Chuan Fen Liu

Summary

Country: USA

Publications

  1. pmc Use of outpatient care in VA and Medicare among disability-eligible and age-eligible veteran patients
    Chuan Fen Liu
    Northwest Center for Outcomes Research in Older Adults, VA Puget Sound Health Care System, 1100 Olive Way, Suite 1400, Seattle, WA 98101, USA
    BMC Health Serv Res 12:51. 2012
  2. ncbi request reprint Line authority for nurse staffing and costs for acute inpatient care
    Chuan Fen Liu
    Northwest Center for Outcomes Research in Older Adults, VA Puget Sound Health Care System, 1100 Olive Way, Suite 1400, Seattle, WA 98101, USA
    Inquiry 46:339-51. 2009
  3. pmc Organizational cost of quality improvement for depression care
    Chuan Fen Liu
    Northwest Center for Outcomes Research in Older Adults, VA Puget Sound Healthcare System, 1100 Olive Way, Suite 1400, Seattle, WA 98101, USA
    Health Serv Res 44:225-44. 2009
  4. pmc Use of outpatient care in Veterans Health Administration and Medicare among veterans receiving primary care in community-based and hospital outpatient clinics
    Chuan Fen Liu
    Northwest Center for Outcomes Research in Older Adults, Department of Veterans Affairs, HSR and D, VA Puget Sound Health Care System, 1100 Olive Way, Suite 1400, Seattle, WA 98101, USA
    Health Serv Res 45:1268-86. 2010
  5. pmc Wide clinic-level variation in adherence to oral diabetes medications in the VA
    Chris L Bryson
    Northwest Center for Outcomes Research in Older Adults, VA Puget Sound Health Care System, Seattle, WA, USA
    J Gen Intern Med 28:698-705. 2013
  6. ncbi request reprint Construction and characteristics of the RxRisk-V: a VA-adapted pharmacy-based case-mix instrument
    Kevin L Sloan
    VA Puget Sound Health Care System, Seattle, Washington 98108, USA
    Med Care 41:761-74. 2003
  7. pmc Case-mix adjusting performance measures in a veteran population: pharmacy- and diagnosis-based approaches
    Chuan Fen Liu
    VA Puget Sound Health Care System, Seattle, WA 98108, USA
    Health Serv Res 38:1319-37. 2003
  8. pmc The performance of administrative and self-reported measures for risk adjustment of Veterans Affairs expenditures
    Matthew L Maciejewski
    Health Services Research and Development Northwest Center of Excellence, Veterans Affairs Puget Sound Health Care System, Seattle, WA, USA
    Health Serv Res 40:887-904. 2005
  9. doi request reprint Reliance on Veterans Affairs outpatient care by Medicare-eligible veterans
    Chuan Fen Liu
    Northwest Center for Outcomes Research in Older Adults, VA Puget Sound Health Care System, University of Chicago, Chicago, IL 98101, USA
    Med Care 49:911-7. 2011
  10. doi request reprint Measures of adherence to oral hypoglycemic agents at the primary care clinic level: the role of risk adjustment
    Edwin S Wong
    Northwest Center for Outcomes Research in Older Adults, VA Puget Sound Health Care System, WA 98101, USA
    Med Care 50:591-8. 2012

Detail Information

Publications57

  1. pmc Use of outpatient care in VA and Medicare among disability-eligible and age-eligible veteran patients
    Chuan Fen Liu
    Northwest Center for Outcomes Research in Older Adults, VA Puget Sound Health Care System, 1100 Olive Way, Suite 1400, Seattle, WA 98101, USA
    BMC Health Serv Res 12:51. 2012
    ....
  2. ncbi request reprint Line authority for nurse staffing and costs for acute inpatient care
    Chuan Fen Liu
    Northwest Center for Outcomes Research in Older Adults, VA Puget Sound Health Care System, 1100 Olive Way, Suite 1400, Seattle, WA 98101, USA
    Inquiry 46:339-51. 2009
    ..Our results provide some evidence that a reduction in nursing line authority may adversely impact nursing costs...
  3. pmc Organizational cost of quality improvement for depression care
    Chuan Fen Liu
    Northwest Center for Outcomes Research in Older Adults, VA Puget Sound Healthcare System, 1100 Olive Way, Suite 1400, Seattle, WA 98101, USA
    Health Serv Res 44:225-44. 2009
    ....
