Authors
Steven M Asch, Elizabeth A McGlynn, Mary M Hogan, Rodney A Hayward, Paul Shekelle, Lisa Rubenstein, Joan Keesey, John Adams, Eve A Kerr
Publication date
2004/12/21
Journal
Annals of internal medicine
Volume
141
Issue
12
Pages
938-945
Publisher
American College of Physicians
Description
Background
The Veterans Health Administration (VHA) has introduced an integrated electronic medical record, performance measurement, and other system changes directed at improving care. Recent comparisons with other delivery systems have been limited to a small set of indicators.
Objective
To compare the quality of VHA care with that of care in a national sample by using a comprehensive quality-of-care measure.
Design
Cross-sectional comparison.
Setting
12 VHA health care systems and 12 communities.
Patients
596 VHA patients and 992 patients identified through random-digit dialing. All were men older than 35 years of age.
Measurements
Between 1997 and 2000, quality was measured by using a chart-based quality instrument …
Total citations
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