Factors associated with program utilization of radiation therapy treatment for VHA and medicare dually enrolled patients

Dustin D. French, Douglas D. Bradham, Robert R. Campbell, David A. Haggstrom, Laura J. Myers, Neale R. Chumbler, Michael P. Hagan

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

We examine how distance to a Veterans Health Administration (VHA) facility, patient hometown classification (e.g., small rural town), and service-connected disability are associated with veterans' utilization of radiation therapy services across the VHA and Medicare. In 2008, 45,914 dually-enrolled veteran patients received radiation therapy. Over 3-quarters (35,513) of the patients received radiation therapy from the Medicare program. Younger age, male gender, shorter distance to a VHA facility, and VHA priority or disability status increased the odds of utilizing the VHA. However, veterans residing in urban areas were less likely to utilize the VHA. Urban dwelling patients' utilization of Medicare instead of the VHA suggests a complex decision that incorporates geographic access to VHA services, financial implications of veteran priority status, and the potential availability of multiple sources of radiation therapy in competitive urban markets.

Original languageEnglish (US)
Pages (from-to)882-887
Number of pages6
JournalJournal of Community Health
Volume37
Issue number4
DOIs
StatePublished - Aug 1 2012

Keywords

  • Access
  • Dually eligible
  • Medicare
  • Radiation
  • Veterans

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health(social science)

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