Female Veterans' Use of Department of Veterans Affairs Health Care Services

OBJECTIVES: As access of women to mental health services has become increasingly important, empirical research has begun to examine the determinants of mental health care utilization across gender. This article examines the effect of being an extreme minority on utilization of Department of Veterans Affairs (VA) health services by female veterans. METHODS: Data were collected on a representative national sample of veterans in 1992 as part of the National Survey of Veterans. These data included information on sociodemographic variables, military service variables, physical health and disability, and health services utilization. The authors examined whether women who used health services in 1992, and who were eligible for VA care, differed from men on the likelihood of using any VA health services and on the likelihood of use of VA outpatient and inpatient health services. In addition, we compared VA health care utilization among subgroups of veterans with physical and mental disorders, and compared self-reported reasons for choice of health care provider, across gender. RESULTS: Results indicated that female veterans were less likely than male veterans to use VA health services. This difference was explained by lower utilization by women of VA outpatient services, since inpatient admission rates were the same across gender. The lower outpatient utilization was specific to women with self-reported mental disorders. Women with physical conditions did not differ from men with similar conditions in their VA outpatient utilization. Finally, men and women did not differ on their reasons for choosing VA or non-VA care. CONCLUSIONS: The authors conclude that extreme gender minority status appears to affect outpatient utilization rates at the VA among women with mental disorders, perhaps because of the more personal or sensitive nature of the services involved. Further research is needed to understand why certain women may be underutilizing VA outpatient services and on the consequences of minority gender status for health service utilization, more generally

Family medicine · Health care · Medical emergency · MEDLINE · Political science · Veterans Affairs · Chronic Disease Management Strategies · Medicine · Mental Health Treatment and Access · Primary Care and Health Outcomes · Gerontology

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  Open Access•Sharmila Chatterjee, Maria E Rath et al.•Women s Health Issues•2009

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  Open Access•Janet M Wilmoth, A S London et al.•Population Research and Policy…•2011

  Añadir item

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  Gail Gamache, Robert Rosenheck et al.•American Journal of Public Health•2003

  Añadir item

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  Oni J Blackstock, Sally G Haskell et al.•Medical Care•2012

  Añadir item

• The Use of VA and Non-VA Mental Health Services by Female Veterans

  Rani A Hoff, Robert Rosenheck et al.•Medical Care•1998

  Añadir item

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  Open Access•Joyce Tsai, Robert Rosenheck et al.•Community Mental Health Journal•2012

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• Longitudinal Patterns of Health System Retention Among Veterans with Schizophrenia or Bipolar Disorder

  Open Access•Ellen P Fischer, John F Mccarthy et al.•Community Mental Health Journal•2008

  Añadir item

• Needs of Female Patients in a Veterans Psychiatric Hospital

  Gene H Rothman•Social Work•1984

  Añadir item

• Female Veterans?? and Nonveterans?? Use of Health Care Services

  James C Romeis, Kathleen N Gillespie et al.•Medical Care•1991

  Añadir item

• Veterans?? and Nonveterans?? Use of Health Services

  Fredric D Wolinsky, Rodney M Coe et al.•Medical Care•1985

  Añadir item

• Factors Affecting the Utilization of Specialty and General Medical Mental Health Services

  Philip J Leaf, Martha L Bruce et al.•Medical Care•1988

  Añadir item

• Female Veteransʼ Use of Health Care Services

  James C Romeis, Kathleen N Gillespie et al.•Medical Care•1988

  Añadir item

• Gender differences in mental and physical illness

  Open Access•Walter R Gove•Social Science & Medicine•1984

  Añadir item

• Women and access to health care

  Open Access•Cristina Puentes-Markides•Social Science & Medicine•1992

  Añadir item

• Gender roles, illness orientation and use of medical services

  Open Access•Judith H Hibbard, Clyde R Pope•Social Science & Medicine•1983

  Añadir item

• Teetering on the horns of a dilemma

  Open Access•Alfred C Marcus, Teresa Seeman et al.•Social Science & Medicine•1984

  Añadir item

• Gender Differences in the Use of Mental Health-Related Services

  Philip J Leaf, Martha L Bruce•Journal of Health and Social…•1987

  Añadir item

• Social Selection in Seeking Help for Psychological Problems

  James R Greenley, David Mechanic•Journal of Health and Social…•1976

  Añadir item