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Assessment of Changes in US Veterans Health Administration Care Delivery Methods During the COVID-19 Pandemic

Educational Objective
To identify the key insights or developments described in this article
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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.

Article Information

Accepted for Publication: August 10, 2021.

Published: October 14, 2021. doi:10.1001/jamanetworkopen.2021.29139

Open Access: This is an open access article distributed under the terms of the CC-BY License. © 2021 Rose L et al. JAMA Network Open.

Corresponding Author: Liam Rose, PhD, Health Economics Resource Center, Veterans Affairs Palo Alto Health Care System, 795 Willow Rd, Bldg 324, Menlo Park, CA 94025 (liamrose@stanford.edu).

Author Contributions: Dr Rose and Dr Tran had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis.

Concept and design: Rose, Tran, Vashi.

Acquisition, analysis, or interpretation of data: All authors.

Drafting of the manuscript: Rose, Vashi.

Critical revision of the manuscript for important intellectual content: All authors.

Statistical analysis: Rose, Tran.

Obtained funding: Vashi.

Administrative, technical, or material support: Rose.

Supervision: Rose, Asch, Vashi.

Conflict of Interest Disclosures: Dr Vashi reported receiving grants from the US Department of Veterans Affairs Health Services Research and Development Service. All authors reported receiving grants from and are employed by the US Department of Veterans Affairs. No other disclosures were reported.

Funding/Support: This study was funded by US Department of Veterans Affairs Health Services Research and Development Service Individual Investigator Research Award 16-266 (grant 1101HX002362-01A2 [Dr Vashi]).

Role of the Funder/Sponsor: The US Department of Veterans Affairs Health Services Research and Development Service had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication.

References
1.
US Department of Veterans Affairs. FY2022 budget submission: budget in brief. May 2021. Accessed August 9, 2021. https://www.va.gov/budget/docs/summary/fy2022VAbudgetInBrief.pdf
2.
Ferguson  JM , Jacobs  J , Yefimova  M , Greene  L , Heyworth  L , Zulman  DM .  Virtual care expansion in the Veterans Health Administration during the COVID-19 pandemic: clinical services and patient characteristics associated with utilization.   J Am Med Inform Assoc. 2021;28(3):453-462. doi:10.1093/jamia/ocaa284 PubMedGoogle ScholarCrossref
3.
Baum  A , Kaboli  PJ , Schwartz  MD .  Reduced in-person and increased telehealth outpatient visits during the COVID-19 pandemic.   Ann Intern Med. 2021;174(1):129-131. doi:10.7326/M20-3026 PubMedGoogle ScholarCrossref
4.
Mehrotra  A , Chernew  ME , Linetsky  D , Hatch  H , Cutler  DA , Schneider  EC . The impact of COVID-19 on outpatient visits in 2020: visits remained stable, despite a late surge in cases. Commonwealth Fund. February 2021. Accessed August 9, 2021. https://www.commonwealthfund.org/publications/2021/feb/impact-covid-19-outpatient-visits-2020-visits-stable-despite-late-surge
5.
Heist  T , Schwartz  K , Butler  S . Trends in overall and non-COVID-19 hospital admissions. KFF. February 18, 2021. Accessed August 9, 2021. https://www.kff.org/health-costs/issue-brief/trends-in-overall-and-non-covid-19-hospital-admissions/
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