作者
Zachary Hahn, John Hotchkiss, Charles Atwood, Connor Smith, Annette Totten, Eilis Boudreau, Robert Folmer, Priyanka Chilakamarri, Mary Whooley, Kathleen Sarmiento
发表日期
2023/7
期刊
Journal of general internal medicine
卷号
38
期号
Suppl 3
页码范围
805-813
出版商
Springer International Publishing
简介
Background
Travel is a major barrier to healthcare access for Veteran Affairs (VA) patients, and disproportionately affects rural Veterans (approximately one quarter of Veterans). The CHOICE/MISSION acts’ intent is to increase timeliness of care and decrease travel, although not clearly demonstrated. The impact on outcomes remains unclear. Increased community care increases VA costs and increases care fragmentation. Retaining Veterans within the VA is a high priority, and reduction of travel burdens will help achieve this goal. Sleep medicine is presented as a use case to quantify travel related barriers.
Objective
The Observed and Excess Travel Distances are proposed as two measures of healthcare access, allowing for quantification of healthcare delivery related to travel burden. A telehealth initiative that reduced travel burden is presented.
Design
Retrospective, observational, utilizing administrative data …
学术搜索中的文章
Z Hahn, J Hotchkiss, C Atwood, C Smith, A Totten… - Journal of general internal medicine, 2023