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Related Experiment Videos

Experiences with the Veterans' Choice Program.

Kevin T Stroupe1,2, Rachael Martinez3, Timothy P Hogan4,5

  • 1Center of Innovation for Complex Chronic Healthcare, Hines VA Hospital, Hines, IL, USA. kevin.stroupe@va.gov.

Journal of General Internal Medicine
|August 8, 2019
PubMed
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This summary is machine-generated.

Veterans using the Veterans Choice Program (VCP) often had better access to timely and convenient care. However, challenges like scheduling and communication issues were also reported, highlighting the need for improved veteran healthcare access.

Area of Science:

  • Healthcare access and quality
  • Veterans health services
  • Health services research

Background:

  • The Veterans Access, Choice, and Accountability Act (VCAA) established the Veterans Choice Program (VCP) to improve healthcare access for US Department of Veterans Affairs (VA) beneficiaries.
  • Concerns regarding VA healthcare facility access prompted the VCP to facilitate care in non-VA settings.

Purpose of the Study:

  • To evaluate the characteristics of Veterans utilizing or planning to use the VCP.
  • To identify the reasons behind VCP utilization or planned utilization.
  • To understand Veterans' experiences with the VCP.

Main Methods:

  • A mixed-methods approach was employed, combining quantitative data from VA administrative records and surveys with qualitative data from semi-structured interviews.
Keywords:
Veteransaccess to careevaluationqualitative research

Related Experiment Videos

  • Logistic regression analysis assessed associations between Veteran characteristics and VCP use.
  • Thematic analysis was used for qualitative interview data.
  • Main Results:

    • Veterans who were women, lived farther from VA facilities, or had poorer health status showed higher odds of using or intending to use the VCP.
    • Positive VCP experiences included timely care, convenient locations, improved scheduling, and service coverage.
    • Negative experiences involved complex scheduling, inconvenient appointment locations, appointment delays, billing confusion, and communication issues.

    Conclusions:

    • Veterans prioritize accessible, convenient care, especially women and those with poor health.
    • The VCP highlighted the importance of community care access for Veterans.
    • The subsequent Mission Act aimed to streamline and consolidate VA community care programs.