Characteristics of veterans using Veterans Affairs community-based outpatient clinics

Steven J. Borowsky, David B. Nelson, Sean M. Nugent, Jenni L. Bradley, Paul R. Hamann, Claire J. Stolee, Hanna B. Rubins

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

In the late 1990s, the Department of Veterans Affairs (VA) initiated a system of community-based outpatient clinics to enhance access to care. The purpose of this study was to explore factors that may be related to veterans' desire to transfer care from VA-based to community clinics. Among 1,452 veterans who were currently receiving VA clinic care and were eligible for care in two community-based clinics in rural Minnesota, 85 percent responded to a survey. Fifty-four percent of respondents requested community-based outpatient clinic care. Multivariate analysis revealed that veterans less satisfied with VA care were more likely to request a transfer to a community clinic, whereas Veterans SF-36 scale scores were not strongly associated with request for community-based outpatient clinic care. Veterans who had more VA clinic visits were less likely to request community-based outpatient clinic care. The likelihood of requesting also varied across the VA facilities and by VA eligibility level.

Original languageEnglish (US)
Pages (from-to)334-346
Number of pages13
JournalJournal of health care for the poor and underserved
Volume13
Issue number3
DOIs
StatePublished - Aug 1 2002

Keywords

  • Access to care
  • Patient satisfaction
  • Veterans

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