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Access to multiple sclerosis specialty care.
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Access to multiple sclerosis specialty care.

Author: AP Turner Affiliation: Department of Rehabilitation Medicine, Veterans Affairs Puget Sound Health Care System, S-117-RCS, 1660 S Columbian Way, Seattle, WA 98108; Multiple Sclerosis Center of Excellence West, Veterans Affairs, Seattle, WA; Department of Physical Medicine and Rehabilitation, University of Washington, Seattle, WA(∗). Electronic address: Aaron.Turner@va.gov.MK Chapko Affiliation: Veterans Affairs Puget Sound Health Care System, Seattle, WA(†).D Yanez Affiliation: Veterans Affairs Puget Sound Health Care System, Seattle, WA; Department of Biostatistics, University of Washington Seattle, WA(‡).SL Leipertz Affiliation: Multiple Sclerosis Center of Excellence West, Veterans Affairs, Seattle, WA(§).AP Sloan Affiliation: Multiple Sclerosis Center of Excellence West, Veterans Affairs, Seattle, WA(¶).All authors
Edition/Format: Article Article : English
Publication:PM & R : the journal of injury, function, and rehabilitation, 2013 Dec; 5(12): 1044-50
Summary:
BACKGROUND: Health care providers recommend an annual visit to a multiple sclerosis specialty care provider. OBJECTIVE: To examine potential barriers to the implementation of this recommendation in the Veterans Health Administration. DESIGN: Observational cohort study. SETTING: Veterans Health Administration. PARTICIPANTS: Participants were drawn from the Veterans Affairs Multiple Sclerosis National Data Repository  Read more...
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Details

Document Type: Article
All Authors / Contributors: AP Turner Affiliation: Department of Rehabilitation Medicine, Veterans Affairs Puget Sound Health Care System, S-117-RCS, 1660 S Columbian Way, Seattle, WA 98108; Multiple Sclerosis Center of Excellence West, Veterans Affairs, Seattle, WA; Department of Physical Medicine and Rehabilitation, University of Washington, Seattle, WA(∗). Electronic address: Aaron.Turner@va.gov.; MK Chapko Affiliation: Veterans Affairs Puget Sound Health Care System, Seattle, WA(†).; D Yanez Affiliation: Veterans Affairs Puget Sound Health Care System, Seattle, WA; Department of Biostatistics, University of Washington Seattle, WA(‡).; SL Leipertz Affiliation: Multiple Sclerosis Center of Excellence West, Veterans Affairs, Seattle, WA(§).; AP Sloan Affiliation: Multiple Sclerosis Center of Excellence West, Veterans Affairs, Seattle, WA(¶).; RH Whitham Affiliation: Multiple Sclerosis Center of Excellence West, Portland Veterans Affairs Medical Center, Portland, OR; Department of Neurology, Oregon Health & Science University, Portland, OR(‖).; JK Haselkorn Affiliation: Veterans Affairs Puget Sound Health Care System, Seattle, WA; Multiple Sclerosis Center of Excellence West, Veterans Affairs, Seattle, WA; Department of Physical Medicine and Rehabilitation, University of Washington, Seattle, WA; Department of Epidemiology, University of Washington, Seattle, WA(∗∗).
ISSN:1934-1482
Language Note: English
Unique Identifier: 5534449646
Awards:

Abstract:

BACKGROUND: Health care providers recommend an annual visit to a multiple sclerosis specialty care provider. OBJECTIVE: To examine potential barriers to the implementation of this recommendation in the Veterans Health Administration. DESIGN: Observational cohort study. SETTING: Veterans Health Administration. PARTICIPANTS: Participants were drawn from the Veterans Affairs Multiple Sclerosis National Data Repository and were included if they had an outpatient visit in 2007 and were alive in 2008 (N = 14,723). MAIN OUTCOME MEASUREMENTS: Specialty care visit, receipt of medical services. RESULTS: A total of 9643 (65.5%) participants had a specialty care visit in 2007. Veterans who were service connected, had greater medical comorbidity, and who lived in urban settings were more likely to have received a specialty care visit. Veterans who were older and had to travel greater distances to a center were less likely to have a specialty care visit. CONCLUSIONS: Access to care in rural areas and areas at a greater distance from a major medical center represent notable barriers to rehabilitation and other multiple sclerosis-related care.

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Primary Entity

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    schema:description "SETTING: Veterans Health Administration." ;
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