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.
Weeks WB. US Department of Veterans Affairs Primary Care Provider Turnover and Patient Satisfaction. JAMA Intern Med. 2015;175(11):1870. doi:10.1001/jamainternmed.2015.5408
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