Experiences with the Veterans' Choice Program
Experiences with the Veterans' Choice Program
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DOI：
10.1007/s11606-019-05224-y
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发表时间：
2019-10-01
影响因子：
5.7
通讯作者：
Smith, Bridget M.
中科院分区：
文献类型：
--
作者：
Stroupe, Kevin T.;Martinez, Rachael;Smith, Bridget M.
背景：为了解决退伍军人在美国退伍军人事务部医疗机构获得护理的问题，颁布了《退伍军人获得、选择和责任法案》，以促进退伍军人在非退伍军人医疗机构获得护理，从而产生了退伍军人选择计划(VCP)。目的：评估使用或计划使用VCP的退伍军人的特征、使用或计划使用VCP的原因，以及使用VCP.DESIGN：混合方法的经验。SUBJECTS：在对中西部人口普查地区在退伍军人医疗机构接受护理的退伍军人进行抽样后，我们将4521名退伍军人纳入分析。其中，60名退伍军人参加了半结构化定性访谈。APPROACH：量化数据来自退伍军人的管理和临床数据以及对退伍军人的调查，包括退伍军人的特征和自我报告的VCP使用情况。使用Logistic回归分析评估退伍军人的特征与VCP的使用或计划使用之间的关联。访谈数据通过主题分析进行分析。KEY结果：报告使用或打算使用VCP的几率较高的退伍军人为女性，居住在距离退伍军人医院更远的地方，或健康状况比其他退伍军人差(P
BACKGROUND: To address concerns about Veterans' access to care at US Department of Veterans Affairs (VA) healthcare facilities, the Veterans Access, Choice, and Accountability Act was enacted to facilitate Veterans' access to care in non-VA settings, resulting in the "Veterans Choice Program" (VCP).OBJECTIVES: To assess the characteristics of Veterans who used or planned to use the VCP, reasons for using or planning to use the VCP, and experiences with the VCP.DESIGN: Mixed-methods.SUBJECTS: After sampling Veterans in the Midwest census region receiving care at VA healthcare facilities, we included 4521 Veterans in the analyses. Of these, 60 Veterans participated in semi-structured qualitative interviews.APPROACH: Quantitative data were derived from VA's administrative and clinical data and a survey of Veterans including Veteran characteristics and self-reported use of VCP. Associations between Veterans' characteristics and use or planned use of the VCP were assessed using logistic regression analysis. Interview data were analyzed using thematic analysis.KEY RESULTS: Veterans with a higher odds of reporting use or intended use of the VCP were women, lived further distances from VA facilities, or had worse health status than other Veterans (P