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Restoring Trust in VA Health Care

List of authors.
  • Kenneth W. Kizer, M.D., M.P.H.,
  • and Ashish K. Jha, M.D., M.P.H.

Scandalous data manipulation and prolonged wait times at VA health centers are symptoms of deeper pathology: the VA has lost sight of its mission. It can recover if it begins by focusing on better performance measurement, a new access strategy, and greater transparency.

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Funding and Disclosures

The views expressed in this article are those of the authors and do not necessarily reflect those of the Department of Veterans Affairs.

Dr. Kizer reports serving as Under Secretary for Health in the Department of Veterans Affairs from 1994 through 1999. Dr. Jha is a staff physician at the Boston VA Healthcare System.

Disclosure forms provided by the authors are available with the full text of this article at NEJM.org.

This article was published on June 4, 2014, at NEJM.org.

Author Affiliations

From the Institute for Population Health Improvement, UC Davis Health System; the Department of Emergency Medicine, University of California Davis School of Medicine; and the Betty Irene Moore School of Nursing — all in Sacramento, CA (K.W.K.); and the Department of Health Policy and Management, Harvard School of Public Health; and the Division of General Medicine, Brigham and Women's Hospital — both in Boston (A.K.J.).

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