Substance Use Disorder-Related Disparities in Patient Experiences of Primary Care.

Hoggatt KJ, Frayne SM, Saechao FS, Yano EM, Washington DL. Substance Use Disorder-Related Disparities in Patient Experiences of Primary Care. Health equity. 2019 May 2; 3(1):193-197.

Related HSR&D Project(s)

• CDA 11-261 – Improving care for women Veterans with substance use disorders
• RCS 05-195 – Research Career Scientist Award

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Abstract:

To assess disparities in primary care experiences for patients with a substance use disorder (SUD) diagnosis. 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; = 286,026). We obtained patient demographics and diagnoses from VA electronic medical record data. Patients with an SUD diagnosis reported worse experiences for 8 of 12 SHEP measures, including access, provider communication, and information received ( < 0.05). Targeted strategies may be needed to ensure patients with SUD have favorable primary care experiences.