The Department of Veterans Affairs Health Care System (VA) is the largest integrated single payer system in the United States.
To date, there has been no systematic measurement of health status in the VA.
The Veterans Health Study has developed methods to assess patient-based health status in ambulatory populations.
To describe the health status of veterans and examine the relationships between their health-related quality of life, age, comorbidity, and socioeconomic and service-connected disability status.
Participants in the Veterans Health Study, a 2-year longitudinal study, were recruited from a representative sample of patients receiving ambulatory care at 4 VA facilities in the New England region.
The Veterans Health Study patients received questionnaires of health status, including the Medical Outcomes Study Short Form 36-Item Health Survey ; and a health examination, clinical assessments, and medical history taking.
Sixteen hundred sixty-seven patients for whom we conducted baseline assessments are described.
The VA outpatients had poor health status scores across all measures of the Medical Outcomes Study Short Form 36-Item Health Survey compared with scores in non-VA populations (at least 50% of 1 SD worse).
Striking differences also were found with the sample stratified by age group (20-49 years, 50-64 years, and 65-90 years). (...)
Mots-clés Pascal : Ancien combattant, Système santé, Etude longitudinale, Qualité vie, Enquête socioéconomique, Service information, Evaluation, Homme, Armée, Organisation santé
Mots-clés Pascal anglais : Veteran, Health system, Follow up study, Quality of life, Socioeconomical inquiry, Information service, Evaluation, Human, Army, Public health organization
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0177598
Code Inist : 002B30A03C. Création : 11/09/1998.