  4. pmc Use of outpatient care in Veterans Health Administration and Medicare among veterans receiving primary care in community-based and hospital outpatient clinics
    Chuan Fen Liu
    Northwest Center for Outcomes Research in Older Adults, Department of Veterans Affairs, HSR and D, VA Puget Sound Health Care System, 1100 Olive Way, Suite 1400, Seattle, WA 98101, USA
    Health Serv Res 45:1268-86. 2010
    ..To examine differences in use of Veterans Health Administration (VA) and Medicare outpatient services by VA primary care patients...
  5. pmc Wide clinic-level variation in adherence to oral diabetes medications in the VA
    Chris L Bryson
    Northwest Center for Outcomes Research in Older Adults, VA Puget Sound Health Care System, Seattle, WA, USA
    J Gen Intern Med 28:698-705. 2013
    ..While there has been extensive research into patient-specific predictors of medication adherence and patient-specific interventions to improve adherence, there has been little examination of variation in clinic-level medication adherence...
  6. ncbi request reprint Construction and characteristics of the RxRisk-V: a VA-adapted pharmacy-based case-mix instrument
    Kevin L Sloan
    VA Puget Sound Health Care System, Seattle, Washington 98108, USA
    Med Care 41:761-74. 2003
    ..Our goal was to provide a reliable and valid pharmacy-based case-mix classification system for chronic diseases found in the Veterans Health Administration (VHA) population...
  7. pmc Case-mix adjusting performance measures in a veteran population: pharmacy- and diagnosis-based approaches
    Chuan Fen Liu
    VA Puget Sound Health Care System, Seattle, WA 98108, USA
    Health Serv Res 38:1319-37. 2003
    ..To compare the rankings for health care utilization performance measures at the facility level in a Veterans Health Administration (VHA) health care delivery network using pharmacy- and diagnosis-based case-mix adjustment measures...
  8. pmc The performance of administrative and self-reported measures for risk adjustment of Veterans Affairs expenditures
    Matthew L Maciejewski
    Health Services Research and Development Northwest Center of Excellence, Veterans Affairs Puget Sound Health Care System, Seattle, WA, USA
    Health Serv Res 40:887-904. 2005
    ..To evaluate the performance of different prospective risk adjustment models of outpatient, inpatient, and total expenditures of veterans who regularly use Veterans Affairs (VA) primary care...
  9. doi request reprint Reliance on Veterans Affairs outpatient care by Medicare-eligible veterans
    Chuan Fen Liu
    Northwest Center for Outcomes Research in Older Adults, VA Puget Sound Health Care System, University of Chicago, Chicago, IL 98101, USA
    Med Care 49:911-7. 2011
    ..To examine longitudinal changes in Medicare-eligible veterans' reliance on the Department of Veterans Affairs (VA) healthcare system for primary and specialty care over 4 years...
  10. doi request reprint Measures of adherence to oral hypoglycemic agents at the primary care clinic level: the role of risk adjustment
    Edwin S Wong
    Northwest Center for Outcomes Research in Older Adults, VA Puget Sound Health Care System, WA 98101, USA
    Med Care 50:591-8. 2012
    ..This study examined whether variation in patient and facility characteristics determined those differences...
  11. ncbi request reprint Survey nonresponders incurred higher medical utilization and lower medication adherence
    Seppo T Rinne
    1100 Olive Way, Ste 1400, Seattle, WA 98104 3801 E mail
    Am J Manag Care 21:e1-8. 2015
    ..To compare healthcare costs, utilization, and medication adherence between diabetic responders and nonresponders to a patient satisfaction survey...
  12. pmc Utilization and expenditures of veterans obtaining primary care in community clinics and VA medical centers: an observational cohort study
    Matthew L Maciejewski
    Center for Health Services Research in Primary Care, Durham VA Medical Center, Department of Veterans Affairs, Durham, NC, USA
    BMC Health Serv Res 7:56. 2007
    ..To compare VA inpatient and outpatient utilization and expenditures of veterans seeking primary care in community-based outpatient clinics (CBOCs) and VA medical centers (VAMCs) in fiscal years 2000 (FY00) and 2001...
