title: Reduction in patient enrollment in the Veterans Health Administration after media coverage of adverse medical events.
abstract: BACKGROUND
  Health care organizations may experience costs associated with preventable adverse events in the form of poor brand image and subsequent patient disenrollment. A retrospective cohort design was used to determine whether media coverage of adverse events that occurred in Veterans Health Administration (VHA) hospitals was associated with subsequent veteran disenrollment.
  
  
  METHODS
  Twenty-four newspaper reports of medical adverse events that occurred between 1994 and 1999 within the VHA system were identified. Regionally adjusted changes in enrollment rates for VHA facilities that had reported adverse events were compared with those that had not one year before and one and three years after publication of the newspaper reports.
  
  
  RESULTS
  Facilities that had published reports of adverse events had lower enrollment rates after publication of the report for two groups of veterans.
  
  
  CONCLUSIONS
  Within the VHA system, health care organizations involved in adverse events that generated publicity suffered a greater rate of patient disenrollment. If safe patient care practices can reduce adverse publicity, they may enhance corporate value by maintaining enrollment of the patient population.
authors.affiliation: Veterans Administration National Quality Scholars Fellowship Program, Veterans Health Administration (VHA), National Center for Patient Safety (NCPS), White River Junction, Vermont, USA. bill.weeks@dartmouth.edu
authors.forename: William B
authors.initials: WB
authors.lastname: Weeks
authors.forename: Peter D
authors.initials: PD
authors.lastname: Mills
mesh_terms: D015706:Bibliometrics; D015331:Cohort Studies; D006787:Hospitals, Veterans / Q000592:standards* / Q000706:statistics & numerical data*; D006801:Humans; D008402:Mass Media / Q000706:statistics & numerical data*; D019300:Medical Errors; D009524:Newspapers as Topic / Q000706:statistics & numerical data*; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D011643:Publishing; D012189:Retrospective Studies; D014342:Truth Disclosure; D014481:United States; D014493:United States Department of Veterans Affairs; D014728:Veterans / Q000706:statistics & numerical data*