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Research ArticleOriginal Research

Reasons Older Veterans Use the Veterans Health Administration and Non-VHA Care in an Urban Environment

Matthew R. Augustine, Tanieka Mason, Abigail Baim-Lance and Kenneth Boockvar
The Journal of the American Board of Family Medicine March 2021, 34 (2) 291-300; DOI: https://doi.org/10.3122/jabfm.2021.02.200332
Matthew R. Augustine
From the Geriatric Research Education and Clinical Center (GRECC), James J Peters VA Medical Center, Bronx, NY (MRA, TM, AB-L, KB); Icahn School of Medicine at Mount Sinai, Department of Medicine, New York, NY (MRA); Icahn School of Medicine at Mount Sinai, Department of Geriatrics and Palliative Medicine, New York, NY (AB-L, KB); Community Wellness Department, Reading Hospital, Reading, PA (TM); Research Institute on Aging, The New Jewish House, New York, NY (KB).
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Tanieka Mason
From the Geriatric Research Education and Clinical Center (GRECC), James J Peters VA Medical Center, Bronx, NY (MRA, TM, AB-L, KB); Icahn School of Medicine at Mount Sinai, Department of Medicine, New York, NY (MRA); Icahn School of Medicine at Mount Sinai, Department of Geriatrics and Palliative Medicine, New York, NY (AB-L, KB); Community Wellness Department, Reading Hospital, Reading, PA (TM); Research Institute on Aging, The New Jewish House, New York, NY (KB).
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Abigail Baim-Lance
From the Geriatric Research Education and Clinical Center (GRECC), James J Peters VA Medical Center, Bronx, NY (MRA, TM, AB-L, KB); Icahn School of Medicine at Mount Sinai, Department of Medicine, New York, NY (MRA); Icahn School of Medicine at Mount Sinai, Department of Geriatrics and Palliative Medicine, New York, NY (AB-L, KB); Community Wellness Department, Reading Hospital, Reading, PA (TM); Research Institute on Aging, The New Jewish House, New York, NY (KB).
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Kenneth Boockvar
From the Geriatric Research Education and Clinical Center (GRECC), James J Peters VA Medical Center, Bronx, NY (MRA, TM, AB-L, KB); Icahn School of Medicine at Mount Sinai, Department of Medicine, New York, NY (MRA); Icahn School of Medicine at Mount Sinai, Department of Geriatrics and Palliative Medicine, New York, NY (AB-L, KB); Community Wellness Department, Reading Hospital, Reading, PA (TM); Research Institute on Aging, The New Jewish House, New York, NY (KB).
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References

  1. 1.↵
    1. Z Joan Wang PD,
    2. Melissa Cidade PD,
    3. Michael Larsen PD,
    4. Pearman G,
    5. Schimpf M,
    6. Pavan Dhanireddy PD
    . 2018 Survey of Veteran Enrollees' Health and Use of Health Care Data Findings Report. Rockville, MD: Strategic Analysis Service, Office of Strategic Planning and Analysis; 2019:1–202.
  2. 2.↵
    1. Wong ES,
    2. Liu C-F,
    3. Hernandez SE,
    4. et al
    . Longer wait times affect future use of VHA primary care. Healthc (Amst) 2018;6:180–5.
    OpenUrl
  3. 3.↵
    1. Zhu CW,
    2. Penrod JD,
    3. Ross JS,
    4. Dellenbaugh C,
    5. Sano M
    . Use of Medicare and Department of Veterans Affairs health care by veterans with dementia: a longitudinal analysis. J Am Geriatr Soc 2009;57:1908–14.
    OpenUrlCrossRefPubMed
  4. 4.↵
    1. Hynes DM,
    2. Koelling K,
    3. Stroupe K,
    4. et al
    . Veterans' access to and use of Medicare and Veterans Affairs health care. Med Care 2007;45:214–23.
    OpenUrlCrossRefPubMedWeb of Science
  5. 5.↵
    1. Pizer SD,
    2. Gardner JA
    . Is fragmented financing bad for your health? Inquiry 2011;48:109–22.
    OpenUrlCrossRefPubMed
  6. 6.↵
    1. Chaiyachati KH,
    2. Gordon K,
    3. Long T,
    4. et al
    . Continuity in a VA patient-centered medical home reduces emergency department visits. PLoS ONE 2014;9:e96356.
    OpenUrl
  7. 7.↵
    1. Katz DA,
    2. McCoy KD,
    3. Vaughan-Sarrazin MS
    . Does greater continuity of veterans administration primary care reduce emergency department visits and hospitalization in older veterans? J Am Geriatr Soc 2015;63:2510–8.