  13. doi request reprint Local Area Unemployment and the Demand for Inpatient Care Among Veterans Affairs Enrollees
    Edwin S Wong
    Center of Innovation for Veteran Centered and Value Driven Care, Seattle, WA, USA University of Washington, Seattle, WA, USA
    Med Care Res Rev 72:468-80. 2015
    ..These results suggest inpatient use is less sensitive to the economy, although worse economic conditions slightly affected inpatient demand for select veterans. ..
  14. pmc Effectiveness of collaborative care depression treatment in Veterans' Affairs primary care
    Susan C Hedrick
    Health Services Research and Development Center of Excellence, the VA Puget Sound Health Care System, Seattle, Wash 98108, USA
    J Gen Intern Med 18:9-16. 2003
    ..In CL care, study clinicians informed the primary care provider of the diagnosis and facilitated referrals to psychiatry residents practicing in the primary care clinic...
  15. pmc Implementing collaborative care for depression treatment in primary care: a cluster randomized evaluation of a quality improvement practice redesign
    Edmund F Chaney
    Department of Psychiatry and Behavioral Sciences, School of Medicine, University of Washington, Seattle, Washington, USA
    Implement Sci 6:121. 2011
    ..The study used EBQI methods for CCM redesign, tested the effectiveness of the locally adapted model as implemented, and assessed the contextual factors shaping intervention effectiveness...
  16. ncbi request reprint The influence of patient preference on depression treatment in primary care
    Patricia Lin
    Health Services Research and Development Center of Excellence, VA Puget Sound Health Care System, Seattle, WA 98108, USA
    Ann Behav Med 30:164-73. 2005
    ..The chronic illness model encourages consideration of patients' treatment preferences. Moreover, research suggests that matching treatment to preference might affect outcomes for patients with depression...
  17. ncbi request reprint Cost-effectiveness of collaborative care for depression in a primary care veteran population
    Chuan Fen Liu
    Health Services Research and Development Center of Excellence, VA Puget Sound Health Care System, 1660 South Columbian Way, Seattle, WA 98108, USA
    Psychiatr Serv 54:698-704. 2003
    ..This study examined the incremental cost-effectiveness of a collaborative care intervention for depression compared with consult-liaison care...
  18. pmc Does the presence of a pharmacist in primary care clinics improve diabetes medication adherence?
    Beverly Mielke Kocarnik
    Division of General Internal Medicine, University of Washington, 329 NinthAve, Campus Box 359780, Seattle, WA 98104, USA
    BMC Health Serv Res 12:391. 2012
    ..We examined whether the presence of pharmacists in primary care clinics was associated with higher OHA adherence...
  19. doi request reprint Importance of health system context for evaluating utilization patterns across systems
    James F Burgess
    Center for Organization, Leadership and Management Research, Department of Veterans Affairs, Boston, MA, USA
    Health Econ 20:239-51. 2011
    ..Understanding the context of a particular health system and its effect on the DGP is important in conducting effective valid evaluations...
  20. ncbi request reprint Measuring nurses' practice environments with the revised nursing work index: evidence from registered nurses in the Veterans Health Administration
    Yu Fang Li
    VA Puget Sound Health Care System, Seattle, 1100 Olive Way, Suite 1400, WA 98101, USA
    Res Nurs Health 30:31-44. 2007
    ..Additional research is needed to corroborate these findings in other nurse samples and settings...
  21. doi request reprint Nurse staffing and patient care costs in acute inpatient nursing units
    Yu Fang Li
    Northwest Center for Outcomes Research in Older Adults, VA Puget Sound Health Care System, Seattle, WA, USA
    Med Care 49:708-15. 2011
    ..This study evaluated whether nursing hours per patient day (HPPD) and skill mix are associated with higher inpatient care costs within acute medical/surgical inpatient units using data from the Veterans Health Administration...
  22. pmc Prevalence of depression-PTSD comorbidity: implications for clinical practice guidelines and primary care-based interventions
    Duncan G Campbell
    Department of Veterans Affairs, Health Services Research and Development Center of Excellence, VA Puget Sound Health Care System, Seattle, Washington, USA
    J Gen Intern Med 22:711-8. 2007
    ..Compared to those with depression alone, depressed patients with posttraumatic stress disorder (PTSD) experience more severe psychiatric symptomatology and factors that complicate treatment...
