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Invited Commentary
February 2018

Coronary Revascularization for Veterans—There’s No Place Like Home

Author Affiliations
  • 1Department of Cardiovascular Medicine, Lahey Hospital and Medical Center, Burlington, Massachusetts
  • 2Comparative Effectiveness Research Institute, Lahey Hospital and Medical Center, Burlington, Massachusetts
  • 3Tufts School of Medicine, Boston, Massachusetts
JAMA Cardiol. 2018;3(2):142-143. doi:10.1001/jamacardio.2017.4864

It is often said that one of the few areas where congressional Republicans and Democrats agree is in addressing the quality of care for US veterans. However, strategies to achieve this laudable goal differ greatly depending on one’s view of the role of the centralized Veterans Affairs (VA) hospital in delivering care or as a mechanism for providing access to care in the community. In response to high-profile examples of long waits for specialty care, a variety of initiatives to provide care using non-VA physicians and facilities have been piloted. Implicit in these extra VA access programs has been the expectation that the quality of care delivered in the community setting should meet or exceed the quality available at the VA, while improving value by reducing the costs of care and/or reducing the travel burden on the veteran and their family.

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