Experiences with the Veterans' Choice Program

Journal of General Internal Medicine
Kevin StroupeBridget M Smith

Abstract

To address concerns about Veterans' access to care at US Department of Veterans Affairs (VA) healthcare facilities, the Veterans Access, Choice, and Accountability Act was enacted to facilitate Veterans' access to care in non-VA settings, resulting in the "Veterans Choice Program" (VCP). To assess the characteristics of Veterans who used or planned to use the VCP, reasons for using or planning to use the VCP, and experiences with the VCP. Mixed-methods. After sampling Veterans in the Midwest census region receiving care at VA healthcare facilities, we included 4521 Veterans in the analyses. Of these, 60 Veterans participated in semi-structured qualitative interviews. Quantitative data were derived from VA's administrative and clinical data and a survey of Veterans including Veteran characteristics and self-reported use of VCP. Associations between Veterans' characteristics and use or planned use of the VCP were assessed using logistic regression analysis. Interview data were analyzed using thematic analysis. Veterans with a higher odds of reporting use or intended use of the VCP were women, lived further distances from VA facilities, or had worse health status than other Veterans (P ≤ 0.01). Key themes included positive experie...Continue Reading

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Citations

Mar 10, 2020·Journal of the American Medical Informatics Association : JAMIA·Carolyn L TurveyMargaret Donahue
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Oct 22, 2020·The Journal of Spinal Cord Medicine·Rachael N MartinezKevin T Stroupe
Apr 7, 2021·American Journal of Preventive Medicine·Sri Lekha TummalapalliSalomeh Keyhani
Jun 26, 2021·American Journal of Speech-language Pathology·Pauline A MashimaBlessen C Eapen
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