{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T07:03:48Z","timestamp":1790060628765,"version":"4.0.1"},"reference-count":26,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T00:00:00Z","timestamp":1789948800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T00:00:00Z","timestamp":1789948800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["shmpublications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Hospital Medicine"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    The Veterans Health Administration (VHA) is America's largest integrated health care system, serving 9.1 million enrolled veterans annually in 1,380 inpatient and outpatient healthcare facilities.\n                    <jats:sup>1<\/jats:sup>\n                    VHA aims to provide high\u2010quality, holistic, and veteran\u2010centered care. This mission\u2010driven approach has produced notable, unique strengths, including comprehensive service delivery with a strong emphasis on care quality, safety, and continuity customized to the specific needs of the patients it serves.\n                    <jats:sup>2<\/jats:sup>\n                    However, structural, operational, and policy\u2010related issues increasingly threaten VHAs ability to fully achieve its mission. In this perspective, we will highlight some key strengths of VHA clinical care, emerging threats relevant to hospital\u2010based care delivery, and propose actionable strategies to support sustained excellence for hospitalized veterans.\n                  <\/jats:p>","DOI":"10.1002\/jhm.70475","type":"journal-article","created":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T06:24:53Z","timestamp":1790058293000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Hospital medicine in the Veterans Health Administration: Strengths, opportunities, and future directions"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4358-8775","authenticated-orcid":false,"given":"Naseema B.","family":"Merchant","sequence":"first","affiliation":[{"name":"Department of Medicine, Hospital Medicine, Hospital Medicine VA Connecticut Health Care System West Haven Connecticut USA"},{"name":"Department of Medicine Yale School of Medicine New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3564-2807","authenticated-orcid":false,"given":"Joel C.","family":"Boggan","sequence":"additional","affiliation":[{"name":"Department of Medicine, Hospital Medicine Durham VA Health Care System Durham North Carolina USA"},{"name":"Department of Medicine Duke University School of Medicine Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8194-9191","authenticated-orcid":false,"given":"Attila","family":"Nemeth","sequence":"additional","affiliation":[{"name":"Department of Medicine, Hospital Medicine VA Northeast Ohio Health Care System Cleveland Ohio USA"},{"name":"Department of Medicine Case Western Reserve University School of Medicine Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-0774-2194","authenticated-orcid":false,"given":"Jessica","family":"Logan","sequence":"additional","affiliation":[{"name":"Department of Medicine Hospital Medicine, VA Washington DC Healthcare Washington DC USA"},{"name":"Department of Medicine George Washington School of Medicine and Health Sciences Washington DC USA"},{"name":"Department of Medicine USUHS Bethesda Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mel L.","family":"Anderson","sequence":"additional","affiliation":[{"name":"Department of Medicine Medicine Service, VA Eastern Colorado Healthcare System Aurora Colorado USA"},{"name":"Department of Medicine University of Colorado School of Medicine Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0775-7930","authenticated-orcid":false,"given":"Andrea","family":"Smeraglio","sequence":"additional","affiliation":[{"name":"Department of Medicine Portland VA Medical Center Portland Oregon USA"},{"name":"Department of Medicine Oregon Health &amp; Science University Portland Oregon USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,21]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"About Us\u2014Veterans Health Administration. 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Accessed May 19 2026.https:\/\/www.federalregister.gov\/documents\/2025\/10\/24\/2025-19651\/annual-pay-ranges-for-physicians-dentists-podiatrists-and-optometrists-of-the-veterans-health"},{"key":"e_1_2_6_15_1","unstructured":"NewittP.Anesthesiologist pay: academic vs. nonacademic settings. Becker's ASC. August 20 2025. Accessed May 19 2026.https:\/\/www.beckersasc.com\/anesthesia\/anesthesiologist-pay-academic-vs-nonacademic-settings\/"},{"key":"e_1_2_6_16_1","unstructured":"Blumenthal Takano & Colleagues blast VA secretary for ignoring authority to help recruit and retain doctors. US Senate Committee on Veterans\u2019 Affairs. April 8 2026. Accessed May 19 2026.https:\/\/www.veterans.senate.gov\/2026\/4\/blumenthal-takano-colleagues-blast-va-secretary-for-ignoring-authority-to-help-recruit-and-retain-doctors"},{"key":"e_1_2_6_17_1","unstructured":"Farmer K. Veteran care. VHA Community Care; Community Care. January 27 2026. 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