National Media Coverage of the Veterans Affairs Waitlist Scandal

Autor: Audrey L. Jones, Susan Zickmund, Michael J. Fine, Roslyn A. Stone, Kelly H. Burkitt, Leslie R. M. Hausmann, Peter Taber
Rok vydání: 2021
Předmět:
Adult
Male
Waiting Lists
media_common.quotation_subject
Ethnic group
Media coverage
Legislation
race and ethnicity
Trust
Health Services Accessibility
Mean difference
03 medical and health sciences
Sex Factors
0302 clinical medicine
Linear spline
Health care
Ethnicity
Humans
sex
Medicine
veterans
030212 general & internal medicine
Veterans Affairs
health care economics and organizations
Aged
media_common
Distrust
business.industry
Communications Media
030503 health policy & services
Public Health
Environmental and Occupational Health

Original Articles
Middle Aged
Patient Acceptance of Health Care
United States
humanities
United States Department of Veterans Affairs
Veterans Health Services
ComputingMethodologies_DOCUMENTANDTEXTPROCESSING
Female
distrust
0305 other medical science
business
Demography
Zdroj: Medical Care
ISSN: 0025-7079
DOI: 10.1097/mlr.0000000000001551
Popis: Supplemental Digital Content is available in the text.
Background: On April 23, 2014, US media outlets broadcast reports of excessive wait times and “secret” waitlists at some Veterans Affairs (VA) hospitals, precipitating legislation to increase Veterans’ access to private sector health care. Objective: The aims were to assess changes in Veterans’ distrust in the VA health care system before and after the media coverage and explore sex and racial/ethnic differences in the temporal patterns. Methods: Veterans completed semistructured interviews on health care satisfaction from June 2013 to January 2015, including a validated scale of health system distrust (range: 1–5). We used linear splines with knots at 90-day intervals to assess changes in distrust before and after April 23, 2014 (“day 0”) in linear mixed models. To explore sex and racial/ethnic differences in temporal patterns, we stratified models by sex and tested for interactions of race/ethnicity with time. Results: For women (n=600), distrust scores (mean=2.09) increased by 0.45 in days 0–90 (P
Databáze: OpenAIRE