VA Health Service Utilization for Homeless and Low-income Veterans
A Spotlight on the VA Supportive Housing (Vash) Program in Greater Los Angeles
Bibliographic Data
| ID | 9103414 |
|---|---|
| Authors | Sonya Gabrielian (0000-0002-1790-4271, Center for the Study of Healthcare Provider Behavior, corresponding author), Anita H Yuan (Center for the Study of Healthcare Provider Behavior), Ronald Andersen (0000-0003-4095-8259, Center for the Study of Healthcare Provider Behavior), Ronald M Andersen, Lisa V Rubenstein (0000-0002-4186-7191, Health Services Research & Development, corresponding author), Lillian Gelberg (0000-0001-9772-0116, Health Services Research & Development) |
| Year | 2014 |
| Volume | 52 |
| Issue | 5 |
| Pages | 454-461 |
| Publication date | 2014-05-01 |
| 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.0000000000000112 |
| PMID | 24714583 |
| OpenAlex | W2317329363 |
| Language | EN |
| Citations received | 11 |
| References cited | 19 |
BACKGROUND: The US Department of Housing and Urban Development (HUD)-VA Supportive Housing (VASH) program-the VA's Housing First effort-is central to efforts to end Veteran homelessness. Yet, little is known about health care utilization patterns associated with achieving HUD-VASH housing. OBJECTIVES: We compare health service utilization at the VA Greater Los Angeles among: (1) formerly homeless Veterans housed through HUD-VASH (HUD-VASH Veterans); (2) currently homeless Veterans; (3) housed, low-income Veterans not in HUD-VASH; and (4) housed, not low-income Veterans. RESEARCH DESIGN: We performed a secondary database analysis of Veterans (n=62,459) who received VA Greater Los Angeles care between October 1, 2010 and September 30, 2011. We described medical/surgical and mental health utilization [inpatient, outpatient, and emergency department (ED)]. We controlled for demographics, need, and primary care use in regression analyses of utilization data by housing and income status. RESULTS: HUD-VASH Veterans had more inpatient, outpatient, and ED use than currently homeless Veterans. Adjusting for demographics and need, HUD-VASH Veterans and the low-income housed Veterans had similar likelihoods of medical/surgical inpatient and outpatient utilization, compared with the housed, not low-income group. Adjusting first for demographics and need (model 1), then also for primary care use (model 2), HUD-VASH Veterans had the greatest decrease in incident rates of specialty medical/surgical, mental health, and ED care from models 1 to 2, becoming similar to the currently homeless, compared with the housed, not low-income group. CONCLUSIONS: Our findings suggest that currently homeless Veterans underuse health care relative to housed Veterans. HUD-VASH may address this disparity by providing housing and linkages to primary care
Demographics · Emergency department · Family medicine · Geography · Health care · Household income · Low income · Mental health · Political science · Psychiatry · Socioeconomics · Specialty · Demography · Food Security and Health in Diverse Populations · Geriatric Care and Nursing Homes · Homelessness and Social Issues · Medicine · Gerontology
Motivational and cognitive correlates of community integration in homeless veterans entering a permanent supported housing program
Housing outcomes among homeless-experienced veterans engaged in vocational services
Differences in Utilization of Medical and Dental Services among Homeless People in South Korea
Traumatic brain injury and VA service use among Native Hawaiian and Pacific Islander Veterans experiencing homelessness
A thematic analysis of perceptions of VHA emergency care and suicide risk assessment among Veterans experiencing homelessness
Health Service Access Among Homeless Veterans
County-level Predictors of Growth in Community-based Primary Care Use Among Veterans
Explaining Service Use and Residential Stability in Supported Housing
Patient-aligned Care Team Engagement to Connect Veterans Experiencing Homelessness With Appropriate Health Care
Differences in Experiences With Care Between Homeless and Nonhomeless Patients in Veterans Affairs Facilities With Tailored and Nontailored Primary Care Teams
Comparing Trauma Treatment Outcomes Between Homeless and Housed Veterans in a VA PTSD Clinical Program
Housing and Public Health
Mortality Among Men Using Homeless Shelters in Toronto, Ontario
Mortality Among Homeless Adults in Boston
Does Housing Chronically Homeless Adults Lead to Social Integration?
Cost-effectiveness of Supported Housing for Homeless Persons With Mental Illness
Public service reductions associated with placement of homeless persons with severe mental illness in supportive housing
Homelessness and Trauma Go Hand-in-Hand”
Housing First, Consumer Choice, and Harm Reduction for Homeless Individuals With a Dual Diagnosis
Project-Based Housing First for Chronically Homeless Individuals With Alcohol Problems
Housing and Health
Applying the Chronic Care Model to Homeless Veterans
Determinants of Receipt of Ambulatory Medical Care in a National Sample of Mentally Ill Homeless Veterans
Applying the Gelberg-Andersen Behavioral Model for Vulnerable Populations to Health Services Utilization in Homeless Women
Revisiting the Behavioral Model and Access to Medical Care
| Unique citing works | 11 |
|---|---|
| Citations per year | 1,22 |
| Citation span | 2017 - 2025 (9) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 9 |