退伍军人医疗保健选择的驱动因素以及他们在退伍军人事务部和民用医疗保健方面的经历。
Drivers of Veterans' Healthcare Choices and Experiences with Veterans Affairs and Civilian Healthcare.
作者信息
Kintzle Sara, Alday Eva, Sutherland Aubrey, Castro Carl A
机构信息
USC Suzanne Dworak-Peck School of Social Work, University of Southern California, 669 West 34th Street, Los Angeles, CA 90089, USA.
出版信息
Healthcare (Basel). 2024 Sep 14;12(18):1852. doi: 10.3390/healthcare12181852.
BACKGROUND
Access to quality healthcare is essential to the well-being of U.S. veterans. Little is known about what drives veterans' healthcare decisions. The purpose of this study was to explore factors that drive healthcare choices in veterans, and their experiences in the Veterans Health Administration (VA) and non-VA healthcare settings.
METHODS
Fifty-nine veterans participated in eight focus groups. Participants were asked to discuss factors that led to their choice of provider and their healthcare experiences. Thematic analysis was conducted to reveal themes around healthcare choices and use.
RESULTS
VA and non-VA users described positive experiences with care. VA users reported cost, quality, and ease of care as reasons for use. Non-VA healthcare setting users reported eligibility issues, negative perceptions of the VA, administrative bureaucracy, and lack of continuity of care as reasons they chose not to use VA care. VA users reported difficulty with red tape, continuity of care, limitations to gender specific care, and having to advocate for themselves.
CONCLUSIONS
Veterans were satisfied with care regardless of where they received it. Experiences with civilian providers indicate that more could be done to provide veterans with choices in the care they receive. Despite positive experiences with the VA, the veterans highlighted needed improvements in key areas.
背景
获得高质量医疗保健对美国退伍军人的福祉至关重要。对于驱动退伍军人医疗保健决策的因素知之甚少。本研究的目的是探讨驱动退伍军人医疗保健选择的因素，以及他们在退伍军人健康管理局（VA）和非VA医疗保健机构的经历。
方法
59名退伍军人参加了8个焦点小组。参与者被要求讨论导致他们选择医疗服务提供者的因素以及他们的医疗保健经历。进行了主题分析以揭示围绕医疗保健选择和使用的主题。
结果
VA和非VA的使用者都描述了积极的就医体验。VA的使用者将费用、质量和就医便利性作为使用VA医疗服务的原因。非VA医疗保健机构的使用者将资格问题、对VA的负面看法、行政官僚作风以及缺乏连续护理作为他们选择不使用VA医疗服务的原因。VA的使用者报告了繁文缛节、连续护理、特定性别护理的局限性以及不得不为自己争取权益方面的困难。
结论
无论在哪里接受治疗，退伍军人对医疗服务都感到满意。与非VA医疗服务提供者的经历表明，在为退伍军人提供更多医疗保健选择方面还有更多工作要做。尽管对VA有积极的体验，但退伍军人强调了关键领域需要改进的地方。
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