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Comment & Response |

US Department of Veterans Affairs Primary Care Provider Turnover and Patient Satisfaction

William B. Weeks, MD, PhD, MBA1
[+] Author Affiliations
1The Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, New Hampshire
JAMA Intern Med. 2015;175(11):1870. doi:10.1001/jamainternmed.2015.5408.
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To the Editor Reddy et al1 found no clinical quality effect, but a modest reduction in patient satisfaction, associated with a US Department of Veterans Affairs (VA) patient experiencing primary care provider (PCP) turnover. On average, the PCP change occurred 1.5 years before quality and satisfaction were measured in 2010 to 2012. Relevant alternative policy explanations other than those offered by Reddy et al should be considered.


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November 1, 2015
Ashok Reddy, MD, MSPH; Rachel Werner, MD, PhD
1Department of Medicine, University of Washington, Seattle2University of Washington Medicine Center for Scholarship in Patient Care Quality and Safety, Seattle
3Perelman School of Medicine, University of Pennsylvania, Philadelphia4VISN 4 Center for Evaluation of PACT, Philadelphia VA Medical Center, Philadelphia, Pennsylvania
JAMA Intern Med. 2015;175(11):1870-1871. doi:10.1001/jamainternmed.2015.5411.
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