  23. ncbi request reprint Depression diagnosis and antidepressant treatment among depressed VA primary care patients
    Chuan Fen Liu
    Department of Veterans Affairs, Health Services Research and Development Center of Excellence, VA Puget Sound Health Care System, 1100 Olive Way, Suite 1400, Seattle, WA 98101, USA
    Adm Policy Ment Health 33:331-41. 2006
    ..Depression treatment performance measures dependent on diagnoses and antidepressant prescriptions from administrative databases exclude undiagnosed patients with significant, treatable, symptomatology...
  24. pmc Performance of comorbidity, risk adjustment, and functional status measures in expenditure prediction for patients with diabetes
    Matthew L Maciejewski
    Health Services Research and Development, Durham VA Medical Center, Department of Veterans Affairs, Durham, North Carolina, USA
    Diabetes Care 32:75-80. 2009
    ..To compare the ability of generic comorbidity and risk adjustment measures, a diabetes-specific measure, and a self-reported functional status measure to explain variation in health care expenditures for individuals with diabetes...
  25. doi request reprint Medicare managed care enrollment by disability-eligible and age-eligible veterans
    Matthew L Maciejewski
    Center for Health Services Research in Primary Care, Department of Veterans Affairs, Durham, NC 27705, USA
    Med Care 47:1180-5. 2009
    ..We also assessed whether these factors differed between disability-eligible veterans and age-eligible veterans...
  26. doi request reprint Does Favorable Selection Among Medicare Advantage Enrollees Affect Measurement of Hospital Readmission Rates?
    Edwin S Wong
    VA Puget Sound Health Care System, Seattle, WA, USA University of Washington, Seattle, WA, USA
    Med Care Res Rev 71:367-83. 2014
    ..Estimation of quality metrics should carefully consider sample selection to produce valid policy inferences. ..
  27. doi request reprint Association between local area unemployment rates and use of Veterans Affairs outpatient health services
    Edwin S Wong
    Northwest Center for Outcomes Research in Older Adults, VA Puget Sound Health Care System Department of Health Services, University of Washington Office of Analytics and Business Intelligence, Veterans Health Administration, Seattle, WA
    Med Care 52:137-43. 2014
    ..Prior research indicates that federal spending on Medicare, Medicaid, and other government health programs accelerated during the Great Recession...
  28. pmc Dual use of VA and non-VA services among primary care patients with depression
    Chuan Fen Liu
    Department of Veterans Affairs, Health Services Research and Development Center of Excellence, VA Puget Sound Health Care System, Seattle, WA 98101, USA
    J Gen Intern Med 24:305-11. 2009
    ..Depression treatment requires close monitoring to achieve optimal, long-term control. Use of multiple sources of health care can affect coordination and continuity of treatment for depression...
  29. pmc Hearing aid effectiveness after aural rehabilitation - individual versus group (HEARING) trial: RCT design and baseline characteristics
    Margaret P Collins
    Health Services Research and Development Center of Excellence, VA Puget Sound Health Care System, 1100 Olive Way, Suite 1400, Seattle, WA 98101, USA
    BMC Health Serv Res 9:233. 2009
    ..We describe the rationale, design, and characteristics of the baseline cohort of the first randomized clinical trial to study the impact of group versus individual hearing aid fitting and follow-up visits...
  30. ncbi request reprint Long-term cost-effectiveness of screening strategies for hearing loss
    Chuan Fen Liu
    Center of Excellence for Health Services Research and Development, Department of Veterans Affairs Puget Sound Health Care System, Seattle, WA 98101, USA
    J Rehabil Res Dev 48:235-43. 2011
    ..00 per additional hearing aid user compared with the control group. For this population of older veterans, screening for hearing loss with the tone-emitting otoscope is cost-effective...
  31. ncbi request reprint Did Massachusetts Health Reform Affect Veterans Affairs Primary Care Use?
    Edwin S Wong
    VA Puget Sound Health Care System, Seattle, WA, USA University of Washington, Seattle, WA, USA
    Med Care Res Rev . 2016
    ..Among VA-Medicare dual enrollees, MHR was associated with an increase of 24.5 PC visits per 1,000 veterans per quarter (p = .048). Despite new non-VA health options through MHR, VA enrollees continued to rely on VA PC...
