US Department of Veterans Affairs, National Center on Homelessness among Veterans, West Haven, Connecticut (Dr Tsai); US Department of Veterans Affairs, National Center on Homelessness among Veterans, Bedford, Massachusetts (Mr Mehta); US Department of Veterans Affairs, National Center on Homelessness among Veterans, Philadelphia, Pennsylvania (Hunt-Johnson); Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut (Drs Tsai and Pietrzak); and US Department of Veterans Affairs National Center for Posttraumatic Stress Disorder, VA Connecticut Healthcare System, West Haven, Connecticut (Dr Pietrzak).
J Public Health Manag Pract. 2021;27(2):173-185. doi: 10.1097/PHH.0000000000001053.
This study examined (1) sociodemographic, health, and psychosocial characteristics associated with using the Department of Veterans Affairs (VA) health care system as a primary health care provider; (2) veterans' experience and knowledge of VA clinical services, research, and education; and (3) veteran characteristics associated with VA experience and knowledge.
A nationally representative survey was conducted in 2018; eligibility criteria for participation were adults aged 18 years or older, currently living in the United States, and having served on active duty in the US military.
The survey was conducted online using large national survey panels.
A sample of 1002 veterans across 49 states participated.
The survey assessed experience and knowledge of majority of VA clinical services, research, and education.
One-quarter of the total sample reported that the VA was their primary health care provider. Among veterans who had ever used VA health care, the majority (68%) reported overall high satisfaction with VA health care but also agreed with "privatizing parts of the VA" (70%). The majority (51%-73%) of veterans reported knowledge of major VA clinical services, with the exception of comprehensive management for chronic pain (24%) and treatment of opioid use disorders (31%). One-quarter to one-half also reported knowledge of several VA research and education centers. Less than 10% of veterans reported having ever used a VA mobile app.
The US veterans generally reported positive experiences and good knowledge of VA services and resources. Greater awareness of available VA services for chronic pain and opioid use disorders, as well as VA mobile apps, may help promote more comprehensive care in this population.
本研究考察了以下三个方面：（1）与使用退伍军人事务部（VA）医疗保健系统作为主要医疗服务提供者相关的社会人口学、健康和心理社会特征；（2）退伍军人对 VA 临床服务、研究和教育的经验和了解；（3）与退伍军人经历和知识相关的退伍军人特征。
2018 年进行了一项全国代表性调查；参与的资格标准为年龄在 18 岁或以上、目前居住在美国、曾在美国军队服现役的成年人。
该调查通过大型全国调查小组进行在线调查。
来自 49 个州的 1002 名退伍军人参加了样本调查。
该调查评估了大多数 VA 临床服务、研究和教育的经验和知识。
总样本中有四分之一的人报告 VA 是他们的主要医疗服务提供者。在曾使用过 VA 医疗保健的退伍军人中，大多数（68%）报告对 VA 医疗保健总体满意度高，但也同意“将 VA 的部分私有化”（70%）。大多数（51%-73%）的退伍军人报告了解 VA 的主要临床服务，除了慢性疼痛的综合管理（24%）和阿片类药物使用障碍的治疗（31%）。四分之一到一半的退伍军人还报告了解几个 VA 研究和教育中心。不到 10%的退伍军人报告曾使用过 VA 移动应用程序。
美国退伍军人普遍对 VA 服务和资源的体验评价积极，了解情况良好。提高对 VA 用于慢性疼痛和阿片类药物使用障碍的可用服务以及 VA 移动应用程序的认识，可能有助于促进该人群的更全面的护理。
