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Rural and Urban Home Modification Program Users: A Comparative Study.

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Home modification services help older veterans and veterans with disabilities live independently. Rural veterans using these services travel further to access care compared to urban counterparts.

Keywords:
costgeospatialhealthcare serviceshome modificationrural

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Area of Science:

  • Gerontology
  • Healthcare Accessibility
  • Veterans Affairs

Background:

  • Accessible housing is limited, making home modifications essential for veterans with disabilities (VWDs) to age in place.
  • Home modifications (HMs) through the Home Improvement and Structural Alterations (HISA) program reduce hospitalizations and increase preventative care.
  • Improved home accessibility enhances psychological well-being and social engagement for VWDs.

Purpose of the Study:

  • To characterize rural veterans using HISA program home modification services.
  • To compare rural and urban veteran users' sociodemographic, geographic, and clinical profiles.
  • To analyze HISA program costs and travel distances to prescribing facilities within the Veterans Health Administration (VHA).

Main Methods:

  • A retrospective database study utilizing data from the National Prosthetics Patient Database and other VHA medical datasets.
  • Analysis of sociodemographic, geographic, and clinical characteristics of HISA program users.
  • Comparison of characteristics and travel distances between rural and urban veteran users.

Main Results:

  • HISA users are predominantly older veterans.
  • Significant differences exist in the types of home modifications (bathroom, railing, ramps) between rural and urban users (p < .001).
  • Rural veterans travel greater distances to VHA facilities for HISA services compared to urban veterans.

Conclusions:

  • The HISA program effectively addresses the unmet housing accessibility needs of older veterans and those with disabilities.
  • Home modifications are crucial for enabling veterans with disabilities to maintain independent living.
  • Findings highlight the importance of accessible housing solutions for aging populations and individuals with disabilities.