  32. pmc Methods for Measuring Racial Differences in Hospitals Outcomes Attributable to Disparities in Use of High-Quality Hospital Care
    Paul L Hebert
    VA HSR and D Center of Innovation for Patient Centered and Value Driven Health Care, VA Puget Sound Health Care System, Seattle, WA
    Health Serv Res . 2016
    ..To compare two approaches to measuring racial/ethnic disparities in the use of high-quality hospitals...
  33. doi request reprint A First Look at PCMH Implementation for Minority Veterans: Room for Improvement
    Susan E Hernandez
    Department of Health Services, School of Public Health, University of Washington Seattle Center of Innovation for Veteran Centered and Value Driven Care, VA, Puget Sound Health Care System, Seattle, WA Institute for Better Health, Trillium Health Partners, Toronto Canada General Internal Medicine Service, VA Puget Sound Health Care System Department of Medicine, University of Washington School of Medicine, Seattle, WA Office of Analytics and Business Intelligence, Veterans Health Administration, Washington, DC
    Med Care 54:253-61. 2016
    ..Implementation of Patient Aligned Care Teams (PACT), a patient-centered medical home model, has been inconsistent among the >900 primary care facilities in the Veterans Health Administration...
  34. ncbi request reprint Time allocation and caseload capacity in telephone depression care management
    Chuan Fen Liu
    VA Puget Sound Health Care System, Health Services Research and Development, 1100 Olive Way, Ste 1400, Seattle WA 98101, USA
    Am J Manag Care 13:652-60. 2007
    ..To document time allocated to care management activities and care manager workload capacity using data collected for studies of telephone care management of depression...
  35. pmc The Association Between Unhealthy Alcohol Use and Acute Care Expenditures in the 30 Days Following Hospital Discharge Among Older Veterans Affairs Patients with a Medical Condition
    Laura J Chavez
    Health Services Research and Development, Seattle Center of Innovation for Veteran Centered and Value Driven Care, Veterans Affairs Puget Sound Health Care System, 1660 S Columbian Way, Seattle, WA, 98108, USA
    J Behav Health Serv Res . 2016
    ..Although these patients did not have greater acute care expenditures than low-risk drinking patients, they may nevertheless be vulnerable to poor post-discharge outcomes...
  36. ncbi request reprint Predicting costs of care using a pharmacy-based measure risk adjustment in a veteran population
    Anne E Sales
    VA Puget Sound Health Care System, Seattle, Washington 98108, USA
    Med Care 41:753-60. 2003
    ..The Veterans Health Administration (VHA) is an ideal environment in which to test the efficacy of a pharmacy-based approach...
  37. ncbi request reprint The effect of a Helicobacter pylori treatment strategy on health care expenditures in patients with peptic ulcer disease and dyspepsia
    David J Kearney
    Primary and Specialty Medical Care Service, VA Puget Sound Health Care System, Seattle, Washington, USA
    Am J Gastroenterol 98:1952-62. 2003
    ..The aim of this study was to determine whether treatment for Helicobacter pylori (H. pylori) for patients with dyspepsia or a history of peptic ulcer decreases hospital expenditures...
  38. doi request reprint Preference weights for the spectrum of alcohol use in the U.S. Population
    Laura J Chavez
    Health Services Research and Development, Seattle Center of Innovation for Veteran Centered and Value Driven Care, Veterans Affairs Puget Sound Health Care System, 1660 S Columbian Way, Seattle, WA 98108, United States Department of Health Services, University of Washington, 1959 NE Pacific Street, Seattle, WA 98195, United States Electronic address
    Drug Alcohol Depend 161:206-13. 2016
    ..Preference weights can be estimated from measures of health-related quality of life (HRQOL). The objective of this study was to describe preference weights for the full spectrum of alcohol use...
  39. pmc Unhealthy alcohol use in older adults: Association with readmissions and emergency department use in the 30 days after hospital discharge
    Laura J Chavez
    Health Services Research and Development, Seattle Center of Innovation for Veteran Centered and Value Driven Care, Veterans Affairs Puget Sound Health Care System, 1660 S Columbian Way, Seattle, WA 98108, United States Department of Health Services, University of Washington, 1959 NE Pacific Street, Seattle, WA 98195, United States Electronic address
    Drug Alcohol Depend 158:94-101. 2016
    ..This study examined the association between AUDIT-C alcohol screening results and 30-day readmissions or ED visits...
