Farmer Carrie M, Hosek Susan D, Adamson David M
Rand Health Q. 2016 Jun 20;6(1):12.
In response to concerns that the Department of Veterans Affairs (VA) has faced about veterans' access to care and the quality of care delivered, Congress enacted the Veterans Access, Choice, and Accountability Act of 2014 ("Veterans Choice Act") in August 2014. The law was passed to help address access issues by expanding the criteria through which veterans can seek care from civilian providers. In addition, the law called for a series of independent assessments of the VA health care system across a broad array of topics related to the delivery of health care services to veterans in VA-owned and -operated facilities, as well as those under contract to VA. RAND conducted three of these assessments: Veteran demographics and health care needs (A), VA health care capabilities (B), and VA authorities and mechanisms for purchasing care (C). This article summarizes the findings of our assessments and includes recommendations from the reports for improving the match between veterans' needs and VA's capabilities, including VA's ability to purchase necessary care from the private sector.
针对退伍军人事务部（VA）在退伍军人获得医疗服务及所提供医疗服务质量方面所面临的担忧，国会于2014年8月颁布了《2014年退伍军人获得医疗服务、选择及问责法案》（“退伍军人选择法案”）。该法律的通过旨在通过扩大退伍军人可从民间医疗服务提供者处寻求医疗服务的标准来解决获得医疗服务的问题。此外，该法律要求对VA医疗系统在一系列广泛主题上进行一系列独立评估，这些主题涉及向VA拥有和运营的设施以及与VA签有合同的设施中的退伍军人提供医疗服务。兰德公司开展了其中三项评估：退伍军人人口统计与医疗需求（A）、VA医疗能力（B）以及VA购买医疗服务的权限与机制（C）。本文总结了我们评估的结果，并纳入了报告中提出的建议，以改善退伍军人需求与VA能力之间的匹配度，包括VA从私营部门购买必要医疗服务的能力。