    OpenUrl
  8. 8.↵
    1. Kern LM,
    2. Seirup JK,
    3. Rajan M,
    4. Jawahar R,
    5. Stuard SS
    . Fragmented ambulatory care and subsequent healthcare utilization among Medicare beneficiaries. Am J Manag Care 2018;24:e278–e284.
    OpenUrl
  9. 9.↵
    1. Nyweide DJ,
    2. Anthony DL,
    3. Bynum JPW,
    4. et al
    . Continuity of care and the risk of preventable hospitalization in older adults. JAMA Intern Med 2013;173:1879–85.
    OpenUrl
  10. 10.↵
    1. Thorpe JM,
    2. Thorpe CT,
    3. Schleiden L,
    4. et al
    . Association between dual use of Department of Veterans Affairs and Medicare Part D drug benefits and potentially unsafe prescribing. JAMA Intern Med July 2019;179:1584.
    OpenUrl
  11. 11.↵
    1. Liu C-F,
    2. Batten A,
    3. Wong ES,
    4. Fihn SD,
    5. Hebert PL
    . Fee-for-service Medicare-enrolled elderly veterans are increasingly voting with their feet to use more VA and less Medicare, 2003-2014. Health Serv Res 2018;53 Suppl 3:5140–58.
    OpenUrl
  12. 12.↵
    1. Hebert PL,
    2. Batten AS,
    3. Gunnink E,
    4. et al
    . Reliance on Medicare Providers by Veterans after Becoming Age-Eligible for Medicare is Associated with the Use of More Outpatient Services. Health Serv Res 2018;53 Suppl 3:5159–80.
    OpenUrl
  13. 13.↵
    1. Nelson KM,
    2. Helfrich C,
    3. Sun H,
    4. et al
    . Implementation of the patient-centered medical home in the Veterans Health Administration: associations with patient satisfaction, quality of care, staff burnout, and hospital and emergency department use. JAMA Intern Med 2014;174:1350–8.
    OpenUrl
  14. 14.↵
    1. Rosland A-M,
    2. Nelson K,
    3. Sun H,
    4. et al
    . The patient-centered medical home in the Veterans Health Administration. Am J Manag Care 2013;19:e263–e272.
    OpenUrlPubMedWeb of Science
  15. 15.↵
    1. Sullivan JL,
    2. Eisenstein R,
    3. Price T,
    4. Solimeo S,
    5. Shay K
    . Implementation of the geriatric patient-aligned care team model in the Veterans Health Administration (VA). J Am Board Fam Med 2018;31:456–65.
    OpenUrlAbstract/FREE Full Text
  16. 16.↵
    1. Kullgren JT,
    2. Fagerlin A,
    3. Kerr EA
    . Completing the MISSION: a blueprint for helping veterans make the most of new choices. J Gen Intern Med 2020;35:1567–4.
    OpenUrlCrossRefPubMed
  17. 17.↵
    1. Mattocks KM,
    2. Cunningham K,
    3. Elwy AR,
    4. et al
    . Recommendations for the evaluation of cross-system care coordination from the VA state-of-the-art working group on VA/Non-VA Care. J Gen Intern Med 2019;34:18–23. (Suppl).
    OpenUrl
  18. 18.↵
    1. Stroupe KT,
    2. Martinez R,
    3. Hogan TP,
    4. et al
    . Experiences with the veterans' choice program. J Gen Intern Med 2019;34:2141–9.
    OpenUrl
  19. 19.↵
    1. Wong ES,
    2. Maciejewski ML,
    3. Hebert PL,
    4. Reddy A,
    5. Liu C-F
    . Predicting primary care use among patients in a large integrated health system: the role of patient experience measures. Med Care 2019;57:608–14.
    OpenUrl
  20. 20.↵
    1. Dixon BE,
    2. Schwartzkopf AL,
    3. Guerrero VM,
    4. et al
    . Regional data exchange to improve care for veterans after non-VA hospitalization: a randomized controlled trial. BMC Med Inform Decis Mak 2019;19:125–13.
    OpenUrl
  21. 21.↵
    Bronx Regional Health Information Organization. Bronx RHIO: Connecting for Better Health. Bronx, NY; 2019.
  22. 22.↵
    1. Qualls SH
    . Caregiving families within the long-term services and support system for older adults. Am Psychol 2016;71:283–93.
    OpenUrl
  23. 23.↵
    1. Hsieh H-F,
    2. Shannon SE
    . Three approaches to qualitative content analysis. Qual Health Res 2005;15:1277–88.
    OpenUrlCrossRefPubMedWeb of Science
  24. 24.↵
    1. Elo S,
    2. Kyngäs H
    . The qualitative content analysis process. J Adv Nurs 2008;62:107–15.
