANS AFFAIRS; VETERANS;

EID: 79957468983     PISSN: 00257079     EISSN: 15371948     Source Type: Journal    
DOI: 10.1097/MLR.0b013e31820fb0f6     Document Type: Article

References (48)

1. Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academies Press; 2001.
2. Committee on Quality of Health Care in America, Institute of Medicine. To Err is Human: Building a Safer Health System. Washington, DC: National Academies Press; 1999.
3. McGlynn EA, Asch SM, Adams J, et al. The quality of health care delivered to adults in the United States. N Engl J Med. 2003;348: 2635-2645. (Pubitemid 36741592)
4. Agency for Healthcare Research and Quality. 2009 National Healthcare Quality Report (NHQR). Rockville, MD: Agency for Healthcare Research and Quality; 2009.
5. Kizer KW, Dudley RA. Extreme makeover: transformation of the veterans health care system. Annu Rev Public Health. 2009;30:313-339.
6. Jha AK, Perlin JB, Kizer KW, et al. Effect of the transformation of the Veterans Affairs health care system on the quality of care. N Engl J Med. 2003;348:2218-2227. (Pubitemid 36618134)
7. Asch SM, McGlynn EA, Hogan MM, et al. Comparison of quality of care for patients in the Veterans Health Administration and patients in a national sample. Ann Intern Med. 2004;141:938-945.
8. Kerr EA, Gerzoff RB, Krein SL, et al. Diabetes care quality in the veterans affairs health care system and commercial managed care: the Triad study. Ann Intern Med. 2004;141:272-280.
9. Ross JS, Keyhani S, Keenan PS. Use of recommended ambulatory care services: is the Veterans Affairs quality gap narrowing? Arch Intern Med. 2008;168:950-958. (Pubitemid 351679635)
10. Keyhani S, Ross JS, Hebert P, et al. Use of preventive care by elderly male veterans receiving care through the Veterans Health Administration, Medicare fee-for-service, and Medicare HMO plans. Am J Public Health. 2007;97:2179-2185. (Pubitemid 351194695)
11. Petersen LA, Normand SL, Leape LL, et al. Regionalization and the under use of angiography in the Veterans Affairs Health Care System as compared with a fee-for-service system. N Engl J Med. 2003;348: 2209-2217. (Pubitemid 36618133)
12. Petersen LA, Normand SL, Daley J, et al. Outcome of myocardial infarction in Veterans Health Administration patients as compared with Medicare patients. N Engl J Med. 2000;343:1934-1941. (Pubitemid 32064788)
13. Medicare Payment Advisory Committee. Report to the Congress. Improving Incentives in the Medicare Program. Available at: http://www.medpac.gov/ documents/Jun09-EntireReport.pdf. Accessed April 26, 2010.
14. Gold M. Medicare Advantage in 2006-2007: what Congress intended? Health Aff (Millwood). 2007;26:w445-w455.
15. Kaiser Family Foundation. Medicare Advantage Fact Sheet. Available at: http://www.kff.org/medicare/upload/2052-12.pdf. Accessed April 26, 2010.
16. Trivedi AN, Zaslavsky AM, Schneider EC, et al. Trends in the quality of care and racial disparities in Medicare Managed Care. N Engl J Med. 2005;353:692-700. (Pubitemid 41175677)
17. Jha AK, Perlin JB, Stenman MA, et al. Quality of ambulatory care for women and men in the Veterans Affairs health care system. J Gen Intern Med. 2005;20:762-765. (Pubitemid 41141011)
18. General Accounting Office. VA Hospitals: Issues and Challenges for the Future. Washington, DC: General Accounting Office; 1998.
19. Health Care Financing Administration, Medicare HEDIS3.0/1998 data audit report, Available at: http://permanent.access.gpo.gov/websites/ www.hcfa.gov/quality/3i2.htm. Accessed April 25, 2010.
20. National Committee for Quality Assurance. HEDIS Volume 2: Technical Specifications. Washington DC: National Committee for Quality Assurance; 2008.
21. Lee TH. Eulogy for a quality measure. N Engl J Med. 2007;357: 1175-1177. (Pubitemid 47443176)
22. Akerley WL III, Moritz TE, Ryan LS, Henderson WG, Zacharski LR. Racial comparison of outcomes of male Department of Veterans Affairs patients with lung and colon cancer. Arch Intern Med. 1993;153: 1681-1688. (Pubitemid 23217874)
23. Jha AK, Shlipak MG, Hosmer W, et al. Racial differences in mortality among men hospitalized in the Veterans Affairs health care system. JAMA. 2001;285:297-303. (Pubitemid 32095032)
24. Fiscella K, Franks P, Gold MR, et al. Inequality in quality: addressing socioeconomic, racial, and ethnic disparities in health care. JAMA. 2000;283:2579-2584. (Pubitemid 30324204)
