Evaluation of the VA mobile clinics demonstration project

Nelda P. Wray, Thomas W. Weiss, Terri J. Menke, Paul J. Gregor, Carol M. Ashton, Carol E. Christian, John C. Hollingsworth

Research output: Contribution to journalArticle

11 Scopus citations

Abstract

In 1988 the Veterans' Benefits and Services Act attempted to solve the problem of the lack of adequate VA healthcare facilities in rural areas by establishing a demonstration program using mobile clinics. Six clinics operated in areas that were at least 100 miles from a VA healthcare facility during the time period between October 1, 1992 and May 28, 1994. This article evaluated the effect of the mobile clinics' structural limitations on clinical care, the increased number of sites on VA usage, and cost. Limited space for storage of medical records and the unavailability of laboratory, electrocardiographic, or radiographic facilities significantly affected clinical practice. However, even with these space limitations, veterans' use of healthcare in the areas served by the mobile clinics increased significantly in comparison to reference areas. The direct costs per visit averaged more than three times what the VA would have reimbursed the private sector.

Original languageEnglish (US)
Pages (from-to)133-147
Number of pages15
JournalJournal of Healthcare Management
Volume44
Issue number2
DOIs
StatePublished - 1999

ASJC Scopus subject areas

  • Leadership and Management
  • Health Policy
  • Strategy and Management

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