title: Veterans' Preferences for Receiving Information About VA Services: Is Getting the Information You Want Related to Increased Health Care Utilization?
abstract: Although the current cohort of returning veterans has engaged more fully with care from the Department of Veterans Affairs (VA) than have veterans from previous eras, concern remains regarding low engagement with VA services, particularly for specialty services for diagnoses that can most negatively impact quality of life. This study used the framework of the Andersen Model to examine factors related to VA health care use in Operation Enduring Freedom/Operation Iraqi Freedom veterans. Match between veterans' preferences for source of information about VA programs and veterans' actual sources of information about VA services was examined as an additional predictor of help seeking. The study included 1,161 veterans recruited from the southeast United States. Results suggested that veterans prefer to receive information from VA publications and the web, whereas they actually receive information from VA publications and other veterans. Logistic regression suggested that the number of deployments, income, distance to VA, VA disability rating, self-rated health, and match between preferred source of information and actual source of information were significantly related to the use of VA services since deployment. These results suggest that future outreach efforts should focus on targeting veterans' health needs and preferences for care and source of information.
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, 2213 Elba Street, Durham, NC 27705.
authors.forename: Eubanks
authors.initials: E
authors.lastname: Fleming
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, 2213 Elba Street, Durham, NC 27705.
authors.forename: Eric F
authors.initials: EF
authors.lastname: Crawford
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, 2213 Elba Street, Durham, NC 27705.
authors.forename: Patrick S
authors.initials: PS
authors.lastname: Calhoun
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, 2213 Elba Street, Durham, NC 27705.
authors.forename: Harold
authors.initials: H
authors.lastname: Kudler
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, 2213 Elba Street, Durham, NC 27705.
authors.forename: Kristy A
authors.initials: KA
authors.lastname: Straits-Troster
mesh_terms: D000328:Adult; D055826:Afghan Campaign 2001-; D015331:Cohort Studies; D005260:Female; D006296:Health Services / Q000706:statistics & numerical data; D006787:Hospitals, Veterans / Q000706:statistics & numerical data; D006801:Humans; D054542:Iraq War, 2003-2011; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment; D010342:Patient Acceptance of Health Care; D057240:Patient Preference; D014481:United States; D014493:United States Department of Veterans Affairs; D014728:Veterans / Q000523:psychology; D058014:Veterans Health; D055815:Young Adult
references.citation: J Clin Psychiatry. 2008 Nov;69(11):1686-93
references.pmid: 19012816
references.citation: Psychiatr Serv. 2010 Jun;61(6):589-97
references.pmid: 20513682
references.citation: J Health Soc Behav. 1995 Mar;36(1):1-10
references.pmid: 7738325
references.citation: J Trauma Stress. 2015 Apr;28(2):118-26
references.pmid: 25820339
references.citation: Am J Public Health. 2012 Mar;102 Suppl 1:S66-73
references.pmid: 22390605
references.citation: N Engl J Med. 2004 Jul 1;351(1):13-22
references.pmid: 15229303
references.citation: Psychiatr Serv. 2013 Feb 1;64(2):134-41
references.pmid: 23475498
references.citation: JAMA. 2007 Nov 14;298(18):2141-8
references.pmid: 18000197
references.citation: Health Serv Res. 2008 Feb;43(1 Pt 1):267-86
references.pmid: 18211529
references.citation: J Trauma Stress. 2010 Feb;23(1):5-16
references.pmid: 20146392
references.citation: Psychiatry. 2009 Fall;72(3):238-55
references.pmid: 19821647
references.citation: Am J Public Health. 2010 Jan;100(1):90-9
references.pmid: 19910353
references.citation: Psychol Serv. 2013 May;10(2):145-51
references.pmid: 23730960
references.citation: J Psychiatr Res. 2008 Aug;42(10):858-67
references.pmid: 18005993