Abstract:
BACKGROUND:Women veterans are generally less healthy than their nonveteran female counterparts or male veterans. Accumulating evidence suggests there may be barriers to women veterans' access to and use of Veterans Health Administration (VHA) care. OBJECTIVE:To document perceived and/or actual barriers to care in a nationally representative sample of women veterans and examine associations with VHA use. DESIGN:Cross-sectional telephone survey. PARTICIPANTS:Women who are current and former users of VHA from VA's National Registry of Women Veterans. MEASUREMENTS:Assessments of perceptions of VHA care, background characteristics, and health service use. RESULTS:Perceptions of VHA care were most positive regarding facility/physical environment characteristics and physician skill and sensitivity and least positive regarding the availability of needed services and logistics of receiving VHA care (M=0.05 and M=-0.10; M=-0.23 and M=-0.25, respectively). The most salient barrier to the use of VHA care was problems related to ease of use. Moreover, each of the barriers constructs contributed unique variance in VHA health care use above and beyond background characteristics known to differentiate current users from former VHA users (Odds ratio [OR]=4.03 for availability of services; OR=2.63 for physician sensitivity and skill: OR=2.70 for logistics of care; OR=2.30 for facility/physical environment). Few differences in barriers to care and their association with VHA health care use emerged for women with and without service-connected disabilities. CONCLUSIONS:Findings highlight several domains in which VHA decisionmakers can intervene to enhance the care available to women veterans and point to a number of areas for further investigation.
journal_name
J Gen Intern Medjournal_title
Journal of general internal medicineauthors
Vogt D,Bergeron A,Salgado D,Daley J,Ouimette P,Wolfe Jdoi
10.1111/j.1525-1497.2006.00370.xsubject
Has Abstractpub_date
2006-03-01 00:00:00pages
S19-25eissn
0884-8734issn
1525-1497pii
JGI370journal_volume
21 Suppl 3pub_type
杂志文章abstract:BACKGROUND:Despite high rates of post-deployment psychosocial problems in Iraq and Afghanistan veterans, mental health and social services are under-utilized. OBJECTIVE:To evaluate whether a Department of Veterans Affairs (VA) integrated care (IC) clinic (established in April 2007), offering an initial three-part prim...
journal_title:Journal of general internal medicine
pub_type: 杂志文章
doi:10.1007/s11606-011-1746-1
更新日期:2011-10-01 00:00:00
abstract:BACKGROUND:Many employers offer worksite wellness programs, including financial incentives to achieve goals. Evidence supporting such programs is sparse. OBJECTIVE:To assess whether diabetes and cardiovascular risk factor control in employees improved with financial incentives for participation in disease management a...
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journal_title:Journal of general internal medicine
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1525-1497.2000.07004.x
更新日期:2000-04-01 00:00:00
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journal_title:Journal of general internal medicine
pub_type: 杂志文章
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更新日期:2010-12-01 00:00:00
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journal_title:Journal of general internal medicine
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更新日期:2005-02-01 00:00:00
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pub_type: 杂志文章
doi:10.1007/s11606-008-0713-y
更新日期:2008-10-01 00:00:00
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journal_title:Journal of general internal medicine
pub_type: 杂志文章,评审
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更新日期:2015-08-01 00:00:00
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journal_title:Journal of general internal medicine
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更新日期:2000-11-01 00:00:00
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journal_title:Journal of general internal medicine
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更新日期:2014-11-01 00:00:00
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journal_title:Journal of general internal medicine
pub_type: 杂志文章
doi:10.1111/j.1525-1497.2001.00214.x
更新日期:2001-02-01 00:00:00
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journal_title:Journal of general internal medicine
pub_type: 杂志文章
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更新日期:2002-08-01 00:00:00
abstract:INTRODUCTION:With the increasing number of women Veterans enrolling in the Veterans Health Administration (VA), there is growing demand for reproductive health services. Little is known regarding the on-site availability of reproductive health services at VA and how this varies by site location and type. OBJECTIVE:To ...
journal_title:Journal of general internal medicine
pub_type: 杂志文章,多中心研究
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更新日期:2013-07-01 00:00:00
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journal_title:Journal of general internal medicine
pub_type: 杂志文章
doi:10.1007/s11606-015-3405-4
更新日期:2015-09-01 00:00:00
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journal_title:Journal of general internal medicine
pub_type: 杂志文章,多中心研究
doi:10.1007/s11606-011-1843-1
更新日期:2012-03-01 00:00:00
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journal_title:Journal of general internal medicine
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更新日期:2016-09-01 00:00:00
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journal_title:Journal of general internal medicine
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doi:10.1007/s11606-015-3500-6
更新日期:2016-03-01 00:00:00
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journal_title:Journal of general internal medicine
pub_type: 杂志文章
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更新日期:2002-06-01 00:00:00
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更新日期:2020-10-20 00:00:00
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更新日期:2011-08-01 00:00:00
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journal_title:Journal of general internal medicine
pub_type: 杂志文章,评审
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更新日期:2002-03-01 00:00:00
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更新日期:2010-05-01 00:00:00
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journal_title:Journal of general internal medicine
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doi:10.1007/BF02599588
更新日期:1996-02-01 00:00:00
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journal_title:Journal of general internal medicine
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doi:
更新日期:2001-12-01 00:00:00
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journal_title:Journal of general internal medicine
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更新日期:1993-11-01 00:00:00
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journal_title:Journal of general internal medicine
pub_type: 杂志文章,评审
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更新日期:2010-01-01 00:00:00
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journal_title:Journal of general internal medicine
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更新日期:2017-09-01 00:00:00
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journal_title:Journal of general internal medicine
pub_type: 杂志文章,随机对照试验
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更新日期:2010-12-01 00:00:00