Association of Veterans Affairs Primary Care Mental Health Integration With Care Access Among Men and Women Veterans | Zendy

Lucinda B. Leung | Zendy; Lisa V. Rubenstein | Zendy; Edward P. Post | Zendy; Ranak Trivedi | Zendy; Alison Brown | Zendy; Jean Yoon | Zendy; Erin Jaske | Zendy; Elizabeth M. Yano | Zendy

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Association of Veterans Affairs Primary Care Mental Health Integration With Care Access Among Men and Women Veterans

Author(s) -

Lucinda B. Leung,

Lisa V. Rubenstein,

Edward P. Post,

Ranak Trivedi,

Alison Brown,

Jean Yoon,

Erin Jaske,

Elizabeth M. Yano

Publication year - 2020

Publication title -

jama network open

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.278

H-Index - 39

ISSN - 2574-3805

DOI - 10.1001/jamanetworkopen.2020.20955

Subject(s) - medicine , veterans affairs , specialty , mental health , health care , family medicine , gerontology , psychiatry , economics , economic growth

Key Points Question Did the Veterans Health Administration (VA)’s national integration of mental health services into primary care beginning in 2007 improve access to care equally among men and women veterans? Findings In this cohort study of 5.4 million veterans (including 448 455 women) who received primary care between 2013 and 2016 at VA clinics that provided integrated mental health services, mental health integration was associated with increased use of all outpatient services among men but with decreased use of services (except primary care visits) among women. Meaning Differences in health care utilization by gender highlight the importance of anticipating policy effects and tailoring services for health system patients in the numerical minority.

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