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American Journal of Medical Quality, Vol. 14, No. 1, 28-38 (1999)
DOI: 10.1177/106286069901400105

Health Status in VA Patients: Results from the Veterans Health Study

Lewis E. Kazis, ScD

Center for Health Quality, Outcomes, and Economic Research, a VA Health Services Research and Development Field Program

Xinhua S. Ren, PhD

Center for Health Quality, Outcomes, and Economic Research, a VA Health Services Research and Development Field Program, Veterans Health Administration

Austin Lee, PhD

Center for Health Quality, Outcomes, and Economic Research, a VA Health Services Research and Development Field Program, Veterans Health Administration

Katherine Skinner, PhD

Center for Health Quality, Outcomes, and Economic Research, a VA Health Services Research and Development Field Program, Veterans Health Administration

William Rogers, PhD

Center for Health Quality, Outcomes, and Economic Research, a VA Health Services Research and Development Field Program, The Health Institute, New England Medical Center

Jack Clark, PhD

Center for Health Quality, Outcomes, and Economic Research, a VA Health Services Research and Development Field Program, Veterans Health Administration

Donald R. Miller, ScD

Center for Health Quality, Outcomes, and Economic Research, a VA Health Services Research and Development Field Program, Veterans Health Administration

Recently, the Veterans Administration (VA) Under Secretary for Health has designated functional status as one of the domains of value for the system, given its increasing importance for clinical care. The Veterans Health Study (VHS) was designed to assist the VA in monitoring outcomes and measuring the case mix of patients who use the VA. The Veterans SF-36 (short form functional status assessment for veterans) was administered to 2425 veterans receiving ambulatory care. Measures of the Veterans SF-36 were strongly correlated with sociodemographics and morbidities of the veterans. Young veterans had poorer mental health status than older veterans. Veterans who used ambulatory care in the VHS reported lower levels of health status, reflecting more disease than a non-VA civilian population. These measures of health are important indicators of the disease burden or case mix of the patients and are pertinent to health systems such as the VA for resource allocation decisions and as outcomes of care.


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