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Access to Care Among Nonelderly Veterans
Didem M Bernard1, Thomas M Selden
1Center for Financing, Access, and Cost Trends, Division of Modeling and Research, Agency for Healthcare Research and Quality (AHRQ), Rockville, MD.
Medical Care
|February 13, 2016
Summary
Uninsured Veterans experience better access to medical care compared to non-Veterans. This study highlights the need to adjust for Veterans' higher healthcare needs when comparing access to care.
Area of Science:
- Health Services Research
- Public Health Policy
- Healthcare Access Studies
Background:
- Veteran access to care is a critical policy concern.
- Previous research has not utilized population-based survey data to examine this issue.
- Understanding healthcare access disparities is crucial for effective policy development.
Purpose of the Study:
- To compare healthcare access between nonelderly adult Veterans and non-Veterans.
- To analyze access within subgroups based on Veterans Health Administration (VHA) eligibility and insurance status.
- To provide data-driven insights into healthcare access for the veteran population.
Main Methods:
- Utilized data from the Medical Expenditure Panel Survey (2006-2011).
- Employed iterative proportional fitting to standardize for demographic and health-related differences.
- Compared access measures including care delays, inability to obtain care, and usual source of care.
Main Results:
- Similar access barriers for dental and prescription medications between Veterans and non-Veterans.
- Uninsured Veterans eligible for or using VHA care reported fewer medical care access issues than comparable non-Veterans.
- Key differences observed in inability to obtain care and perceived severity of this barrier.
Conclusions:
- Uninsured Veterans demonstrate superior access to care compared to their non-Veteran counterparts.
- Adjusting for the elevated healthcare needs of Veterans is essential for accurate comparisons.
- Findings underscore the importance of considering VHA eligibility and insurance status in healthcare access research.
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