  40. ncbi request reprint Organizational structure for chronic heart failure and chronic obstructive pulmonary disease
    Seppo T Rinne
    1100 Olive Way, Ste 1400, Seattle, WA 98104 3801 E mail
    Am J Manag Care 22:e82-7. 2016
    ..Our objective was to examine differences in organizational structure available to support quality of care for patients with CHF and COPD...
  41. pmc Trends in Timing of Dialysis Initiation within Versus Outside the Department of Veterans Affairs
    Margaret K Yu
    Veterans Affairs Health Services Research and Development Center of Excellence, Veterans Affairs Puget Sound Health Care System, Seattle, Washington Division of Nephrology, Department of Medicine, and Kidney Research Institute, Seattle, Washington
    Clin J Am Soc Nephrol 10:1418-27. 2015
    ..This study compared temporal trends in eGFR at dialysis initiation within versus outside the Department of Veterans Affairs (VA)-the largest non-fee-for-service health system in the United States...
  42. doi request reprint Patient-centered medical home implementation and primary care provider turnover
    Philip W Sylling
    Northwest HSR and D Center for Innovation, VA Puget Sound Healthcare System Department of Health Services, School of Public Health, University of Washington General Internal Medicine Service, VA Puget Sound Healthcare System Department of Medicine, School of Medicine, University of Washington VHA Office of Analytics and Business Intelligence, VA Puget Sound Healthcare System, Seattle, WA
    Med Care 52:1017-22. 2014
    ..This study examined the association between a system-wide PCMH implementation and PCP turnover...
  43. pmc Factors affecting medication adherence: patient perspectives from five veterans affairs facilities
    Clarissa Hsu
    Center for Community Health and Evaluation, Group Health Research Institute, 1730 Minor Ave, Suite 1600, Seattle, WA, 98101 1448, USA
    BMC Health Serv Res 14:533. 2014
    ..This study explored facilitators and barriers to OHA adherence by obtaining the perspectives of Veterans Affairs (VA) patients with OHA prescriptions...
  44. ncbi request reprint Hearing aid effectiveness after aural rehabilitation: individual versus group trial results
    Margaret P Collins
    Health Services Research and Development Center of Excellence, VA Puget Sound Health Care System, 1100 Olive Way, Seattle, WA 98101, USA
    J Rehabil Res Dev 50:585-98. 2013
    ..001). We conclude that outcomes for group hearing aid fitting and hearing aid follow-up visits were not inferior to individual hearing aid fitting and follow-up visits, with group fitting and follow-up visits yielding cost savings...
  45. ncbi request reprint Increasing copayments and adherence to diabetes, hypertension, and hyperlipidemic medications
    Matthew L Maciejewski
    Center for Health Services Research in Primary Care 152, Durham VA Medical Center, 508 Fulton St, Durham, NC 27705, USA
    Am J Manag Care 16:e20-34. 2010
    ..To examine the impact of a medication copayment increase on adherence to diabetes, hypertension, and hyperlipidemic medications...
  46. doi request reprint Do Veterans Health Administration Enrollees Generalize to Other Populations?
    Edwin S Wong
    VA Puget Sound Health Care System, Seattle, WA, USA University of Washington, Seattle, WA, USA
    Med Care Res Rev 73:493-507. 2016
    ..Overlap declined when comparing with Medicaid enrollees or privately insured individuals, suggesting more limited generalizability of VHA studies to these populations. ..
  47. ncbi request reprint Estimating the Impact of Oral Diabetes Medication Adherence on Medical Costs in VA
    Edwin S Wong
    VA Puget Sound Health Care System, Seattle, WA, USA University of Washington, Seattle, WA, USA
    Ann Pharmacother 48:978-985. 2014
    ..Despite evidence demonstrating clinical benefits of oral hypoglycemic agents (OHAs), adherence to OHAs is generally poor. The economic benefit of OHA adherence among patients in the Veterans Affairs Health System (VA) is unknown...
  48. doi request reprint Hospital Distance and Readmissions Among VA-Medicare Dual-Enrolled Veterans
    Edwin S Wong
    Center of Innovation for Veteran Centered and Value Driven Care, VA Puget Sound Health Care System, Seattle, Washington
    J Rural Health 32:377-386. 2016
    ..Our primary objective was to assess whether distance from VA patients' residence to the nearest VA and non-VA hospitals was associated with 30-day all-cause readmission and the system where patients were readmitted (VA or Medicare)...
