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The effect of distance to VA facilities on the choice and level of utilization of VA outpatient services

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  • Burgess, James F.
  • Avery DeFiore, Donna

Abstract

The 1987 survey of Veterans is used to explain the effects of distance to VA facilities on the choice and level of utilization of VA outpatient services by U.S. veterans. A two part discrete/continuous model is used to separate two elements of the decision to seek outpatient services from federally operated VA facilities. First, a discrete choice is made to seek care from the VA. Second, a continuous choice is made to seek a particular level of utilization, Distance is found to affect the initial discrete choice significantly for measured distances up to 60 miles at a decreasing rate. Once some VA outpatient contact is made, distance is a major factor only for the elderly in determining the amount of utilization. Disturbingly, elderly veteran users living more than 30-40 miles from the nearest VA are expected to make fewer visits in a year than younger veterans.

Suggested Citation

  • Burgess, James F. & Avery DeFiore, Donna, 1994. "The effect of distance to VA facilities on the choice and level of utilization of VA outpatient services," Social Science & Medicine, Elsevier, vol. 39(1), pages 95-104, July.
    • Handle: RePEc:eee:socmed:v:39:y:1994:i:1:p:95-104
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    Citations

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    Cited by:

    1. Richard C. Lindrooth & Anthony T. Lo Sasso & Ithai Z. Lurie, 2006. "The effect of distance to provider on employee response to changes in mental health benefits," Health Economics, John Wiley & Sons, Ltd., vol. 15(10), pages 1133-1141, October.
    2. Dareen Latif & Hamna Ahmed, 2022. "Distance and health facility choice: Evidence from a health micro insurance program in Punjab, Pakistan," International Journal of Health Planning and Management, Wiley Blackwell, vol. 37(6), pages 3172-3191, November.
    3. Jayasree Basu & Bernard Friedman, 2007. "A re‐examination of distance as a proxy for severity of illness and the implications for differences in utilization by race/ethnicity," Health Economics, John Wiley & Sons, Ltd., vol. 16(7), pages 687-701, July.
    4. Eric W. Schultheis, 2014. "The Social, Geographic, and Organizational Determinants of Access to Civil Legal Aid Services: An Argument for an Integrated Access to Justice Model," Journal of Empirical Legal Studies, John Wiley & Sons, vol. 11(3), pages 541-577, September.
    5. Kajal Lahiri & Guibo Xing, 2002. "An Empirical Analysis of Medicare-eligible Veterans' Demand for Outpatient Health Care Services," Discussion Papers 02-01, University at Albany, SUNY, Department of Economics.

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