Distance to Veterans Administration Medical Centers as a Barrier to Specialty Care for Homeless Women Veterans

被引：8

作者：

Gawron, Lori M. ^{[1
,2
]}

Pettey, Warren B. P. ^{[1
,2
]}

Redd, Andrew M. ^{[1
,2
]}

Suo, Ying ^{[1
,2
]}

Gundlapalli, Adi V. ^{[1
,2
]}

机构：

[1] VA Salt Lake City Hlth Care Syst, Salt Lake City, UT 84148 USA

[2] Univ Utah, Salt Lake City, UT 84112 USA

来源：

INFORMATICS EMPOWERS HEALTHCARE TRANSFORMATION | 2017年 / 238卷

关键词：

Health services accessibility; homeless; women Veterans;

D O I：

10.3233/978-1-61499-781-8-112

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Homeless women Veterans have a high prevalence of chronic mental and physical conditions that necessitate frequent healthcare visits, but travel burdens to specialty services may be overwhelming to navigate for this population, especially for those in rural settings. Access to specialty care is a key priority in the Veterans Health Administration (VHA) and understanding the geographic distribution and rural designation of this population in relation to medical centers (VAMC) can assist in care coordination. We identified 41,747 women Veterans age 18-44y with administrative evidence of homelessness in the VHA anytime during 2002-2015. We found 7% live in rural settings and 29% live >40miles from a VAMC. The mean travel distance for homeless women Veterans with a rural designation to a VAMC specialty center was 107 miles. Developing interventions to overcome this travel burden and engage vulnerable Veterans in necessary care can improve overall health outcomes for this high-risk population.

引用

页码：112 / 115

页数：4

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