  49. pmc Thiazolidinediones are associated with a reduced risk of COPD exacerbations
    Seppo T Rinne
    Department of Veterans Affairs, VA Connecticut Healthcare System, West Haven, CT, USA Division of Pulmonary and Critical Care, Yale University, New Haven, CT, USA
    Int J Chron Obstruct Pulmon Dis 10:1591-7. 2015
    ..Thiazolidinediones (TZDs) are oral antihyperglycemic medications that are selective agonists to peroxisome proliferator-activated receptor gamma and have been shown to have potent anti-inflammatory effects in the lung...
  50. pmc Trends in the Timing and Clinical Context of Maintenance Dialysis Initiation
    ANN M O'HARE
    Department of Veterans Affairs Health Services Research and Development Center of Excellence, Department of Veterans Affairs Puget Sound Healthcare System, Seattle, Washington Departments of Medicine and Group Health Research Institute, Seattle, Washington
    J Am Soc Nephrol 26:1975-81. 2015
    ..13 to 1.81) and 1.46 (95% CI, 1.09 to 1.97), respectively. In conclusion, trends in eGFR at dialysis initiation at VA medical centers do not seem to reflect changes in the clinical context in which dialysis is initiated...
  51. doi request reprint Implementation of the patient-centered medical home in the Veterans Health Administration: associations with patient satisfaction, quality of care, staff burnout, and hospital and emergency department use
    Karin M Nelson
    Seattle Center of Innovation for Veteran Centered and Value Driven Care, VA Puget Sound Health Care System, Seattle, Washington2General Internal Medicine Service, VA Puget Sound Health Care System, Seattle, Washington 3Department of Medicine, University o
    JAMA Intern Med 174:1350-8. 2014
    ..To track progress and evaluate outcomes at all VHA primary care clinics, we developed and validated a method to assess PCMH implementation...
  52. pmc The relationship between local area labor market conditions and the use of Veterans Affairs health services
    Edwin S Wong
    Northwest Center for Outcomes Research in Older Adults, VA Puget Sound Health Care System, 1100 Olive Way, Suite 1400, Seattle, WA 98101, USA
    BMC Health Serv Res 13:96. 2013
    ..This study examines whether local area labor market conditions, measured using county-level unemployment rates, influence whether veterans obtain health care from the VA...
  53. doi request reprint Equivalence of two healthcare costing methods: bottom-up and top-down
    Michael K Chapko
    Health Services Research and Development, VA Puget Sound Health Care System, Seattle, WA 98108, USA
    Health Econ 18:1188-201. 2009
    ..Administrators and researchers conducting cost analyses need to carefully consider the purpose, methods, characteristics, strengths, and weaknesses when selecting a method for assessing cost...
  54. ncbi request reprint Massachusetts health reform and Veterans Affairs health system enrollment
    Edwin S Wong
    Center of Innovation for Veteran Centered and Value Driven Care, 1100 Olive Way, Suite 1400, Seattle, WA 98101 E mail
    Am J Manag Care 20:629-36. 2014
    ..We examined the impact of healthcare reform in Massachusetts, which also included these policy changes, on veterans' enrollment in VA, private insurance, and Medicaid...
  55. pmc Racial and ethnic differences in diabetes care and health care use and costs
    Jung Ah Lee
    University of Washington, School of Nursing, Department of Biobehavioral Nursing and Health Systems, Seattle, WA 98195, USA
    Prev Chronic Dis 3:A85. 2006
    ..S. noninstitutionalized civilian population...
  56. pmc Changes in characteristics of veterans using the VHA health care system between 1996 and 1999
    Chuan Fen Liu
    Department of Veterans Affairs, Puget Sound Health Care System, Health Services Research and Development, USA
    Health Res Policy Syst 3:5. 2005
    ..The VHA system maintains its safety net mission while attracting more veterans...
  57. ncbi request reprint Screening for Auditory Impairment-Which Hearing Assessment Test (SAI-WHAT): RCT design and baseline characteristics
    Bevan Yueh
    Health Services Research and Development Service, VA Puget Sound Health Care System, 1660 S Columbian Way, Seattle, WA 98108, USA
    Contemp Clin Trials 28:303-15. 2007
    ..We describe the rationale and design of the first randomized clinical trial to study the long-term effects of routine screening for hearing loss. We also describe the baseline characteristics of the randomized cohort...