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Transitions in Dual Care for Veterans: Non-Federal Physician Perspectives
Journal of Community Health (2012)
  • Preethy Nayar, University of Nebraska Medical Center
  • Anh T. Nguyen, University of Nebraska Medical Center
  • Diptee Ojha, University of Nebraska Medical Center
  • Kendra K. Schmid, University of Nebraska Medical Center
  • Bettye A. Apenteng, Georgia Southern University
  • Peter Woodbridge, University of Nebraska Medical Center
Many veterans receive care from both the Veterans Health Administration (VHA) and the non-VHA health system, or dual care. Non-federal physicians practicing in Nebraska were surveyed to examine their perspectives on the organization and delivery of dual care provided to veterans. A paper-based survey was mailed to all 1,287 non-federal primary care physicians (PCPs) and a purposive sample of 765 specialist physicians practising in Nebraska. Rural physicians are more likely to incorporate care coordination practices in their clinical practice, compared to urban physicians. More rural physicians report difficulties in patient transfers, and referrals to the VHA, in prescribing for veteran patients, and in contacting a VHA provider in an emergent situation regarding their veteran patient. More PCPs also report difficulties in referrals to the VHA. However, more rural and primary care physicians follow up with their veteran patients post referral to the VHA. There was agreement among the physicians that the current dual care system needed improvements to provide timely, efficient, coordinated and high quality care to veterans. The specific areas identified for improvement were coordination of care, information sharing, medication management, streamlining of patient transfers, reimbursement for care provided outside the VA, and better delineation and clarity of the boundaries of each system and roles and responsibilities of VA and non-VA providers in the care of veterans.
  • Veterans; Non-federal physicians; dual care
Publication Date
Citation Information
Preethy Nayar, Anh T. Nguyen, Diptee Ojha, Kendra K. Schmid, et al.. "Transitions in Dual Care for Veterans: Non-Federal Physician Perspectives" Journal of Community Health (2012)
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