Preventive health services and access to care for male veterans compared with their spouses

Sharad Jain, Andrew L. Avins, Terrie Mendelson

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

The Veterans Health Administration is exploring ways to reform the current Veterans Affairs (VA) system in accordance with the changing health care environment of managed care. One proposal is for the VA to enlarge its patient base by expanding eligibility to include spouses of veterans. To compare reported preventive health care services received by male veterans and their spouses and to measure whether spouses would choose to receive their medical care through a VA medical center, we randomly selected 230 married male veterans and mailed self-administered questionnaires to be completed by them and their spouses; 170 (74%) eligible subjects completed the questionnaire. The mean age of the veterans and spouses was 73.6 and 67.4 years, respectively. Veterans reported significantly higher rates of receipt of recommended preventive services than their spouses in all 5 areas assessed, including blood pressure measurement; influenza, pneumococcal, and tetanus vaccinations; and serum cholesterol measurement. Veterans were significantly more satisfied than their spouses with their current health care. Finally, 83% (95% confidence interval, 77% to 89%) of spouses reported that they would choose to receive their medical care at the VA medical center if allowed to do so. These findings suggest that spouses of male veterans represent a sizable group that could be incorporated into the VA system, especially given their strong desire to do so.

Original languageEnglish (US)
Pages (from-to)499-503
Number of pages5
JournalWestern Journal of Medicine
Volume168
Issue number6
StatePublished - Jul 8 1998
Externally publishedYes

Fingerprint

Preventive Health Services
Veterans
Spouses
Veterans Health
Delivery of Health Care
United States Department of Veterans Affairs
Tetanus
Managed Care Programs
Human Influenza

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Preventive health services and access to care for male veterans compared with their spouses. / Jain, Sharad; Avins, Andrew L.; Mendelson, Terrie.

In: Western Journal of Medicine, Vol. 168, No. 6, 08.07.1998, p. 499-503.

Research output: Contribution to journalArticle

Jain, Sharad ; Avins, Andrew L. ; Mendelson, Terrie. / Preventive health services and access to care for male veterans compared with their spouses. In: Western Journal of Medicine. 1998 ; Vol. 168, No. 6. pp. 499-503.
@article{031ca538a79e44b2aa8dd9f06c80eb94,
title = "Preventive health services and access to care for male veterans compared with their spouses",
abstract = "The Veterans Health Administration is exploring ways to reform the current Veterans Affairs (VA) system in accordance with the changing health care environment of managed care. One proposal is for the VA to enlarge its patient base by expanding eligibility to include spouses of veterans. To compare reported preventive health care services received by male veterans and their spouses and to measure whether spouses would choose to receive their medical care through a VA medical center, we randomly selected 230 married male veterans and mailed self-administered questionnaires to be completed by them and their spouses; 170 (74{\%}) eligible subjects completed the questionnaire. The mean age of the veterans and spouses was 73.6 and 67.4 years, respectively. Veterans reported significantly higher rates of receipt of recommended preventive services than their spouses in all 5 areas assessed, including blood pressure measurement; influenza, pneumococcal, and tetanus vaccinations; and serum cholesterol measurement. Veterans were significantly more satisfied than their spouses with their current health care. Finally, 83{\%} (95{\%} confidence interval, 77{\%} to 89{\%}) of spouses reported that they would choose to receive their medical care at the VA medical center if allowed to do so. These findings suggest that spouses of male veterans represent a sizable group that could be incorporated into the VA system, especially given their strong desire to do so.",
author = "Sharad Jain and Avins, {Andrew L.} and Terrie Mendelson",
year = "1998",
month = "7",
day = "8",
language = "English (US)",
volume = "168",
pages = "499--503",
journal = "Western Journal of Medicine",
issn = "0093-0415",
publisher = "BMJ Publishing Group",
number = "6",

}

TY - JOUR

T1 - Preventive health services and access to care for male veterans compared with their spouses

AU - Jain, Sharad

AU - Avins, Andrew L.

AU - Mendelson, Terrie

PY - 1998/7/8

Y1 - 1998/7/8

N2 - The Veterans Health Administration is exploring ways to reform the current Veterans Affairs (VA) system in accordance with the changing health care environment of managed care. One proposal is for the VA to enlarge its patient base by expanding eligibility to include spouses of veterans. To compare reported preventive health care services received by male veterans and their spouses and to measure whether spouses would choose to receive their medical care through a VA medical center, we randomly selected 230 married male veterans and mailed self-administered questionnaires to be completed by them and their spouses; 170 (74%) eligible subjects completed the questionnaire. The mean age of the veterans and spouses was 73.6 and 67.4 years, respectively. Veterans reported significantly higher rates of receipt of recommended preventive services than their spouses in all 5 areas assessed, including blood pressure measurement; influenza, pneumococcal, and tetanus vaccinations; and serum cholesterol measurement. Veterans were significantly more satisfied than their spouses with their current health care. Finally, 83% (95% confidence interval, 77% to 89%) of spouses reported that they would choose to receive their medical care at the VA medical center if allowed to do so. These findings suggest that spouses of male veterans represent a sizable group that could be incorporated into the VA system, especially given their strong desire to do so.

AB - The Veterans Health Administration is exploring ways to reform the current Veterans Affairs (VA) system in accordance with the changing health care environment of managed care. One proposal is for the VA to enlarge its patient base by expanding eligibility to include spouses of veterans. To compare reported preventive health care services received by male veterans and their spouses and to measure whether spouses would choose to receive their medical care through a VA medical center, we randomly selected 230 married male veterans and mailed self-administered questionnaires to be completed by them and their spouses; 170 (74%) eligible subjects completed the questionnaire. The mean age of the veterans and spouses was 73.6 and 67.4 years, respectively. Veterans reported significantly higher rates of receipt of recommended preventive services than their spouses in all 5 areas assessed, including blood pressure measurement; influenza, pneumococcal, and tetanus vaccinations; and serum cholesterol measurement. Veterans were significantly more satisfied than their spouses with their current health care. Finally, 83% (95% confidence interval, 77% to 89%) of spouses reported that they would choose to receive their medical care at the VA medical center if allowed to do so. These findings suggest that spouses of male veterans represent a sizable group that could be incorporated into the VA system, especially given their strong desire to do so.

UR - http://www.scopus.com/inward/record.url?scp=0031815030&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0031815030&partnerID=8YFLogxK

M3 - Article

VL - 168

SP - 499

EP - 503

JO - Western Journal of Medicine

JF - Western Journal of Medicine

SN - 0093-0415

IS - 6

ER -