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Journal Article

Citation

Vanneman ME, Harris AH, Chen C, Mohr BA, Adams RS, Williams TV, Larson MJ. Mil. Med. 2015; 180(10): 1052-1058.

Affiliation

Schneider Institutes for Health Policy, Heller School for Social Policy and Management, Brandeis University, 415 South Street (MS 035), Waltham, MA 02454.

Copyright

(Copyright © 2015, Association of Military Surgeons of the United States)

DOI

10.7205/MILMED-D-14-00682

PMID

26444467

Abstract

This study described the rate and predictors of Operation Enduring Freedom/Operation Iraqi Freedom active duty Army members' enrollment in and use of Veterans Health Administration (VHA) services (linkage), as well as variation in linkage rates by VHA facility. We used a multivariate mixed effect regression model to predict linkage to VHA, and also calculated linkage rates in the catchment areas of each facility (n = 158). The sample included 151,122 active duty members who deployed to Iraq or Afghanistan and then separated from the Army between fiscal years 2008 and 2012. Approximately 48% of the active duty members separating utilized VHA as an enrollee within one year. There was significant variation in linkage rates by VHA facilities (31-72%). The most notable variables associated with greater linkage included probable serious injury during index deployment (odds ratio = 1.81), separation because of disability (odds ratio = 2.86), and various measures of receipt of VHA care before and after separation. Information about the individual characteristics that predict greater or lesser linkage to VHA services can be used to improve delivery of health care services at VHA as well as outreach efforts to active duty Army members.


Language: en

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