Defining successful program configurations in VA home-based primary care: a study protocol to identify key difference-makers through investigating cross-case heterogeneity in program implementation.

ABSTRACT:

Background

The Department of Veterans Affairs (VA) is the largest integrated healthcare system in the United States and serves a rapidly aging patient population. The VA's Home-Based Primary Care (HBPC) program is a home care model for older, complex, high-risk Veterans that provides comprehensive, longitudinal primary care delivered by an interdisciplinary team of VA staff, with plans for expansion by 2027. HBPC program implementation varies considerably across local sites and contexts. Accordingly, these characteristics offer a unique opportunity to investigate real-world, cross-case heterogeneity and identify crucial factors that may lead to improved patient outcomes.

Methods

Patient home time in the last 180 days of life will serve as the primary outcome measure, calcula

SUBMITTER: Tuepker A 

PROVIDER: S-EPMC12751214 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature