Document Detail

The receipt of prevention services by veterans using VA versus non-VA facilities.
MedLine Citation:
PMID:  9808800     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: This paper compares the health promotion/disease prevention services received by veterans who reported receiving 90%+ of their care inside Veterans Health Administration (VA) facilities with counterparts who reported receiving 90%+ of their care outside VA facilities. Results are compared with the U.S. Healthy People 2000 goals. METHODS: Random samples were drawn of 300 men and 150 women visiting primary care clinics in six VA facilities. A 66% adjusted response rate was achieved after two mailings (n = 1,703). For this analysis, those veterans who reported receiving 90%+ of their care inside VA facilities (n = 909) were compared with veterans who reported receiving 90%+ of their care outside VA facilities (n = 185). RESULTS: Of the 13 health promotion¿disease prevention services, 6 were significantly influenced by source of care. Five of the significant differences reflected statistically higher prevalence rates for those receiving 90%+ of their care inside the VA (mammograms and counseling for alcohol, nutrition, exercise, and seatbelt use). One reflected a higher prevalence rate for those receiving 90%+ of their care outside the VA system (tetanus boosters). CONCLUSIONS: Veterans receiving 90%+ of their care in VA facilities obtained more preventive services than counterparts using non-VA providers. Assessment and counseling services need to be targeted to more veterans to comply more fully with U.S. Preventive Services Task Force recommendations and Healthy People 2000 objectives.
D J Rabiner; L G Branch; R J Sullivan
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Preventive medicine     Volume:  27     ISSN:  0091-7435     ISO Abbreviation:  Prev Med     Publication Date:    1998 Sep-Oct
Date Detail:
Created Date:  1998-11-30     Completed Date:  1998-11-30     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0322116     Medline TA:  Prev Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  690-6     Citation Subset:  IM    
Copyright Information:
Copyright 1998 American Health Foundation and Academic Press.
Veterans Administration Medical Center, 508 Fulton Street, Durham, NC 27705, USA.
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MeSH Terms
Health Care Surveys
Health Promotion / utilization
Hospitals, Veterans / utilization*
Middle Aged
Patient Acceptance of Health Care / statistics & numerical data*
Preventive Health Services / utilization*
Primary Health Care / utilization
United States
United States Department of Veterans Affairs
Veterans / statistics & numerical data*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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