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. 2018 Sep 6;28(Suppl 2):475–484. doi: 10.18865/ed.28.S2.475

Table 1. Qualitative themes, sub-themes (Veterans’ experiences), and suggested improvements.

Main themes Sub-themes – Veterans’ experiences Suggested improvement
Functional barriers to VA health care services access Lack of VA health care services in South Los Angeles Build a clinic in South Los Angeles
Transportation challenges Make ACCESS transportation requirements more permissive; simplify ACCESS transportation application process
Difficulties initiating access to VA health care services Develop a user-friendly VA-community website; start a community support group, “For Vets by Vets”; develop Veteran-directed outreach by implementing a community “drop-in” center
Difficulties maintaining access to VA health care services
Insensitive VA health care environment Perceived stigma and negative provider attitudes Sensitivity/cultural humility training for VA health care providers and staff
Lack of cultural awareness and sensitivity
Experiences with racism
Unwelcoming and unfriendly clinical settings
Lack of trust in the VA health care system Lack of being respected Deliver short-term “wins” for Veterans in South Los Angeles (eg, VA health services and benefits fairs, community conferences, pocket cards with functioning clinic contact numbers, transportation services resources sheet)
Lack of timely change in response to Veterans’ stated needs
Veteran status as a barrier to accessing community services Engaging community-based organizations to participate in Veteran-led community events