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Author : United States. Congress. House. Committee on Veterans' Affairs. Subcommittee on Health
Publisher : Unknown
Page : 56 pages
File Size : 42,8 Mb
Release : 2009
Category : Medical
ISBN : PURD:32754081193074
Author : U. S. Department of Veterans Affairs,Health Services Research & Development Service
Publisher : Createspace Independent Pub
Page : 104 pages
File Size : 46,7 Mb
Release : 2013-05-23
Category : Medical
ISBN : 1489553347
Approximately 3 million veterans, slightly more than one-third of all veterans enrolled in the Department of Veterans Affairs (VA) health care system, live in rural areas. This pattern is likely to continue, as a comparable proportion of Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) veterans are from rural areas. The Rural Veterans Care Act of 2006 was signed into law to improve care for rural veterans. Ensuring that the health care needs of rural veterans are met has become a top priority for VA, resulting in a considerable expansion of community based outpatient clinics (CBOCs), inclusion of rural health/access as a research priority, and creation of the VA Office of Rural Health (ORH) in 2006. Although there have been reports comparing health quality of life (both physical and mental) for rural and urban veterans, it remains unclear whether the observed lower health quality of life in rural veterans is due to disparities in health care, differences in disease prevalence, or other population differences. This systematic review examines the evidence regarding potential disparities between rural and urban areas in health care provision and delivery, and how differences in health care may contribute to disparities in health outcomes. Differences in rural-urban prevalence rates of diseases and other health conditions are beyond the scope of this review. Because veterans who use VA health care have been found to use more non-VA health care overall, we expanded the focus of this review to include comparisons of rural vs. urban health care in non-VA health systems. Our first goal was to determine if a health care disparity exists across the urban-rural spectrum. For a disparity to exist, it would have to be demonstrated that health care outcomes of patients in rural areas differ from those of patients treated in urban areas for similar conditions. Because differences in health care process or delivery do not necessarily lead to disparities, we looked for evidence associating differences with poorer health outcomes. For the purposes of this review we conceptualized rural-urban disparities as differences in health care quality or availability. A second goal of the review was to identify areas for intervention should any disparities be found. In order to develop a meaningful intervention, specific information regarding differences in the structure of health care and the way it is administered (i.e., the process) would be critical. Since differences in health outcomes can occur for reasons other than differences in the health care systems themselves (e.g., accessibility), our third goal was to examine what, if any, nonhealth care factors (e.g., travel distance to a clinic) affected health outcomes. Because veterans who use VA health care actually use more non-VA health care overall,9 we expanded the focus of this review to include comparisons of rural vs. urban health care in non-VA health systems The key questions were: Key Question #1. Do adults with health care needs who live in rural areas have different intermediate (e.g., hemoglobin A1c [HbA1c], Blood pressure, etc.) or final health outcomes (i.e., mortality, morbidity, quality of life [QOL]) than those living in urban areas? Key Question #2. Is the structure (e.g., types of available providers) or the process (e.g., likelihood of referral) of health care different for adults with health care needs who live in urban vs. rural environments? Key Question #3. If there are differences in the structure or the process of health care in rural vs. urban environments, do those differences contribute to variation in overall or intermediate health outcomes for adults with health care needs? Key Question #4. If there are differences in intermediate or final health outcomes for adult patients with health care needs, what other systems factors moderate those differences (e.g., availability of specialists, type of treatment needed, travel distance)?
