The Impact of Community Care on Spine Surgical Complexity and Outcomes in the Veterans Health Administration
We found no difference in surgical outcomes between VHA and CC patients. Since CC patients were more likely to receive complex spine surgeries, the VHA paid for more costly, resource-intensive procedures with no improvements in quality.
Authors
- Steven D. Pizer (ORCID: https://orcid.org/0000-0003-4908-5976)
- Jacob R. Rachlin
- Melissa M. Garrido (ORCID: https://orcid.org/0000-0002-8986-3536)
- Daniel A. Asfaw (ORCID: https://orcid.org/0000-0001-8986-8575)
- Hillary J. Mull (ORCID: https://orcid.org/0000-0002-4484-0445)
- Aigerim Kabdiyeva (ORCID: https://orcid.org/0000-0001-7260-2113)
- Allison Dorneo (ORCID: https://orcid.org/0009-0007-0307-3853)
- Yi‐Jung Shen
Institutions
- Boston University (US)
- Brigham and Women's Hospital (US)
- VA Boston Healthcare System (US)
- Mass General Brigham (US)
Publication Details
- Journal
- Health Services Research
- Published
- 2025-10-17
- DOI
- https://doi.org/10.1111/1475-6773.70057
- Primary Topic
- Spine and Intervertebral Disc Pathology
- Type
- article
- Field-Weighted Citation Impact
- 0.00