Key PointsQuestionDoes the Veterans Affairs Community Care Program, which allows veterans to receive care at non–Veterans Affairs sites, increase the accessibility and value of their elective coronary revascularization procedures? FindingsAmong 13 237 elective percutaneous coronary interventions and 5818 elective coronary artery bypass graft procedures in this veteran cohort study, use of the Community Care Program reduced aggregate veteran travel distance for revascularization. Community Care Program hospitals had higher mortality and costs for percutaneous coronary intervention and had equivalent mortality and lower costs for coronary artery bypass graft surgery. MeaningIn our veteran cohort, use of Community Care Program hospitals improved overall access for revascularization; Community Care Program hospitals provided lower-value percutaneous coronary intervention procedures but higher-value coronary artery bypass graft procedures.
JAMA Cardiology – American Medical Association
Published: Feb 3, 2018
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