Author : United States. Congress. House. Committee on Veterans' Affairs. Subcommittee on Health
Publisher : Unknown
Page : 52 pages
File Size : 40,6 Mb
Release : 2009
Category : Medical
ISBN : UOM:39015062019453
Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee to Evaluate the Department of Veterans Affairs Mental Health Services
Publisher : National Academies Press
Page : 467 pages
File Size : 43,5 Mb
Release : 2018-03-29
Category : Medical
ISBN : 9780309466608
Approximately 4 million U.S. service members took part in the wars in Afghanistan and Iraq. Shortly after troops started returning from their deployments, some active-duty service members and veterans began experiencing mental health problems. Given the stressors associated with war, it is not surprising that some service members developed such mental health conditions as posttraumatic stress disorder, depression, and substance use disorder. Subsequent epidemiologic studies conducted on military and veteran populations that served in the operations in Afghanistan and Iraq provided scientific evidence that those who fought were in fact being diagnosed with mental illnesses and experiencing mental healthâ€"related outcomesâ€"in particular, suicideâ€"at a higher rate than the general population. This report provides a comprehensive assessment of the quality, capacity, and access to mental health care services for veterans who served in the Armed Forces in Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn. It includes an analysis of not only the quality and capacity of mental health care services within the Department of Veterans Affairs, but also barriers faced by patients in utilizing those services.
Author : United States. Congress. House. Committee on Veterans' Affairs
Publisher : Unknown
Page : 184 pages
File Size : 55,7 Mb
Release : 2011
Category : Veterans
ISBN : UCR:31210023151440
Author : Anonim
Publisher : Unknown
Page : 184 pages
File Size : 49,7 Mb
Release : 2011
Category : Veterans
ISBN : STANFORD:36105050570931
Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Population Health and Public Health Practice,Committee on Community-Based Solutions to Promote Health Equity in the United States
Publisher : National Academies Press
Page : 583 pages
File Size : 40,8 Mb
Release : 2017-04-27
Category : Medical
ISBN : 9780309452960
In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
Author : United States. Congress
Publisher : Unknown
Page : 802 pages
File Size : 49,5 Mb
Release : 2009
Category : United States
ISBN : UCLA:L0106355654
Author : United States. Congress
Publisher : Unknown
Page : 128 pages
File Size : 55,8 Mb
Release : 2004
Category : Law
ISBN : STANFORD:36105131838638
The Congressional Record is the official record of the proceedings and debates of the United States Congress. It is published daily when Congress is in session. The Congressional Record began publication in 1873. Debates for sessions prior to 1873 are recorded in The Debates and Proceedings in the Congress of the United States (1789-1824), the Register of Debates in Congress (1824-1837), and the Congressional Globe (1833-1873)
Author : United States. Congress. House. Committee on Veterans' Affairs
Publisher : Unknown
Page : 376 pages
File Size : 46,7 Mb
Release : 2010
Category : Veterans
ISBN : MINN:31951D034079767
Author : United States. Congress. Senate. Committee on Appropriations
Publisher : Unknown
Page : 120 pages
File Size : 52,5 Mb
Release : 2014
Category : United States
ISBN : MINN:31951D037695267
Author : United States. Congress. Senate. Committee on Veterans' Affairs
Publisher : Unknown
Page : 88 pages
File Size : 49,6 Mb
Release : 2007
Category : Medical care
ISBN : PURD:32754075502942
Author : United States. Congress. House. Committee on Veterans' Affairs. Subcommittee on Health
Publisher : Unknown
Page : 88 pages
File Size : 50,6 Mb
Release : 2008
Category : Medical
ISBN : PSU:000063512304
Author : Enku Kebede-Francis
Publisher : Jones & Bartlett Learning
Page : 490 pages
File Size : 51,8 Mb
Release : 2011
Category : Health & Fitness
ISBN : 9780763778934
Health Sciences & Professions
Author : Stéphanie A. H. Bélanger,Alice Aiken
Publisher : Canadian Museum of Civilization/Musee Canadien Des Civilisations
Page : 436 pages
File Size : 55,9 Mb
Release : 2011
Category : Biography & Autobiography
ISBN : UIUC:30112071979618
A compilation of research presented at the 1st annual Military and Veteran Health Research Forum, sponsored by the Canadian Institute for Military and Veteran Health Research, and hosted by Queen's University and the Royal Military College of Canada, Nov. 2010--Introduction.