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Geographical proximity and health care utilization in veterans with SCI&D in the USA

Author

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  • LaVela, Sherri L.
  • Smith, Bridget
  • Weaver, Frances M.
  • Miskevics, Scott A.

Abstract

In the USA, substantial geographic variation in health care utilization exists in the Department of Veterans Affairs (VA) health care system. Utilization of health care services is especially important for veterans with spinal cord injuries and disorders (SCI&D) who are often at high risk for secondary complications related to their SCI&D. Due to impaired mobility, access to health care for veterans with SCI&D may be even more challenging. The goal of this cross-sectional study was to describe health care utilization relative to SCI&D veteran residential geographic proximity to VA health care facilities. A negative binomial regression model was used to examine VA outpatient utilization. Veterans with SCI&D utilized outpatient services less frequently when VA facilities were farther away from their residences (p

Suggested Citation

  • LaVela, Sherri L. & Smith, Bridget & Weaver, Frances M. & Miskevics, Scott A., 2004. "Geographical proximity and health care utilization in veterans with SCI&D in the USA," Social Science & Medicine, Elsevier, vol. 59(11), pages 2387-2399, December.
    • Handle: RePEc:eee:socmed:v:59:y:2004:i:11:p:2387-2399
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    Cited by:

    1. Anna-Theresa Renner & Dieter Pennerstorfer, 2020. "Modeling inter-regional patient mobility: Does distance go far enough?," Economics working papers 2020-04, Department of Economics, Johannes Kepler University Linz, Austria.
    2. Sebastien Bourdin & Sevgi Eda Tuzcu & Esra Satıcı, 2023. "Explaining COVID‐19 vaccine uptake: A spatial sociodemographic study in Turkey," Papers in Regional Science, Wiley Blackwell, vol. 102(2), pages 307-329, April.
    3. Michael Irlacher & Dieter Pennerstorfer & Anna‐Theresa Renner & Florian Unger, 2023. "Modeling Interregional Patient Mobility: Theory And Evidence From Spatially Explicit Data," International Economic Review, Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 64(4), pages 1493-1532, November.
    4. Hongjie Xie & Qiankun Wang & Xilin Zhou & Yiping Yang & Yuwei Mao & Xu Zhang, 2021. "Built Environment Factors Influencing Prevalence of Hypertension at Community Level in China: The Case of Wuhan," Sustainability, MDPI, vol. 13(10), pages 1-18, May.
    5. Phuong Thu Nguyen & Preety Srivastava & Longfeng Ye & Jonathan Boymal, 2022. "Housing and occupant health: Findings from Vietnam," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 164(3), pages 1297-1321, December.

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