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VA versus Non-VA Quality of Care: A Systematic Review
Evidence Synthesis Program
Paul Shekelle, MD, PhD, MPH, Conceptualization, Data curation, Formal analysis, Funding acquisition, Investigation, Methodology, Resources, Supervision, Validation, Visualization, Writing – original draft, Writing – review & editing, Melinda Maggard-Gibbons, MD, Conceptualization, Formal analysis, Investigation, Methodology, Supervision, Validation, Writing – original draft, Writing – review & editing, Mariah Blegen, MD, Conceptualization, Formal analysis, Investigation, Methodology, Validation, Visualization, Writing – original draft, Writing – review & editing, Eric Apaydin, PhD, MPP, MS, Conceptualization, Formal analysis, Investigation, Methodology, Validation, Visualization, Writing – original draft, Writing – review & editing, Neil Paige, MD, MSHS, Conceptualization, Formal analysis, Investigation, Methodology, Validation, Visualization, Writing – original draft, Writing – review & editing, Jamie Ko, MPH, Conceptualization, Formal analysis, Investigation, Methodology, Validation, Visualization, Writing – original draft, Writing – review & editing, Jesus Ulloa, MD, MBA, MSHPM, Conceptualization, Formal analysis, Investigation, Methodology, Validation, Visualization, Writing – original draft, Writing – review & editing, Garrett Salzman, MD, MS, Conceptualization, Formal analysis, Investigation, Methodology, Validation, Visualization, Writing – original draft, Writing – review & editing, Meron Begashaw, MPH, Data curation, Project administration, Software, Validation, Visualization, Writing – original draft, Writing – review & editing, Mark D. Girgis, MD, Conceptualization, Investigation, Methodology, Supervision, Validation, and Jody Larkin, MS, Data curation.
Author Information and AffiliationsWashington (DC): Department of Veterans Affairs (US); 2023 Apr.
The Department of Veterans Affairs (VA) Veterans Health Administration (VHA) is the nation’s largest integrated healthcare system. Comparing the quality of VA-delivered healthcare to care delivered in non-VA settings is one way of ensuring VA maintains its commitment to providing high-quality care to Veterans. To support this aim, the VA’s Evidence Synthesis Program (ESP) systematically reviews studies comparing the quality of VA and non-VA healthcare. This systematic review is frequently updated with the most recently available evidence; the current report was previously updated in February 2023.
Contents
- PREFACE
- ACKNOWLEDGMENTS
- ABBREVIATIONS TABLE
- EXECUTIVE SUMMARY
- INTRODUCTION
- METHODS
- RESULTS
- DISUSSION
- REFERENCES
- APPENDIX A. SEARCH STRATEGIES
- APPENDIX B. LIST OF STUDIES WITH UNREPRESENTATIVE SAMPLES OR COMPARISONS
- APPENDIX C. EXCLUDED STUDIES
- APPENDIX D. NON-SURGICAL QOC EVIDENCE TABLE
- APPENDIX E. SURGICAL QOC EVIDENCE TABLE
- APPENDIX F. NON-SURGICAL RISK OF BIAS TABLE
- APPENDIX G. SURGICAL RISK OF BIAS TABLE
- APPENDIX H. SURGICAL QOC EVIDENCE TABLE – QUALITY/SAFETY
- APPENDIX I. SURGICAL QOC EVIDENCE TABLE – ACCESS, PATIENT EXPERIENCE, COST/EFFICIENCY
- APPENDIX J. PEER REVIEW DISPOSITION
Suggested citation:
Shekelle P, Maggard-Gibbons M, Blegen M, et al. VA versus Non-VA Quality of Care: A Systematic Review. Washington, DC: Evidence Synthesis Program, Health Services Research and Development Service, Office of Research and Development, Department of Veterans Affairs. VA ESP Project #05-226; 2023.
This report was prepared by the Evidence Synthesis Program Center located at the VA Greater Los Angeles Healthcare System, directed by Isomi Miake-Lye, PhD and Paul Shekelle, MD, PhD and funded by the Department of Veterans Affairs, Veterans Health Administration, Health Services Research and Development.
The findings and conclusions in this document are those of the author(s) who are responsible for its contents and do not necessarily represent the views of the Department of Veterans Affairs or the United States government. Therefore, no statement in this article should be construed as an official position of the Department of Veterans Affairs. No investigators have any affiliations or financial involvement (eg, employment, consultancies, honoraria, stock ownership or options, expert testimony, grants or patents received or pending, or royalties) that conflict with material presented in the report.
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