Authors

  1. Nelson, Karin MD, MSHS
  2. Sun, Haili PhD
  3. Dolan, Emily PhD
  4. Maynard, Charles PhD
  5. Beste, Laruen MD
  6. Bryson, Christopher MD, MS
  7. Schectman, Gordon MD
  8. Fihn, Stephan D. MD, MPH

Abstract

Care continuity, access, and coordination are important features of the patient-centered medical home model and have been emphasized in the Veterans Health Administration patient-centered medical home implementation, called the Patient Aligned Care Team. Data from more than 4.3 million Veterans were used to assess the relationship between these attributes of Patient Aligned Care Team and Veterans Health Administration hospitalization and mortality. Controlling for demographics and comorbidity, we found that continuity with a primary care provider was associated with a lower likelihood of hospitalization and mortality among a large population of Veterans receiving VA primary care.