Meuleman J, Mounts M
J Community Health. 1985 Summer;10(2):108-14. doi: 10.1007/BF01326515.
In patient's declared ineligible for longitudinal outpatient care in the Veterans Administration (VA) health care system, it is unclear how health status changes after discharge from the VA or how many patients find a regular provider of care in the private sector. Among 65 patients declared ineligible for longitudinal care at the Gainesville VA Medical Center (GVAMC), 28 (43%) continued to use this facility as their primary source of general medical care. Patients who lived within 50 miles of GVAMC or had used this facility frequently in the past were more likely to return to GVAMC for their general care. In the 37 patients who no longer used GVAMC for general care, 42% could not identify a regular provider of care outside GVAMC nine months after their discharge from this facility. Thirty-six percent had not seen a non-VA physician during this time, and 44% felt their health had worsened since they were released from GVAMC. A large number of patients who are declared ineligible for longitudinal care in the VA system continue to use the VA system for primary care. Among those who stop using the VA, many do not receive any medical care or obtain a regular care provider within the first nine months after their release from the VA system.
在退伍军人事务部（VA）医疗保健系统中被宣布不适合接受长期门诊护理的患者中，尚不清楚他们出院后健康状况如何变化，也不清楚有多少患者能在私营部门找到固定的护理提供者。在盖恩斯维尔VA医疗中心（GVAMC）被宣布不适合接受长期护理的65名患者中，有28名（43%）继续将该机构作为其一般医疗护理的主要来源。居住在距GVAMC 50英里以内或过去经常使用该机构的患者更有可能回到GVAMC接受一般护理。在不再将GVAMC用于一般护理的37名患者中，42%在从该机构出院九个月后无法确定GVAMC以外的固定护理提供者。在此期间，36%的患者没有看过非VA系统的医生，44%的患者觉得自他们从GVAMC出院后健康状况恶化了。大量在VA系统中被宣布不适合接受长期护理的患者继续将VA系统用于初级护理。在那些停止使用VA的患者中，许多人在从VA系统出院后的前九个月内没有接受任何医疗护理，也没有找到固定的护理提供者。
