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Comment & Response
November 2015

US Department of Veterans Affairs Primary Care Provider Turnover and Patient Satisfaction

Author Affiliations
  • 1The Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, New Hampshire
JAMA Intern Med. 2015;175(11):1870. doi:10.1001/jamainternmed.2015.5408

To the Editor Reddy et al1 found no clinical quality effect, but a modest reduction in patient satisfaction, associated with a US Department of Veterans Affairs (VA) patient experiencing primary care provider (PCP) turnover. On average, the PCP change occurred 1.5 years before quality and satisfaction were measured in 2010 to 2012. Relevant alternative policy explanations other than those offered by Reddy et al should be considered.

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