Racial/Ethnic Variations in Veterans’ Ambulatory Care Use

Donna L. Washington · Valentine M. Villa · Arleen F. Brown · JoAnn Damron‐Rodriguez · Nancy D. Harada

44 citations0/0 files storedAmerican Journal of Public Health

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Health disparities and outcomes Healthcare Policy and Management Racial and Ethnic Identity Research

Abstract

OBJECTIVES: We assessed racial/ethnic variations in patterns of ambulatory care use among Department of Veterans Affairs (VA) health care-eligible veterans to determine if racial/ethnic differences in health care use persist in equal-access systems. METHODS: We surveyed 3227 male veterans about their health and ambulatory care use. RESULTS: Thirty-eight percent of respondents had not had a health care visit in the previous 12 months. Black (odds ratio [OR] = 0.5), Hispanic (OR = 0.4), and Asian/Pacific Islander veterans (OR=0.4) were less likely than White veterans to report any ambulatory care use. Alternately, Whites (OR=2.2) were more likely than other groups to report ambulatory care use. Being White was a greater predictor of health care use than was having fair or poor health (OR=1.4) or functional limitations (OR=1.5). In non-VA settings, racial/ethnic minorities were less likely to have a usual provider of health care. There was no VA racial/ethnic variation in this parameter. CONCLUSIONS: Racial/ethnic disparities in health and health care use are present among VA health care-eligible veterans. Although the VA plays an important role in health care delivery to ethnic minority veterans, barriers to VA ambulatory care use and additional facilitators for reducing unmet need still need to be investigated.

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References

1995Revisiting the Behavioral Model and Access to Medical Care: Does it Matter?2000Racial and Ethnic Differences in Access to Medical Care 1993Racial Differences in the Use of Invasive Cardiovascular Procedures in the Department of Veterans Affairs Medical System 2000Racial and Ethnic Differences in Access to and Use of Health Care Services, 1977 to 1996 2001Racial Differences in the Use of Invasive Cardiovascular Procedures: Review of the Literature and Prescription for Future Research 2002Diverse Communities, Common Concerns: Assessing Health Care Quality for Minority Americans 1997The VA Health Care System: An Unrecognized National Safety Net 2006To use or not to use

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2015Assessment of the Healthcare Needs and Barriers to VA Use Experienced by Women Veterans 2014Racial Health Disparities in a Cohort of 5,135 Transgender Veterans 2020Relationship of neighborhood social determinants of health on racial/ethnic mortality disparities in US veterans—Mediation and moderating effects 2023Racial Disparities in General Surgery Outcomes

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