25. Sehgal AR. Impact of quality improvement efforts on race and sex disparities in hemodialysis. JAMA. 2003;289:996-1000. (Pubitemid 37432930)
26. Sequist TD, Adams A, Zhang F, et al. Effect of quality improvement on racial disparities in diabetes care. Arch Intern Med. 2006;166:675-681.
27. Kazis LE, Miller DR, Clark J, et al. Health-related quality of life in patients served by the Department of Veterans Affairs: results from the Veterans Health Study. Arch Intern Med. 1998;158:626-632. (Pubitemid 28144820)
28. Agha Z, Lofgren RP, VanRuiswyk JV, et al. Are patients at Veterans Affairs medical centers sicker? a comparative analysis of health status and medical resource use. Arch Intern Med. 2000;160:3252-3257.
29. Rogers WH, Kazis LE, Miller DR, et al. Comparing the health status of VA and non-VA ambulatory patients: the veterans' health and medical outcomes studies. J Ambul Care Manage. 2004;27:249-262. (Pubitemid 38780396)
30. Selim AJ, Berlowitz DR, Fincke G, et al. The health status of elderly veterans enrollees in the Veterans Health Administration. J Am Geriatr Soc. 2004;52:1271-1276. (Pubitemid 39038198)
31. Randall M, Kilpatrick KE, Pendergast JF, et al. Differences in patient characteristics between Veterans Administration and community hospitals: implications for VA planning. Med Care. 1987;25:1099-1104. (Pubitemid 17167569)
32. Schneider EC, Zaslavsky AM, Epstein AM. Racial disparities in the quality of care for enrollees in Medicare managed care. JAMA. 2002;287:1288-1294. (Pubitemid 34250483)
33. Trivedi AN, Zaslavsky AM, Schneider EC, et al. Relationship between quality of care and racial disparities in Medicare health plans. JAMA. 2006;296:1998-2004. (Pubitemid 44631446)
34. Landon BE, Schneider EC, Normand SL, et al. Quality of care in Medicaid managed care and commercial health plans. JAMA. 2007;298: 1674-1681. (Pubitemid 47606656)
35. Redelmeier DA, Tan SH, Booth GL. The treatment of unrelated disorders in patients with chronic medical diseases. N Engl J Med. 1998;338:1516-1520. (Pubitemid 28226280)
36. Druss BG, Bradford WD, Rosenheck RA, et al. Quality of medical care and excess mortality in older patients with mental disorders. Arch Gen Psychiatry. 2001;58:565-572. (Pubitemid 32523736)
37. Petersen L, Normand S, Druss B, et al. Process of care and outcome after acute myocardial infarction for patients with mental illness in the VA health care system: are there disparities? Health Serv Res. 2003;38:41-61.
38. Druss BG, Rosenheck RA, Desai MM, et al. Quality of preventive medical care for patients with mental disorders. Med Care. 2002;40: 129-136.
39. Boyko EJ, Koepsell TD, Gaziano JM, et al. US Department of Veterans Affairs medical care system as a resource to epidemiologists. Am J Epidemiol. 2000;151:307-314. (Pubitemid 30463636)
40. Herring B. Suboptimal provision of preventive healthcare due to expected enrollee turnover among private insurers. Health Econ. 2010;19:438-448.
41. Congress of the United States, Congressional Budget Office. The Health Care System for Veterans: An Interim Report, http:// www.cbo.gov/ftpdocs/88xx/ doc8892/12-21-VA-Healthcare.pdf. Accessed April 26, 2010.
42. Chaudhry B, Wang J, Wu S, et al. Systematic review: impact of health information technology on quality, efficiency, and costs of medical care. Ann Intern Med. 2006;144:742-752. (Pubitemid 46780634)
43. Bates DW, Leape LL, Cullen DJ, et al. Effect of computerized physician order entry and a team intervention on prevention of serious medication errors. JAMA. 1998;280:1311-1316. (Pubitemid 28473716)
44. Weiner M, Callahan CM, Tierney WM, et al. Using information technology to improve the health care of older adults. Ann Intern Med. 2003;139:430-436. (Pubitemid 38128282)
45. Kupersmith J, Francis J, Kerr E, et al. Advancing evidence-based care for diabetes: lessons from the Veterans Health Administration. Health Aff (Millwood). 2007;26:w156-w168.
46. Ross JS, Keyhani S, Keenan PS, et al. Dual use of Veterans Affairs services and use of recommended ambulatory care. Med Care. 2008;46:309-316.
47. Higashi T, Wenger NS, Adams JL, et al. Relationship between number of medical conditions and quality of care. N Engl J Med. 2007;356:2496-2504. (Pubitemid 46919775)
48. Gornick ME, Eggers PW, Reilly TW, et al. Effects of race and income on mortality and use of services among Medicare beneficiaries. N Engl J Med. 1996;335:791-799. (Pubitemid 26296540)