Travel time and attrition from VHA care among women veterans: how far is too far?

Medical Care
Sarah A FriedmanCiaran S Phibbs

Abstract

Travel time, an access barrier, may contribute to attrition of women veterans from Veterans Health Administration (VHA) care. We examined whether travel time influences attrition: (a) among women veterans overall, (b) among new versus established patients, and (c) among rural versus urban patients. This retrospective cohort study used logistic regression to estimate the association between drive time and attrition, overall and for new/established and rural/urban patients. In total, 266,301 women veteran VHA outpatients in the Fiscal year 2009. An "attriter" did not return for VHA care during the second through third years after her first 2009 visit (T0). Drive time (log minutes) was between the patient's residence and her regular source of VHA care. "New" patients had no VHA visits within 3 years before T0. Models included age, service-connected disability, health status, and utilization as covariates. Overall, longer drive times were associated with higher odds of attrition: drive time adjusted odds ratio=1.11 (99% confidence interval, 1.09-1.14). The relationship between drive time and attrition was stronger among new patients but was not modified by rurality. Attrition among women veterans is sensitive to longer drive time. ...Continue Reading

References

Jul 1, 1976·Medical Care·E M BosanacD S Hall
Sep 1, 1981·Social Science & Medicine. Part C, Medical Economics·J L Fiedler
Mar 1, 1995·Journal of Health and Social Behavior·R M Andersen
Aug 4, 2004·The Journal of Ambulatory Care Management·Alfredo J SelimLewis E Kazis
Dec 30, 2004·American Journal of Public Health·Thomas C Ricketts
May 15, 2013·American Journal of Epidemiology·Andrea L RossoYvonne L Michael

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Citations

Apr 30, 2016·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Rashid L BashshurCharles R Doarn
Sep 16, 2017·Journal of General Internal Medicine·Elisheva R DananTimothy J Wilt
May 16, 2019·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Deborah W GarnickKevin Campbell
Jun 12, 2020·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Molly SilvestriniRebecca T Brown
Sep 6, 2018·Maternal & Child Nutrition·Julie A PattersonBeth H Olson
May 8, 2018·BMC Cancer·Shreekant ParasuramanRobyn Scherber
Nov 30, 2018·BMC Medical Research Methodology·Erin P FinleyAlison B Hamilton
Feb 8, 2018·Maternal & Child Nutrition·Julie A PattersonBeth H Olson
Aug 25, 2020·American Journal of Obstetrics and Gynecology·Charlan D KroelingerWanda D Barfield
Jul 8, 2021·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Megha ShankarJonathan G Shaw
Jul 25, 2021·Advances in Therapy·Sophie SnyderMatthew Gitlin

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