David Chan Is Finalist for NIHCM Award for Research on Veterans Care

The annual award from the National Institute for Health Care Management Foundation recognizes the contributions of researchers and journalists who examine new evidence that advances the health system and the health of Americans.
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David Chan, MD, PhD, is a finalist for a prestigious award from the National Institute for Health Care Management Foundation for research published in the American Economic Review examining emergency care for elderly veterans at both U.S. Department of Veterans Affairs (VA) and private hospitals.

The NIHCM awards recognize the contributions of researchers and journalists who examine new evidence that advances the health system and the health of Americans.

Chan is a physician, associate professor of health policy, senior fellow at the Stanford Institute for Economic Policy Research (SIEPR), and an investigator at the VA.

“I’m delighted that this paper has been chosen as a finalist for this award,” Chan said. “Understanding how to provide the best care for veterans between the public and private sectors is an incredibly important policy question.”

David Chan-SIEPR

 

The study up for the NIHCM award—to be announced in April—examined health care for veterans aged 65 and older who received emergency care provided by the VA and in private hospitals financed by Medicare. The VA provides health for 9 million veterans and is its system is the largest integrated health-care delivery system in the country, including 170 medical centers and more than 1,000 outpatient sites.

The study cohort included more than 400,000 veterans who were taken by ambulance to either a VA facility or private hospital from 2001 to 2014—and the researchers established a significant VA advantage. The VA reduces 28-day mortality by 46%; the survival gains occur in the first week following the ambulance ride and appear to be long lasting. The VA also reduces total spending by 21% relative to non-VA providers, which indicates higher productivity in the VA than in the private sector.

Chan and his research colleagues also found evidence consistent with complementary mechanisms of continuity of care, health IT, and organization.

Chan was the 2023 winner of the ASHEcon Medal for his impact to date on the field of health economics.

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