TY - JOUR
KW - Health Disparities
KW - patient experience
KW - primary care
KW - quality measurement
KW - Substance-Related Disorders
KW - Veterans
AU - K. J. Hoggatt
AU - S. M. Frayne
AU - F. S. Saechao
AU - E. M. Yano
AU - D. L. Washington
A1 - 
AB - Purpose: To assess disparities in primary care experiences for patients with a substance use disorder (SUD) diagnosis. Methods: We assessed differences in Veterans Health Administration (VA) primary care patients' experiences using data from the 2014 outpatient VA Patient-Centered Medical Home Survey of Healthcare Experiences of Patients (SHEP; N=286,026). We obtained patient demographics and diagnoses from VA electronic medical record data. Results: Patients with an SUD diagnosis reported worse experiences for 8 of 12 SHEP measures, including access, provider communication, and information received (p<0.05). Conclusion: Targeted strategies may be needed to ensure patients with SUD have favorable primary care experiences.
AD - VA Health Services Research and Development (HSR&D) Center for the Study of Healthcare Innovation, Implementation & Policy, VA Greater Los Angeles Healthcare System, Sepulveda, California.; Department of Epidemiology, UCLA Fielding School of Public Health, Los Angeles, California.; VA HSR&D Center for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, Palo Alto, California.; Division of Primary Care and Population Health, Stanford University School of Medicine, Stanford, California.; VA HSR&D Center for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, Palo Alto, California.; VA Health Services Research and Development (HSR&D) Center for the Study of Healthcare Innovation, Implementation & Policy, VA Greater Los Angeles Healthcare System, Sepulveda, California.; Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, California.; VA Health Services Research and Development (HSR&D) Center for the Study of Healthcare Innovation, Implementation & Policy, VA Greater Los Angeles Healthcare System, Sepulveda, California.; Department of Medicine, University of California, Los Angeles Geffen School of Medicine, Los Angeles, California.
BT - Health equity
C5 - Medical Home; Opioids & Substance Use
CP - 1
CY - United States
DO - 10.1089/heq.2018.0069
IS - 1
JF - Health equity
M1 - Journal Article
N2 - Purpose: To assess disparities in primary care experiences for patients with a substance use disorder (SUD) diagnosis. Methods: We assessed differences in Veterans Health Administration (VA) primary care patients' experiences using data from the 2014 outpatient VA Patient-Centered Medical Home Survey of Healthcare Experiences of Patients (SHEP; N=286,026). We obtained patient demographics and diagnoses from VA electronic medical record data. Results: Patients with an SUD diagnosis reported worse experiences for 8 of 12 SHEP measures, including access, provider communication, and information received (p<0.05). Conclusion: Targeted strategies may be needed to ensure patients with SUD have favorable primary care experiences.
PP - United States
PY - 2019
SN - 2473-1242; 2473-1242
SP - 193
EP - 197
EP - 
T1 - Substance Use Disorder-Related Disparities in Patient Experiences of Primary Care
T2 - Health equity
TI - Substance Use Disorder-Related Disparities in Patient Experiences of Primary Care
U1 - Medical Home; Opioids & Substance Use
U2 - 31289779
U3 - 10.1089/heq.2018.0069
VL - 3
VO - 2473-1242; 2473-1242
Y1 - 2019
Y2 - May 2
ER -