Is travel distance a barrier to veterans' use of VA hospitals for medical surgical care?

Social Science and Medicine

Volumn 50, Issue 12, 2000, Pages 1743-1755

  Mooney, Cathleen ^a   Zwanziger, Jack ^a   Phibbs, Ciaran S ^b,c   Schmitt, Susan ^b,c  

^a UNIVERSITY OF ROCHESTER   (United States)

^b Ctr Hlth Care Eval/Hlth Serv R   (United States)

^c STANFORD UNIVERSITY   (United States)

Author keywords

Distance; Hospitalization; Veterans

Indexed keywords

ADULT; AGED; ARTICLE; HEALTH CARE UTILIZATION; HOSPITALIZATION; HUMAN; MAJOR CLINICAL STUDY; MILITARY MEDICINE; OCCUPATIONAL HEALTH; SOLDIER; TRAVEL;

AGED; ELIGIBILITY DETERMINATION; HEALTH SERVICES ACCESSIBILITY; HEALTH SERVICES RESEARCH; HOSPITALS, VETERANS; HUMANS; MIDDLE AGED; MULTIVARIATE ANALYSIS; SURGICAL PROCEDURES, OPERATIVE; TRAVEL; UNITED STATES; VETERANS;

EID: 0034018751     PISSN: 02779536     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0277-9536(99)00414-1     Document Type: Article

References (17)

1. Burgess J.F., DiFiore D.A. The effect of distance to VA facilities on the choice and level of utilization of VA outpatient services. Social Science & Medicine. 39:1994;95-104.
2. Burns L.R., Wholey D.R. The impact of physician characteristics in conditional choice models for hospital care. Journal of Health Economics. 11:1991;43-62.
3. Department of Veterans Affairs, 1989. 1987 Survey of Veterans. Conducted for the Department of Veterans Affairs by the US Bureau of the Census.
4. Department of Veteran Affairs, 1995. National Survey of Veterans (NSV9503). National Center for Veteran Analysis and Statistics, Assistant Secretary for Policy and Planning. Washington, DC.
5. Feitz R.H. Geographic Analysis of VA Health Care Usage Rates. 1995;National Center for Veteran Analysis and Statistics, Department of Veteran Affairs, Washington, DC.
6. Fleming C., Fisher E.S., Chang C.H., Bubolz T.A., Malenka D.J. Studying outcomes and hospital utilization in the elderly: the advantages of a merged data base for medicare and veterans affairs hospitals. Medical Care. 30:1992;377-391.
7. Friss L., Friedman B., Demakis J. Geographic differences in the use of veterans administration hospitals. Social Science & Medicine. 28:1989;347-354.
8. Levinsky N.G. Health care for veterans: the limits of obligation. Hastings Center Report. 16:1986;10-15.
9. McGuirk M.A., Porell F.W. Spatial patterns of hospital utilization: the impacts of distance and time. Inquiry. 21:1984;84-95.
10. Page W.F. Why veterans choose veterans administration hospitalization: a multivariate model. Medical Care. 20:1982;308-320.
11. Randall M., Kilpatrick K.E., Pendergast J.F., Jones K.R., Vogel W.B. Differences in patient characteristics between veterans administration and community hospitals: implications for VA planning. Medical Care. 25:1987;1099-1104.
12. United States Bureau of the Census, 1998. Statistical Abstract of the United States: 1988 (108th ed.). Washington, DC, p. 423.
13. United States Bureau of the Census, 1991. Statistical Abstract of the United States: 1991 (111th ed.) Washington, DC, p. 450.
14. United States Department of Health and Human Services, 1995. 1996 HCFA Statistics. Health Care Financing Administration, Bureau of Data Management and Strategy. HCFA Pub. No. 03394. Washington, DC.
15. United States General Accounting Office, 1995. Report to the Ranking Minority Member, Subcommittee on Compensation, Pension, Insurance and Memorial Affairs, Committee on Veterans' Affairs, House of Representatives VA Health Care How Distance from VA Facilities Affects Veterans' Use of VA Services. GAO/HEHS-96-31. Washington, DC.
16. Wolinsky F.D., Coe R.M., Mosely R.R., Homan S.M. Veterans' and nonveterans' use of health services: a comparative analysis. Medical Care. 23:1995;1358-1371.
17. Wright S.M., Daley J., Fisher E.S., Thibault G.E. Where do elderly veterans obtain care for acute myocardial infarction: department of veterans affairs or Medicare? HSR: Health Services Research. 31:1997;739-754.