Research Original Investigation Elective Coronary Revascularization in Veterans Affairs vs Community Care Hospitals Invited Commentary Coronary Revascularization for Veterans— There’s No Place Like Home Frederic S. Resnic, MD, MSc; Gautam Gadey, MD It is often said that one of the few areas where congressional and the consistency of the findings across multiple sensitiv- Republicans and Democrats agree is in addressing the quality ity analyses indicate that the findings are robust and deserve of care for US veterans. However, strategies to achieve this laud- thoughtful consideration. Although the authors correctly note able goal differ greatly de- that the increased mortality observed in CC settings after PCI pending on one’s view of the might not be directly attributable to lower quality of care at Related article page 133 role of the centralized Veter- the CC hospitals themselves, alternative factors such as inad- ans Affairs (VA) hospital in equate postprocedural care coordination or lack of compli- delivering care or as a mechanism for providing access to care ance with prescribed medications point toward a relatively in the community. In response to high-profile examples of long straightforward interpretation of their results: the system of waits for specialty care, a variety of initiatives to
JAMA Cardiology – American Medical Association
Published: Feb 3, 2018
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