Utilization of Home Modification-Related Durable Medical Equipment: Rural–Urban Veterans Disparities

Abstract

Home modification services, including durable medical equipment (HM-DME), are crucial for helping veterans age in place. While the U.S. Veterans Health Administration (VHA) provides these services, rural veterans may face limited access due to health care disparities. This study analyzed HM-DME service use in VHA facilities within Veterans Integrated Service Network (VISN) 8, focusing on the proportion of veterans who received the service, common medical conditions, and specific types of HM-DME, using descriptive statistics and Pearson’s chi-square tests. The results showed that 19.7% of veterans received at least one HM-DME, with most of these services focused on improving bathroom safety. Despite the higher prevalence of health issues among rural veterans, there were no significant differences in service utilization between rural and urban veterans. These findings highlight possible gaps in service delivery in VISN 8 and emphasize the importance of enhancing continuous access to HM-DME services, especially for veterans living in rural areas.

Plain Language Summary

Exploring the Use of Medical Equipment to Improve Home Environments for Rural and Urban Veterans

Home modifications, like installing special equipment to make homes safer, help veterans live more comfortably and safely as they get older. The U.S. Veterans Health Administration offers these services, but veterans in rural areas may have trouble accessing them due to limited health care options. We explored how many veterans used home modification services in VHA facilities in VISN 8, what common health issues they had, and which types of equipment were most often used. It found that 19.7% of veterans used at least one service, mostly to make bathrooms safer. Even though rural veterans often have more health issues, there was no big difference in how rural and urban veterans used these services. These findings raise the question of whether some veterans may not be getting the help they need and stress the importance of making it easier for all veterans, especially those in rural areas, to get the equipment and home changes that help them stay safe and independent.