13 research outputs found
Association Between Ideal Cardiovascular Health and Carotid IntimaâMedia Thickness: A Twin Study
Delirium in older adults is associated with development of new dementia: a systematic review and metaâanalysis
Battling Tobacco Use at Home: An Analysis of Smoke-Free Home Rules Among US Veterans From 2001 to 2011
Patient experience of health care system hassles: Dualâsystem vs singleâsystem users
OBJECTIVE: To compare health care system problems or âhasslesâ experienced by Veterans receiving VA health care only versus those receiving dual care from both VA and nonâVA community providers. DATA SOURCES: We collected survey data in 2017â2018 from 2444 randomly selected Veterans with four or more primary care visits in the prior year at one of 12 VA primary care clinics located in four geographically diverse regions of the United States. STUDY DESIGN: We used baseline surveys from the Coordination Toolkit and Coaching quality improvement project to explore Veteransâ experience of hassles (dependent variable), source of health care, selfârated physical and mental health, and sociodemographics. DATA COLLECTION: Participants responded to mailed surveys by mail, telephone, or online. PRINCIPAL FINDINGS: The number of reported hassles ranged from 0 to 16; 79 percent of Veterans reported experiencing one or more hassles. Controlling for sociodemographic characteristics and selfârated physical and mental health, zeroâinflated negative binominal regression indicated that dual care users experienced more hassles than VAâonly users (adjusted predicted average 5.5 [CI: 5.2, 5.8] vs 4.3 [CI: 4.1, 4.6] hassles [PÂ <Â .0001]). CONCLUSIONS: Anticipated increases in Veterans accessing communityâbased care may require new strategies to help VA primary care teams optimize care coordination for dual care users