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Veterans' Experiences with a Social Need Intervention.

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Connecting Veterans to social resources is challenging due to self-reliance culture and complex processes. Improving interventions requires addressing these barriers and enhancing patient experience.

Keywords:
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Area of Science:

  • Social Determinants of Health
  • Healthcare Access
  • Veteran Health Services

Background:

  • Healthcare-based screening and referral (S&R) for social needs is expanding.
  • Connecting Veterans Health Administration (VHA) enrollees to social resources remains understudied.
  • Understanding facilitators and barriers to resource connection is crucial for VHA initiatives.

Purpose of the Study:

  • To understand the conditions that facilitate and impede Veterans' connection to social need resources.
  • To identify factors influencing resource utilization among VHA enrollees.
  • To inform improvements in S&R program design and implementation for Veterans.

Main Methods:

  • Qualitative interviews were conducted with 32 Veterans enrolled in a randomized controlled trial (RCT).
  • Participants represented a mix of those who did and did not connect to resources.
  • Andersen's model of service utilization guided the inquiry into predisposing, enabling, and need factors.

Main Results:

  • Key barriers included military self-reliance culture, resource inadequacy, competing demands, and complex application processes.
  • Veterans valued being asked about their needs, regardless of resource connection.
  • Participants provided suggestions for improving resource connection strategies.

Conclusions:

  • Findings suggest strategies to improve S&R interventions for Veterans.
  • Recommendations include increasing awareness of health-social needs links and strengthening community partnerships.
  • Interventions may yield benefits beyond resource connection, such as improved patient experience.