Le D Elizabeth, Arora Bhaskar L, Kelly Faith R, Waldo Stephen W, Raitt Merritt, Heidenreich Paul, Shah Samit M, Denktas Ali E, Mavromatis Kreton O
Division of Cardiology, VA Portland Health Care System, Portland, Oregon, USA.
Division of Cardiology, Brooke Army Medical Center, Fort Sam Houston, Texas, USA.
JACC Adv. 2025 Feb;4(2):101533. doi: 10.1016/j.jacadv.2024.101533. Epub 2025 Jan 17.
A total of 9 million veterans receive care in a unique healthcare system, the Veterans Healthcare Administration (VHA), with nearly 50% reporting at least one cardiovascular disease. Despite evidence for high quality of health care in the VHA, more veteran care is being moved to the non-VHA community. An assumption of this shift in care is that the quality of non-VHA care is at least comparable to VHA care. This paper reviews the quality of cardiovascular care delivered by the VHA in comparison to community care, which is care delivered in non-VHA facilities by non-VHA providers and is authorized and paid for by VHA, examining quality metrics and highlighting novel national care programs. The critical examination of this data is valuable for deriving health care policy, sharing novel and effective quality initiatives throughout the healthcare sector, and will help veterans and their providers make important healthcare decisions.
共有900万退伍军人在一个独特的医疗保健系统——退伍军人医疗管理局（VHA）接受治疗，近50%的人报告至少患有一种心血管疾病。尽管有证据表明VHA的医疗保健质量很高，但越来越多的退伍军人护理服务正转移到非VHA社区。这种护理服务转移的一个假设是，非VHA护理服务的质量至少与VHA护理服务相当。本文将VHA提供的心血管护理质量与社区护理质量进行了比较，社区护理是由非VHA提供者在非VHA设施中提供的，并由VHA授权和支付费用，研究了质量指标并突出了新的全国护理计划。对这些数据的批判性审查对于制定医疗保健政策、在整个医疗保健部门分享新颖有效的质量举措非常有价值，并且将帮助退伍军人及其提供者做出重要的医疗保健决策。
