New Women Veterans in the VHA: A Longitudinal Profile
New Women Veterans in the VHA: A Longitudinal Profile
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DOI：
10.1016/j.whi.2011.04.025
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发表时间：
2011-07-01
影响因子：
3.2
通讯作者：
Frayne, Susan M.
中科院分区：
文献类型：
--
作者：
Friedman, Sarah A.;Phibbs, Ciaran S.;Frayne, Susan M.
目的：使用退伍军人健康管理局（VHA）服务的女性退伍军人人数迅速增加，但加入VHA的妇女的特点还不太清楚。我们试图描述社会人口学特征，利用，并保留新的和返回的女性VHA patients over a 7 year period.Methods：我们确定了女性退伍军人谁使用VHA门诊服务从VHA登记和利用文件2003年至2009年财政年度。给定年份的“新”患者在前3年内没有门诊使用。患者被“保留”，如果他们继续使用VHA在随后的years.Main Findings：在2009年的287，447名女性退伍军人VHA门诊患者，40，000（14%）是新的VHA在这一年，超过一半的VHA自2003年以来加入。近三分之二的新患者年龄小于45岁，43%的患者患有与服务相关的残疾状态。2008年，大多数新患者（88%）接受了初级保健服务，40%的患者使用了心理健康服务。在新患者中，重复使用精神卫生服务（每年至少三次就诊）的人数几乎翻了一番（从2003年的11%增加到2008年的20%）。在那些使用VHA初级保健在2006年，68%的新患者与91%的返回患者保留在随后的2 years.Conclusion：新的女性退伍军人寻求VHA服务，近年来的涌入，结合他们的高保留率内VHA，有助于使用VHA的女性退伍军人的人数显着增加。许多人需要相当密集的VHA服务。爱思唯尔公司出版
Objective: The number of women veterans using Veterans Health Administration (VHA) services has increased rapidly, but the characteristics of women joining VHA are not well understood. We sought to describe sociodemographic characteristics, utilization, and retention of new and returning women VHA patients over a 7-year period.Methods: We identified women veterans who used VHA outpatient services from VHA Enrollment and Utilization files for fiscal years 2003 through 2009. "New" patients in a given year had no outpatient use within the prior 3 years. Patients were "retained" if they continued to use VHA in subsequent years.Main Findings: Of the 287,447 women veteran VHA outpatients in 2009, 40,000(14%) were new to VHA in that year and over half had joined VHA since 2003. Nearly two thirds of these new patients were younger than 45, and 43% carried a service-connected disability status. Most new patients (88%) received primary care services in 2008, and 40% used mental health services. Repeated use of mental health services (at least three visits per year) nearly doubled among new patients (from 11% in 2003 to 20% in 2008). Among those using VHA primary care in 2006, 68% of new patients versus 91% of returning patients were retained in either of the subsequent 2 years.Conclusion: The influx of new women veterans seeking VHA services in recent years, combined with their high rate of retention within VHA, contribute to the marked increase in numbers of women veterans using VHA. Many require fairly intensive VHA services. Published by Elsevier Inc.