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AJPH First Look, published online ahead of print Oct 30, 2007
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The Evolution of Changes in Primary Care Delivery Underlying the Veterans Health Administration’s Quality Transformation

Elizabeth M. Yano, PhD, MSPH, Barbara F. Simon, MA, Andrew B. Lanto, MA and Lisa V. Rubenstein, MD, MSPH

Elizabeth M. Yano is with the Veterans Health Administration Greater Los Angeles Health Services Research and Development (HSR&D) Center of Excellence, Los Angeles, Calif, and the School of Public Health, University of California, Los Angeles. Barbara F. Simon and Andrew B. Lanto are with the Veterans Health Administration Greater Los Angeles HSR&D Center of Excellence, Los Angeles, California. Lisa V. Rubenstein is with the Veterans Health Administration Greater Los Angeles HSR&D Center of Excellence, Los Angeles, and RAND Health, Santa Monica, Calif.


Figure 1
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  		FIGURE 1—— Changes in primary care staffing within the Veterans Health Administration among (a) physicians and (b) nonphysicians: 1993–1999.

 

Figure 2
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  		FIGURE 2—— Changes in primary care delivery within the Veterans Health Administration: 1993–1999.

 

Figure 3
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  		FIGURE 3—— Percentage of survey respondents from Veterans Health Administration medical centers who reported primary care resource sufficiency: 1993 and 1996.

Note. Between 1993 and 1996, P < .01. Respondents answered "always or mostly sufficient" in surveys.

 




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