FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 335:1407-1412 October 31, 1996 Number 18

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text PDF Purchase this article Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited PubMed Citation

The Department of Veterans Affairs has embarked on the reformation of its often-criticized health care system, an insular system that Congress has protected from the tumultuous forces that are reshaping other parts of American medicine. The department is decentralizing, reducing its inpatient capacity, reallocating resources to ambulatory care, and simplifying the convoluted method Congress designed to determine which veterans are eligible to receive medical services. These changes, which are shaking the rigid foundations of the Veterans Affairs system, are the subject of this report. They represent, in many respects, an attempt to transform the department's vast medical system along the . . . [Full Text of this Article]

The Veterans Affairs System as Safety Net

The Department's Reform Plan

Reform of Eligibility Requirements

New Payment Methods

The Politics of Change

Chicago as a Test Case

Conclusions

References

This article has been cited by other articles:

• Murdoch, M. (2008). The Impact of the ABIM's Practice Improvement Modules on Patient Outcomes. Arch Intern Med 168: 1826-1827 [Full Text]  
• Shern, D. L., Jones, K., Chen, H. J., Jordan, N., Ramoni-Perazzi, J., Boothroyd, R. A. (2008). Medicaid Managed Care and the Distribution of Societal Costs for Persons With Severe Mental Illness. Am. J. Psychiatry 165: 254-260 [Abstract] [Full Text]  
• American College of Physicians, (2008). Achieving a High-Performance Health Care System with Universal Access: What the United States Can Learn from Other Countries. ANN INTERN MED 148: 55-75 [Abstract] [Full Text]  
• Nugent, G. N., Hendricks, A., Nugent, L., Render, M. L. (2004). Value for Taxpayers' Dollars: What VA Care Would Cost at Medicare Prices. Med Care Res Rev 61: 495-508 [Abstract]  
• Reiber, G. E., Boyko, E. J., Maynard, C., Koepsell, T. D., Pogach, L. M. (2004). Diabetes in the Department of Veterans Affairs. Diabetes Care 27: B1-B2 [Full Text]  
• Ashton, C. M., Souchek, J., Petersen, N. J., Menke, T. J., Collins, T. C., Kizer, K. W., Wright, S. M., Wray, N. P. (2003). Hospital Use and Survival among Veterans Affairs Beneficiaries. NEJM 349: 1637-1646 [Abstract] [Full Text]  
• Coye, M. J. (2001). No Toyotas In Health Care: Why Medical Care Has Not Evolved To Meet Patients' Needs. Health Aff (Millwood) 20: 44-56 [Abstract] [Full Text]  
• Chen, S., Wagner, T. H., Barnett, P. G. (2001). The Effect Of Reforms On Spending For Veterans' Substance Abuse Treatment, 1993-1999. Health Aff (Millwood) 20: 169-175 [Full Text]  
• Petersen, L. A., Normand, S.-L. T., Daley, J., McNeil, B. J. (2000). Outcome of Myocardial Infarction in Veterans Health Administration Patients as Compared with Medicare Patients. NEJM 343: 1934-1941 [Abstract] [Full Text]  
• Fihn, S. D. (2000). Does VA Health Care Measure up?. NEJM 343: 1963-1965 [Full Text]  
• Gordon, H. S., Aron, D. C., Fuehrer, S. M., Rosenthal, G. E. (2000). Using Severity-adjusted Mortality to Compare Performance in a Veterans Mffairs Hospital and in Private-sector Hospitals. American Journal of Medical Quality 15: 207-211 [Abstract]  
• Druss, B. G., Rosenheck, R. A. (2000). Locus of Mental Health Treatment in an Integrated Service System. Psychiatr. Serv. 51: 890-892 [Abstract] [Full Text]  
• Humphreys, K., Huebsch, P. D., Moos, R. H., Suchinsky, R. T. (1999). Alcohol & Drug Abuse: The Transformation of the Veterans Affairs Substance Abuse Treatment System. Psychiatr. Serv. 50: 1399-1401 [Full Text]  
• Ashton, C. M., Petersen, N. J., Souchek, J., Menke, T. J., Yu, H.-J., Pietz, K., Eigenbrodt, M. L., Barbour, G., Kizer, K. W., Wray, N. P. (1999). Geographic Variations in Utilization Rates in Veterans Affairs Hospitals and Clinics. NEJM 340: 32-39 [Abstract] [Full Text]  
• Kizer, K. W. (1999). The "New VA": A National Laboratory for Health Care Quality Management. American Journal of Medical Quality 14: 3-20 [Abstract]