Smith D B, Shofer L
J Med Syst. 1981;5(1-2):47-57. doi: 10.1007/BF02222061.
The Veterans Administration medical care system functions within a larger VA services program that has as its direct constituency many organized veterans' groups. The VA system is viewed from the larger perspective of consumer representation in its direction through three effective functions of consumer representation: ownership, control, and oversight. In the VA the Congress and the veterans' groups perform these functions with varying levels of impact on the system. While veterans feel a measure of ownership of the medical care system, they have little voice in its actual operation. Research is needed to describe more fully fully the actual role of the veterans-client in the system and to explore the possibility that aspects of the system may be adopted outside.
退伍军人管理局医疗保健系统在一个更大的退伍军人管理局服务项目中运作，该项目的直接选民包括许多有组织的退伍军人团体。从消费者代表的更广泛视角来看，退伍军人管理局系统通过消费者代表的三个有效功能来指导其运作：所有权、控制权和监督权。在退伍军人管理局中，国会和退伍军人团体履行这些职能，对该系统产生不同程度的影响。虽然退伍军人对医疗保健系统有一定程度的所有权感，但他们在其实际运作中几乎没有发言权。需要进行研究，以更全面地描述退伍军人客户在该系统中的实际作用，并探索该系统的某些方面在外部被采用的可能性。