    OpenUrlCrossRefPubMedWeb of Science
  25. 25.↵
    1. Saldana J
    . The Coding Manual for Qualitative Researchers. Third Edition. Los Angeles: SAGE; 2015.
  26. 26.↵
    1. Penchansky R,
    2. Thomas JW
    . The concept of access: definition and relationship to consumer satisfaction. Med Care 1981;19:127–40.
    OpenUrlCrossRefPubMedWeb of Science
  27. 27.↵
    1. Elo S,
    2. Kääriäinen M,
    3. Kanste O,
    4. Pölkki T,
    5. Utriainen K,
    6. Kyngäs H
    . Qualitative content analysis: a focus on trustworthiness. SAGE Open January 2014;4:215824401452263–10.
    OpenUrl
  28. 28.↵
    1. Buetow S
    . Thematic analysis and its reconceptualization as ‘saliency analysis’. J Health Serv Res Policy 2010;15:123–5.
    OpenUrlCrossRefPubMed
  29. 29.↵
    1. Rosenstock IM,
    2. Strecher VJ,
    3. Becker MH
    . Social learning theory and the Health Belief Model. Health Educ Q 1988;15:175–83.
    OpenUrlCrossRefPubMedWeb of Science
  30. 30.↵
    1. Augustine MR,
    2. Nelson KM,
    3. Fihn SD,
    4. Wong ES
    . How are patients accessing primary care within the patient-centered medical home? Results from the Veterans Health Administration. J Ambul Care Manage 2018;41:194–203.
    OpenUrl
  31. 31.↵
    1. Jones AL,
    2. Mor MK,
    3. Cashy JP,
    4. et al
    . Racial/ethnic differences in primary care experiences in patient-centered medical homes among veterans with mental health and substance use disorders. J Gen Intern Med 2016;31:1435–43.
    OpenUrl
  32. 32.↵
    1. Cheraghi-Sohi S,
    2. Hole AR,
    3. Mead N,
    4. et al
    . What patients want from primary care consultations: a discrete choice experiment to identify patients' priorities. Ann Fam Med 2008;6:107–15.
    OpenUrlAbstract/FREE Full Text
  33. 33.↵
    1. Rubin G,
    2. Bate A,
    3. George A,
    4. Shackley P,
    5. Hall N
    . Preferences for access to the GP: a discrete choice experiment. Br J Gen Pract 2006;56:743–8.
    OpenUrlAbstract/FREE Full Text
  34. 34.↵
    1. Turner D,
    2. Tarrant C,
    3. Windridge K,
    4. et al
    . Do patients value continuity of care in general practice? An investigation using stated preference discrete choice experiments. J Health Serv Res Policy 2007;12:132–7.
    OpenUrlCrossRefPubMed
  35. 35.↵
    1. Crawford ER,
    2. Reeves CJ,
    3. Stewart GL,
    4. Astrove SL
    . To link or not to link? Multiple team membership and unit performance. J Appl Psychol 2019;104:341–56.
    OpenUrlCrossRefPubMed
  36. 36.↵
    1. Gillespie SM,
    2. Manheim C,
    3. Gilman C,
    4. et al
    . Interdisciplinary team perspectives on mental health care in VA home-based primary care: a qualitative study. Am J Geriatr Psychiatry 2019;27:128–37.
    OpenUrl
  37. 37.↵
    1. Edwards ST,
    2. Prentice JC,
    3. Simon SR,
    4. Pizer SD
    . Home-based primary care and the risk of ambulatory care-sensitive condition hospitalization among older veterans with diabetes mellitus. JAMA Intern Med 2014;174:1796–803.
    OpenUrl
  38. 38.↵
    1. Schuttner L,
    2. Reddy A,
    3. Rosland A-M,
    4. Nelson K,
    5. Wong ES
    . Association of the implementation of the patient-centered medical home with quality of life in patients with multimorbidity. October 2019;1–7.
  39. 39.↵
    1. Reddy A,
    2. Wong E,
    3. Canamucio A,
    4. et al
    . Association between continuity and team-based care and health care utilization: an observational study of Medicare-eligible veterans in VA patient aligned care team. Health Serv Res 2018;53:5201–118.
    OpenUrl
  40. 40.↵
    U.S. Department of Veterans Affairs. VA launches new health care options under MISSION Act. www.va.gov. https://www.va.gov/opa/pressrel/pressrelease.cfm?id=5264. Published June 6, 2019. Accessed February 5, 2020.
  41. 41.↵
    1. Kondo K,
    2. Low A,
    3. Everson T,
    4. et al
    . Health disparities in veterans: a map of the evidence. Med Care 2017;55 Suppl 9 Suppl 2:S9–S15. Suppl 9 Suppl 2.
