Gilbert G H, Branch L G, Longmate J
Department of Oral and Maxillofacial Surgery, Claude D. Pepper Center for Research on Oral Health in Aging, College of Dentistry, University of Florida Health Science Center, Gainesville 32610-0416.
J Public Health Dent. 1992 Fall;52(5):277-87. doi: 10.1111/j.1752-7325.1992.tb02289.x.
Veterans who were eligible for dental care in Department of Veterans Affairs (VA) facilities at no monetary cost responded to a mailed questionnaire. Seventy-one percent were aware that they were actually eligible for VA dental care. However, only 48 percent reported the VA as their only or primary source of dental care. Eligibility status, perceived quality of VA dental care, use of VA medical care, perception that one's income meets expenses, and perceived need for dental care were significant correlates of using the VA as one's current source of dental care. Level of formal education, perception that one's income meets expenses, transportation pattern, geographic distance from a VA facility, and eligibility status were significant correlates of using the VA as one's current medical care source. Research on VA utilization offers the opportunity to study issues of access to, and use of, a large public health care system whose patients largely receive care at no monetary cost. Veterans' use of VA dental and medical care is apparently influenced by a wide variety of factors, ranging from barriers to access to non-VA systems, to characteristics of the VA delivery system itself, to need for treatment.
有资格在退伍军人事务部(VA)设施免费接受牙科护理的退伍军人回复了一份邮寄问卷。71%的人知道自己实际上有资格享受VA牙科护理。然而,只有48%的人将VA报告为他们唯一或主要的牙科护理来源。资格状态、对VA牙科护理质量的认知、VA医疗护理的使用情况、认为自己的收入能够满足支出的看法以及对牙科护理的感知需求,都是将VA作为当前牙科护理来源的显著相关因素。正规教育水平、认为自己的收入能够满足支出的看法、交通方式、与VA设施的地理距离以及资格状态,都是将VA作为当前医疗护理来源的显著相关因素。对VA利用情况的研究提供了一个机会,来研究一个大型公共医疗系统的获取和使用问题,该系统的患者在很大程度上无需支付费用就能接受护理。退伍军人对VA牙科和医疗护理的使用显然受到多种因素的影响,从获取非VA系统的障碍,到VA提供系统本身的特点,再到治疗需求。