Valvular & structural heart disease
Veteran voices on the MISSION act: Satisfaction and care preferences following community referral for structural heart disease care
Authors' conclusion
Veterans referred for cardiovascular procedures through the MISSION Act reported high satisfaction across settings but expressed a clear preference for VA-based care for general healthcare.
Study context
- Population
- Veterans at an urban VA heart center referred to community hospitals for structural heart disease care, 2018–2023completed survey
- Participants
- 47 veterans
- Exposure
- Community care vs VA care
- Outcome
- Satisfaction (communication, quality, care coordination), overall satisfaction with community and VA care, and preferences for future care settings (14-item survey)
Methodological detailsquality improvement study, survey, single urban VA heart center
- Quality improvement study
- Survey
- Single urban VA heart center
Main finding
As reported in the abstract
- Preferred receiving care at a VA hospital
- 78.7% (P < .0001)
- Overall satisfaction, community care (mean score /10)
- 9.15
- Overall satisfaction, VA care (mean score /10)
- 9.19 (P = .876)
- Preferred VA for future CV care (not significant)
- 64% (P = .079)
- Preferred VA for general healthcare
- 78.7% (P < .001)
Observational data: associations, not effects.
Further findings
Correlates of satisfaction with community care
- Staff competence
- r = 0.839
- Feeling concerns were heard
- r = 0.818
Correlates of VA satisfaction
- Care coordination
- r = 0.789
- Clear follow-up instructions
- r = 0.729
Transportation challenges
- Reported transportation challenges
- 17%
- Associated with preference for community care for general health
- P < 0.001
Original publication
Veteran voices on the MISSION act: Satisfaction and care preferences following community referral for structural heart disease care. Am Heart J. Published 1 November 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →