Access to Care Among Nonelderly Veterans
Bibliographic Data
| ID | 9103046 |
|---|---|
| Authors | Didem Bernard (Andrews University), Didem M Bernard, Thomas M Selden (0000-0003-3448-5838, Andrews University) |
| Year | 2016 |
| Volume | 54 |
| Issue | 3 |
| Pages | 243-252 |
| Publication date | 2016-03-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/mlr.0000000000000508 |
| PMID | 26871642 |
| OpenAlex | W2463902308 |
| Language | EN |
| Citations received | 2 |
| References cited | 11 |
BACKGROUND: Veteran access to care is an important policy issue that has not previously been examined with population-based survey data. OBJECTIVES: This study compares access to care for nonelderly adult Veterans versus comparable non-Veterans, overall and within subgroups defined by simulated eligibility for health care from the Veterans Health Administration and by insurance status. RESEARCH DESIGN: We use household survey data from the Medical Expenditure Panel Survey from 2006 to 2011. We use iterative proportional fitting to standardize (control for) differences in age, sex, income, medical conditions, disability, Census region, and Metropolitan Statistical Area. SUBJECTS: Nonelderly Veterans and comparable non-Veterans. MEASURES: For medical, dental, and prescription medicine treatments, we use 4 access measures: delaying care, inability to obtain care, perceiving delay as a big problem, and perceiving inability to obtain care as a big problem. We also examine having a usual source of care. RESULTS: Frequencies of access barriers are similar for nonelderly Veterans and comparable non-Veterans for dental and prescription medicine treatments. For medical treatment, we find that Veterans eligible for VA health care and Veterans with VA use who are uninsured report fewer access problems than the comparable non-Veteran populations for 2 measures: inability to obtain care and reporting inability to obtain care as a big problem. CONCLUSIONS: Our results show that uninsured Veterans, the most policy-relevant group, have better access to care than comparable non-Veterans. Our results highlight the importance of adjusting Veteran and non-Veteran comparisons to account for the higher than average health care needs of Veterans
Environmental health · Family medicine · Health care · Health insurance · Medicaid · Medical care · Medical Expenditure Panel Survey · Medical prescription · MEDLINE · National Health Interview Survey · Population · Veterans Affairs · Healthcare Policy and Management · Healthcare Systems and Reforms · Medicine · Nursing · Primary Care and Health Outcomes · Gerontology
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| Unique citing works | 2 |
|---|---|
| Citations per year | 0,22 |
| Citation span | 2017 - 2020 (4) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 1 |