Utilization of VA and medicare services by medicare-eligible veterans: The impact of additional access points in a rural setting

Journal of Healthcare Management

Volumn 50, Issue 2, 2005, Pages 95-107

  Weeks, William Brinson ^a,b,c,d,e   Mahar, Peter J ^a,e   Wright, Steven M ^b  

^a VA MEDICAL CENTER   (United States)

^b VETERANS AFFAIRS MEDICAL CENTER   (United States)

^c VA Outcomes Group REAP   (United States)

^d VA Natl Qual Scholars F   (United States)

^e DARTMOUTH MEDICAL SCHOOL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; COMMUNITY CARE; CONTROLLED STUDY; FINANCIAL MANAGEMENT; HEALTH CARE ACCESS; HEALTH CARE DELIVERY; HEALTH CARE MANAGEMENT; HEALTH CARE NEED; HEALTH CARE SYSTEM; HEALTH CARE UTILIZATION; HOSPITAL PATIENT; HUMAN; MALE; MEDICARE; ORGANIZATION AND MANAGEMENT; OUTPATIENT DEPARTMENT; PATIENT CARE; PATIENT CODING; PRIMARY MEDICAL CARE; RURAL AREA; RURAL HEALTH CARE; UNITED STATES;

EID: 15444365934     PISSN: 10969012     EISSN: None     Source Type: Journal    
DOI: 10.1097/00115514-200503000-00006     Document Type: Article

References (24)

1. Andersen, R. M. 1995. "Revisiting the Behavioral Model and Access to Medical Care: Does It Matter?" Journal of Health and Social Behavior 36 (1): 1-10.
2. Ashton, C., N. Petersen, J. Souchek, T. Menke, Y. Hong-Jen, K. Pietz, M. Eigenbrodt, G. Barbour, K. Kizer, and N. Wray. 1999. "Geographic Variations in Utilization Rates in Veterans Affairs Hospitals and Clinics." New England Journal of Medicine 340 (1): 32-39.
3. Burgess, J., and D. DeFiore. 1994. "The Effect of Distance to VA Facilities on the Choice and Level of Utilization of VA Outpatient Services." Social Science and Medicine 39 (1): 95-104.
4. Chapko, M., S. Borowsky, J. Fortney, A. Hedeen, M. Hoegle, M. Maciejewski, and C. Lukas. 2002. "Evaluation of the Department of Veterans Affairs Community-based Outpatient Clinics." Medical Care 40: 555-60.
5. Economic Research Service. 2001. Rural-Urban Commuting Area Codes. Washington, DC: U.S. Department of Agriculture.
6. Fleming, C., E. Fisher, C. Chang, T. Bubolz, and D. Malenka. 1992. "Studying Outcomes and Hospital Utilization in the Elderly: The Advantages of a Merged Data Base for Medicare and Veterans Affairs Hospitals." Medical Care 30 (5): 377-91.
7. Fortney, J., S. Borowsky, A. Hedeen, M. Maciejewski, and M. Chapko. 2002. "VA Community-based Outpatient Clinics: Access and Utilization Performance Measures." Medical Care 40 (7): 561-69.
8. Leape, L., L. Hilborne, R. Bell, C. Kamberg, and R. Brook. 1999. "Underuse of Cardiac Procedures: Do Women, Ethnic Minorities, and the Uninsured Fail to Receive Needed Revascularization?" Annals of Internal Medicine 130 (3): 183-92.
9. Mirvis, D., and M. Graney. 1999. "Variations in the Use of Cardiac Procedures in the Veterans Health Administration." American Heart Journal 137 (4 Pt 1): 706-13.
10. Mooney, C., J. Zwanziger, C. Phibbs, and S. Schmitt. 2000. "Is Travel Distance a Barrier to Veterans' Use of VA Hospitals for Medical-Surgical Care?" Social Science and Medicine 50 (12): 1743-55.
11. Passman, L., R. Garcia, L. Campbell, and E. Winter. 1997. "Elderly Veterans Receiving Care at a Veterans Affairs Medical Center While Enrolled in Medicare-financed HMOs: Is the Taxpayer Paying Twice?" Journal of General Internal Medicine 12 (4): 247-49.
12. Petersen, L., and S. Wright. 1999. "Does the VA Provide 'Primary' Primary Care?" Journal of General Internal Medicine 14: 318-19.
13. Planning System Support Group. 2003. [Online information; retrieved 12/11/05.] http://vaww.pssg. med.va.gov/.
14. SPSS, Inc. 2001. SPSS 11.0. Chicago: SPSS, Inc.
15. U.S. Congress. Senate. Subcommittee on VA, HUD and Independent Agencies, Committee on Appropriations. 2001. VA Health Care: Community-based Clinics Improve Primary Care Access. Statement for the record by C. Bascetta. Report No. GAO-01-678T. Washington, DC: U.S. Government Accountability Office.
16. Wasson, J., A. Sauvigne, R. Mogielnicki, W. Frey, C. Sox, C. Gaudette, and A. Rockwell. 1984. "Continuity of Outpatient Medical Care in Elderly Men: A Randomized Trial." JAMA 252 (17): 2413-17.
17. Weeks, W. B., L. E. Kazis, Y. Shen, Z. Cong, X. S. Ren, D. Miller, A. Lee, and J. B. Perlin. 2004. "Differences in Health Related Quality of Life in Rural and Urban Veterans." American Journal of Public Health 94 (10): 1762-67.
18. Weeks, W., D. O'Rourke, L. Ryder, and M. Straw. 2003. "Veterans' System of Care Preference for Percutaneous Transluminal Coronary Angioplasty in a Rural Setting." Journal of Rural Health 19 (2): 105-8.
19. _ 2002. "Veterans' System of Care Preference for Coronary Artery Bypass Grafting in a Rural Setting." Military Medicine 167 (7): 556-59.
20. Wennberg, J. (ed.). 1999. Dartmouth Atlas of Health Care in the United States, 1999. Hanover, NH: The Center for the Evaluative Clinical Sciences at Dartmouth Medical School.
21. Wilson, N., and K. Kizer. 1997. "The VA Health Care System: An Unrecognized National Safety Net." Health Affairs 16 (4): 200-4.
22. Wray, N., T. Weiss, C. Christian, T. Menke, C. Ashton, and J. Hollingsworth. 1999. "The Health Status of Veterans Using Mobile Clinics in Rural Areas." Journal of Health Care for Poor and Underserved 10 (3): 338-48.
23. Wright, S., J. Daley, E. Fisher, and G. Thibault. 1997. "Where Do Elderly Veterans Obtain Care for Acute Myocardial Infarction: Department of Veterans Affairs or Medicare?" Health Services Research 31 (6): 739-54.
24. Wright, S. M., R. P. Lamkin, and L. A. Petersen. 2000. "Medicare Enrollment Status Among VA Users by VIN." Paper presented at the Eighteenth Health Services Research & Development Service National Meeting, Washington, DC.