Delays in Seeking Health Care: Comparison of Veterans and the General Population

Lee, Doohee; Begley, Charles E.

doi:10.1097/phh.0000000000000420

Cited by 12 publications

(17 citation statements)

References 31 publications

(25 reference statements)

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“…Using the Medical Expenditure Panel Survey from 2006 to 2011, Bernard and Selden (2016) find that nonelderly Veterans were comparable to and non-Veterans in terms of health care access after controlling for various characteristics (Bernard and Selden 2016). However, using data from the 2010-2011 Health Tracking Household Survey, Lee and Begley (2016) find that, after controlling for various characteristics, Veterans were more likely than those with private insurance to report delayed needed medical care (Lee and Begley 2016). On a national level, this study shows that the majority of Veterans across the United States do not live in Shortage Area Counties, a finding consistent with Bernard and Selden (2016).…”

Section: Discussionmentioning

confidence: 97%

Veterans' Location in Health Professional Shortage Areas: Implications for Access to Care and Workforce Supply

Doyle

Streeter

2016

Health Services Research

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Section: Discussionmentioning

confidence: 97%

Veterans' Location in Health Professional Shortage Areas: Implications for Access to Care and Workforce Supply

Doyle

Streeter

2016

Health Services Research

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“…It is obvious that access to health services will improve patient satisfaction. In a study, in this field, it was suggested that there is a possible link between veteran affair access problems and veterans' behavior in seeking the needed health care, which may be creating disparities in the effectiveness of care for this vulnerable and deserving population (Lee and Begley, 2017;Rad, Kavosi and Arefnezhad, 2016).…”

Section: Discussionmentioning

confidence: 99%

Satisfaction of war survivors and their families who received outpatient services with complementary medical insurance

Maftoon

Mousavi

Soroush

et al. 2017

IJHRH

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Purpose Access to comprehensive, quality health care services is important for the achievement of health equity and for increasing the quality of a healthy life for everyone. Insurance coverage increases the accessibility of services and is an important factor in health services utilization. Assessing patient satisfaction will be helpful in detecting quality gap and bottlenecks of service providing processes. The purpose of this paper is to to assess the satisfaction of complementary insurance schema of Iran Veterans and Martyrs Affair Foundation (VMAF) for receiving outpatient visits. Design/methodology/approach This was a cross-sectional study. The study population was veterans and their families and as well as Martyrs’ families. In this survey, 1,823 cases were selected using the random sampling method. Data were gathered by a questionnaire. The questionnaire validity and reliability was tested. The questionnaires were completed based on telephone interviewing. The questionnaires were completed for the last family use of complementary insurance for receiving medical services. The SPSS statistical software was used for data analysis. Findings A total of 1,823 cases used their complementary insurance that were studied. About 32.9 percent of studied cases were Martyrs’ families and the others were veterans and their family members. The satisfaction level was assessed from different dimensions: respondents were highly satisfied from outpatient visits. The satisfaction of process of receiving visit payment was the lowest. The factors associated with the risk of dissatisfaction are tested by using logistic regression. Analysis indicated that living in rural areas and being a martyr family increase the risk of dissatisfaction from the distance to an outpatient center. Originality/value Satisfaction is a multi-dimensional factor that reveals different aspects of services. It is possible that the satisfaction level in different dimensions of care was not the same. This study indicated that complementary health care insurance provided by the VMAF is good from care receivers’ perspective. But some consideration is necessary for improving that access of under-coverage population in remote districts and rural areas and process of receiving visit payment.

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“…25,26 Further, veterans may experience greater delays in accessing healthcare than non-veterans as eye care is the third most-utilized service in the VA and growing rapidly. [27][28][29] The combination of high risk for eye disease and challenges in accessing eye care makes how eye care is provided to veterans an important consideration.…”

Section: Methodsmentioning

confidence: 99%

Designing hierarchical networks to improve patient access to care: a case study in veteran eye care

VanDeusen

Cohn

Maa

2021

Journal of Defense Modeling & Simulation

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Across the United States, many patients, including veteran patients, face barriers in accessing appropriate, timely, and affordable healthcare. When developing or modifying healthcare systems to improve patient access, we can consider strategies (e.g., telehealth) in which lower-cost, more abundant resources are used for services often performed with more constrained and/or more expensive, specialized resources. We propose a framework in which hierarchical care networks allow patients to receive frontline care from lower cost, more accessible alternatives, while specialized resources are reserved for more complex care. We use operations research tools, including mixed-integer programming and facility location models, to design and analyze these networks. We present a case study applying these methods to improve veterans’ access to eye care screenings. The case study results demonstrate that using different providers in locations throughout the system can increase the number of patients screened by nearly four times the number currently screened while increasing the budget by only 2.5%. When designing healthcare networks to improve access, decision makers must consider several trade-offs, including how resources are distributed. Operations research tools are effective methods for understanding, designing, and evaluating these trade-offs to best understand the wide-ranging impacts of resource (re)distribution.

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Delays in Seeking Health Care: Comparison of Veterans and the General Population

Cited by 12 publications

References 31 publications

Veterans' Location in Health Professional Shortage Areas: Implications for Access to Care and Workforce Supply

Veterans' Location in Health Professional Shortage Areas: Implications for Access to Care and Workforce Supply

Satisfaction of war survivors and their families who received outpatient services with complementary medical insurance

Designing hierarchical networks to improve patient access to care: a case study in veteran eye care

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