THE EFFECT OF DISTANCE TO VA FACILITIES ON THE CHOICE AND LEVEL OF UTILIZATION OF VA OUTPATIENT SERVICES
THE EFFECT OF DISTANCE TO VA FACILITIES ON THE CHOICE AND LEVEL OF UTILIZATION OF VA OUTPATIENT SERVICES
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DOI：
10.1016/0277-9536(94)90169-4
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发表时间：
1994-07-01
影响因子：
5.4
通讯作者：
DEFIORE, DA
中科院分区：
文献类型：
--
作者：
BURGESS, JF;DEFIORE, DA
1987年的退伍军人调查被用来解释距离VA设施的选择和利用VA门诊服务的水平由美国退伍军人的影响。一个两部分离散连续模型被用来分离两个要素的决定，寻求门诊服务，从联邦政府经营的VA设施。首先，一个离散的选择是寻求照顾的VA。第二，不断选择，以寻求特定的利用水平。距离被发现影响初始离散的选择显着的测量距离高达60英里，以递减的速度。一旦一些VA门诊联系，距离是一个主要因素，只有老年人在确定利用量。令人不安的是，居住在离最近的退伍军人事务部30-40英里以外的老年退伍军人用户预计一年内的访问次数将少于年轻的退伍军人。
The 1987 survey of Veterans is used to explain the effects of distance to VA facilities on the choice and level of utilization of VA outpatient services by U.S. veterans. A two part discrete continuous model is used to separate two elements of the decision to seek outpatient services from federally operated VA facilities. First, a discrete choice is made to seek care from the VA. Second, a continuous choice is made to seek a particular level of utilization. Distance is found to affect the initial discrete choice significantly for measured distances up to 60 miles at a decreasing rate. Once some VA outpatient contact is made, distance is a major factor only for the elderly in determining the amount of utilization. Disturbingly, elderly veteran users living more than 30-40 miles from the nearest VA are expected to make fewer visits in a year than younger veterans.