VHA Enrollees' Health Care Coverage and Use of Care

Medical Care Research and Review - Tập 60 Số 2 - Trang 253-267 - 2003
Yujing Shen1, Ann Hendricks2, Shuo Zhang3, Lewis E. Kazis4
1Center for Health Quality, Outcomes, and Economic Research (CHQOER) and Rutgers University
2Center for Health Quality, Outcomes, and Economic Research (CHQOER) and Boston University School of Public Health
3Center for Health Quality, Outcomes, and Economic Research (CHQOER)
4Center for Health Quality, Outcomes, and Economic Research (CHQOER), Boston University School of Public Health, and Office of Quality and Performance, Veterans Health Administration

Tóm tắt

The authors examined health care coverage for Veterans' Health Administration (VHA) enrollees and how their reliance on VHA care varies by coverage, using the largest and most detailed survey of veterans using VHA services ever conducted. The results showed that a majority of veterans who use VHA services have alternative health care coverage and that most of them use both VHA and non-VHA health care. The findings have important implications for quality of care and coordination of care.

Từ khóa


Tài liệu tham khảo

Fisher, E. S. 1994. Unmanaged care: Dual utilization of the Veterans Affairs and Medicare Health Systems. White River Junction, VT: VA Outcomes Group .

10.1097/00005650-199205000-00001

Hellinger, F. J. 1995. Selection Bias in HMOs and PPOs: A Review of the Evidence . Inquiry 32: 135-142 .

Hill, J. W., and R. S. Brown. 1990. Biased selection in the TEFRA HMO/CMP program. Final Report to the Department of Health and Human Services. Princeton, NJ: Mathematica Policy Research .

10.1093/intqhc/12.2.97

10.1177/106286069901400105

Kazis, L. E., and N. Wilson. 1998. Health status and outcomes of veterans: Physical and mental component summary scores (SF-36V): 1998 National Survey of Ambulatory Care Patients, mid-year executive report. Washington, DC: Office of Performance and Quality, and Health Assessment Project, Health Services Research and Development Service .

Office of Quality and Performance, Veterans Health Administration. 2000. Health status and outcomes of veterans: Physical and mental component summary scores, Veterans SF-36, 1999 National VHA Health Survey of Veteran Enrollees, Executive Report. Washington, DC: Author .

U.S. General Accounting Office. 1994. Veterans health care: Use of VA services by Medicare-eligible veterans, GAO Report. Washington, DC: Author.

10.1097/00005650-199206000-00002

White House News Release. 2001. Executive order, President's Task Force to Improve Health Care Delivery for Our Nation's Veterans.

Wright, S. M., J. Daley, E. S. Fisher, and G. E. Thibault. 1997. Where do elderly veterans obtain care for acute myocardial infarction: Department of Veterans Affairs or Medicare? Health Services Research 31 (6): 739-754 .