Exploring the association of care fragmentation and patient ratings of care quality: A mediation analysis of women Veterans' experience with VA care.

ABSTRACT:

Objective

To examine the relationship between care fragmentation and patient ratings of care quality and identify potentially actionable mediators.

Data sources/study setting

2015 telephone survey of 1395 women Veterans with three or more visits in primary care and/or women's health care in the prior year at 12 Veterans Affairs (VA) medical centers.

Study design

Cross-sectional analysis.

Data collection/extraction methods

We operationalized lower care fragmentation as receiving VA-only care versus dual use of VA/non-VA care. Participants rated VA care quality (overall care, women's health care (WH), and primary care (PC)) and three aspects of their patient experience (ease of access to services, provider communication, and gender sensitivity of VA environments)

SUBMITTER: Chanfreau-Coffinier C 

PROVIDER: S-EPMC6606604 | biostudies-literature | 2019 Aug

REPOSITORIES: biostudies-literature