Information and resources VA health system leaders need to manage enrollment and retention for Post-9/11 veterans.
Health Serv Res
; 59(5): e14351, 2024 10.
Article
en En
| MEDLINE
| ID: mdl-39073213
ABSTRACT
OBJECTIVE:
To understand Veterans Health Administration (VA) leaders' information and resource needs for managing post-9/11 Veterans' VA enrollment and retention. DATA SOURCES AND STUDYSETTING:
Interviews conducted from March-May 2022 of VA Medical Center (VAMC) leaders (N = 27) across 15 sites, using stratified sampling based on VAMC characteristics enrollment rates, number of recently separated Veterans in catchment area, and state Medicaid expansion status. STUDYDESIGN:
Interview questions were developed using Petersen et al.'s Factors Influencing Choice of Healthcare System framework as a guide. Interviews were transcribed verbatim, and two coders analyzed the interviews using Atlas.ti, a qualitative software program. Coders followed the qualitative coding philosophy developed by Crabtree and Miller, a process of developing codes for salient concepts as they are identified during the analysis process. DATA COLLECTION/EXTRACTIONMETHODS:
Two coders analyzed 22% (N = 6) of the interviews and discussed and adjudicated any discrepancies. One coder independently coded the remainder of the interviews. PRINCIPALFINDINGS:
Several key themes were identified regarding facilitators and barriers for VA enrollment including reputation for high-quality VA care, convenience of VA services, awareness of VA services and benefits, and VA mental health services. Nearly every VA leader actively used tools and data to understand enrollment and retention rates and sought to enroll and retain more Veterans. To improve the management of enrollment and retention, VA leaders would like data shared in an easily understandable format and the capability to share data between the VA and community healthcare systems.CONCLUSIONS:
Enrollment and retention information is important for healthcare leaders to guide their health system decisions. Various tools are currently being used to try to understand the data. However, a multifunctional tool is needed to better aggregate the data to provide VA leadership with key information on Veterans' enrollment and retention.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Veteranos
/
United States Department of Veterans Affairs
Límite:
Female
/
Humans
/
Male
País como asunto:
America do norte
Idioma:
En
Año:
2024
Tipo del documento:
Article