What does this research mean for the field?

Ambulatory patients in Veterans Administration (VA) clinics have more than twice the illness burden and significantly lower health-related quality of life compared to civilian outpatients, differences that are largely explained by economic conditions and service-connected disability. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

July 1, 2004Journal of Ambulatory Care Management

Comparing the Health Status of VA and Non-VA Ambulatory Patients

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Why the study?

Does the health status and disease profile differ between ambulatory patients in VA versus civilian healthcare settings?

Population

3,743 male ambulatory patients, comprising 2,425 veterans seeking care at 4 Boston-area VA outpatient…

Comparison

Care in Veterans Administration outpatient clinics vs Care in civilian outpatient settings

Design

Cross-sectional

Authors

WRWilliam H. RogersXavier University LKLewis E. KazisBoston University DMDonald R. MillerCross-Cutting Cardiology

Discussion

Member takes

Implication

VA ambulatory patients warrant adjusted outcome expectations; extends MOS to veterans but leaves causal drivers open.

Structured PICO

Does the health status and disease profile differ between ambulatory patients in VA versus civilian healthcare settings?

Population

3,743 male ambulatory patients, comprising 2,425 veterans seeking care at 4 Boston-area VA outpatient clinics (1993-1995) and 1,318 civilian patients in 3 major metropolitan areas (1986) with 1 of 5 conditions (hypertension, noninsulin-dependent diabetes, recent myocardial infarction, congestive heart failure, or depression).

Intervention

Care in Veterans Administration (VA) outpatient clinics

Comparator

Care in civilian outpatient settings

Outcome

SF-36 Health Status/Quality of Life measures and 100 clinical variables (diagnostic, symptom, and medical event reports)patient reported

Outpatients in VA clinics have more than twice the illness burden compared to civilian outpatients, largely explained by economic condition and service-connected disability.

Cite This Study

Rogers et al. (2004) studied this question.

synapsesocial.com/papers/6a182f77cf49e78c48b4e74b https://doi.org/10.1097/00004479-200407000-00009

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Comparing the Health Status of VA and Non-VA Ambulatory Patients

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Comparing the Health Status of VA and Non-VA Ambulatory Patients

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Also Consider