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Utilization of Home Modification-Related Durable Medical Equipment: Rural-Urban Veterans Disparities.

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Summary

Home modification services help veterans age in place. Rural veterans utilize durable medical equipment (HM-DME) services similarly to urban veterans, indicating potential access gaps.

Keywords:
accessibilityagingenvironmentolder adultsveterans

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Area of Science:

  • Gerontology
  • Health Services Research
  • Veterans Affairs

Background:

  • Home modification services, including durable medical equipment (HM-DME), are vital for enabling veterans to age in place.
  • The U.S. Veterans Health Administration (VHA) offers these services, but rural veterans may encounter access barriers due to healthcare disparities.

Purpose of the Study:

  • To analyze the utilization of HM-DME services within Veterans Integrated Service Network (VISN) 8.
  • To identify the proportion of veterans receiving HM-DME, common medical conditions, and specific equipment types used.

Main Methods:

  • Descriptive statistics and Pearson's chi-square tests were employed.
  • Data were analyzed from VHA facilities in VISN 8.

Main Results:

  • 19.7% of veterans received at least one HM-DME service.
  • Bathroom safety modifications were the most common type of HM-DME provided.
  • No significant differences in HM-DME utilization were found between rural and urban veterans, despite rural veterans having more prevalent health issues.

Conclusions:

  • Findings suggest potential service delivery gaps within VISN 8.
  • Continuous access to HM-DME services is crucial, particularly for veterans residing in rural areas.