    OpenUrl
  42. 42.↵
    1. Silver D,
    2. Blustein J,
    3. Weitzman BC
    . Transportation to clinic: findings from a pilot clinic-based survey of low-income suburbanites. J Immigr Minor Health 2012;14:350–5.
    OpenUrlCrossRefPubMed
  43. 43.↵
    1. Wizemann T,
    2. Baciu A
    National Academies of Sciences, Engineering, and Medicine, Transportation Research Board, Health and Medicine Division, Board on Population Health and Public Health Practice. Exploring data and metrics of value at the intersection of health care and transportation: Proceedings of a Workshop. Wizemann T, Baciu A, eds. November 2016.
  44. 44.↵
    1. Locatelli SM,
    2. Sharp LK,
    3. Syed ST,
    4. Bhansari S,
    5. Gerber BS
    . Measuring health-related transportation barriers in urban settings. J Appl Meas 2017;18:178–93.
    OpenUrl
  45. 45.↵
    1. Schlosser J,
    2. Kollisch D,
    3. Johnson D,
    4. Perkins T,
    5. Olson A
    . VA-community dual care: veteran and clinician perspectives. J Community Health 2020;45:795–802.
    OpenUrl
  46. 46.↵
    1. Nevedal AL,
    2. Wagner TH,
    3. Ellerbe LS,
    4. Asch SM,
    5. Koenig CJ
    . a qualitative study of primary care providers' experiences with the veterans choice program. J Gen Intern Med 2019;34:598–603.
    OpenUrl
  47. 47.↵
    1. Penn M,
    2. Bhatnagar S,
    3. Kuy S,
    4. et al
    . Comparison of wait times for new patients between the private sector and United States Department of Veterans Affairs Medical Centers. JAMA Netw Open 2019;2:e187096.
    OpenUrl
  48. 48.↵
    1. Syed ST,
    2. Gerber BS,
    3. Sharp LK
    . Traveling towards disease: transportation barriers to health care access. J Community Health 2013;38:976–93.
    OpenUrlCrossRefPubMedWeb of Science
  49. 49.↵
    1. Yoon J,
    2. Vanneman ME,
    3. Dally SK,
    4. Trivedi AN,
    5. Phibbs CS
    . Veterans' reliance on VA care by type of service and distance to va for nonelderly VA-Medicaid dual enrollees. Med Care January 2019.
  50. 50.↵
    1. Shulkin D
    . Implications for veterans' health care: the danger becomes clearer. JAMA Intern Med July 2019;179:1586.
    OpenUrl
  51. 51.↵
    1. Dixon BE,
    2. Haggstrom DA,
    3. Weiner M
    . Implications for informatics given expanding access to care for Veterans and other populations. J Am Med Inform Assoc 2015;22:917–20.
    OpenUrlCrossRefPubMed
  52. 52.↵
    1. Unruh MA,
    2. Jung H-Y,
    3. Kaushal R,
    4. Vest JR
    . Hospitalization event notifications and reductions in readmissions of Medicare fee-for-service beneficiaries in the Bronx, New York. J Am Med Inform Assoc 2016;2:ocw139–7.
    OpenUrl
  53. 53.↵
    1. Baum A,
    2. Kaboli PJ,
    3. Schwartz MD
    . Reduced in-person and increased telehealth outpatient visits during the COVID-19 pandemic. Ann Intern Med August 2020;174:129–31:M20-M3026.
    OpenUrl
  54. 54.↵
    1. Powers BW,
    2. Rinefort S,
    3. Jain SH
    . Nonemergency medical transportation: delivering care in the era of lyft and uber. JAMA 2016;316:921–2.
    OpenUrl
  55. 55.↵
    Department of Veterans Affairs. Veterans transportation service. final rule. Fed Regist 2016;81.
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The Journal of the American Board of Family     Medicine: 34 (2)
The Journal of the American Board of Family Medicine
Vol. 34, Issue 2
March/April 2021
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Reasons Older Veterans Use the Veterans Health Administration and Non-VHA Care in an Urban Environment
Matthew R. Augustine, Tanieka Mason, Abigail Baim-Lance, Kenneth Boockvar
The Journal of the American Board of Family Medicine Mar 2021, 34 (2) 291-300; DOI: 10.3122/jabfm.2021.02.200332

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Reasons Older Veterans Use the Veterans Health Administration and Non-VHA Care in an Urban Environment
Matthew R. Augustine, Tanieka Mason, Abigail Baim-Lance, Kenneth Boockvar
The Journal of the American Board of Family Medicine Mar 2021, 34 (2) 291-300; DOI: 10.3122/jabfm.2021.02.200332
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  • Aging, Geriatrics
  • Health Status
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