Access to multiple sclerosis specialty care.

Abstract

Health care providers recommend an annual visit to a multiple sclerosis specialty care provider. To examine potential barriers to the implementation of this recommendation in the Veterans Health Administration. Observational cohort study. Veterans Health Administration. Participants were drawn from the Veterans Affairs Multiple Sclerosis National Data Repository and were included if they had an outpatient visit in 2007 and were alive in 2008 (N = 14,723). Specialty care visit, receipt of medical services. A total of 9643 (65.5%) participants had a specialty care visit in 2007. Veterans who were service connected, had greater medical comorbidity, and who lived in urban settings were more likely to have received a specialty care visit. Veterans who were older and had to travel greater distances to a center were less likely to have a specialty care visit. Access to care in rural areas and areas at a greater distance from a major medical center represent notable barriers to rehabilitation and other multiple sclerosis-related care.