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Donna L. Washington, MD, MPH; Su Sun, MPH; Mark Canning, BA (2010)
Publisher: Rehabilitation Research and Development Service, Department of Veterans Affairs
Journal: Journal of Rehabilitation Research and Development
Languages: English
Types: Article
Subjects: DOAJ:Therapeutics, VA nonuser, Medicine, DOAJ:Medicine (General), administrative databases, veteran population, DOAJ:Health Sciences, women veterans, veterans/utilization, R, ambulatory care/utilization, RM1-950, Therapeutics. Pharmacology, veteran sampling frame, hospital, veteran indicator, women's health services

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mesheuropmc: health care economics and organizations, humanities
Most veteran research is conducted in Department of Veterans Affairs (VA) healthcare settings, although most veterans obtain healthcare outside the VA. Our objective was to determine the adequacy and relative contributions of Veterans Health Administration (VHA), Veterans Benefits Administration (VBA), and Department of Defense (DOD) administrative databases for representing the U.S. veteran population, using as an example the creation of a sampling frame for the National Survey of Women Veterans. In 2008, we merged the VHA, VBA, and DOD databases. We identified the number of unique records both overall and from each database. The combined databases yielded 925,946 unique records, representing 51% of the 1,802,000 U.S. women veteran population. The DOD database included 30% of the population (with 8% overlap with other databases). The VHA enrollment database contributed an additional 20% unique women veterans (with 6% overlap with VBA databases). VBA databases contributed an additional 2% unique women veterans (beyond 10% overlap with other databases). Use of VBA and DOD databases substantially expands access to the population of veterans beyond those in VHA databases, regardless of VA use. Adoption of these additional databases would enhance the value and generalizability of a wide range of studies of both male and female veterans.
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