Improving health through a home modification service for veterans

Luz Mairena Semeah, Xinping Wang, Diane C. Cowper Ripley, Mi Jung Lee, Zaccheus James Ahonle, Shanti P. Ganesh, Jennifer Hale Gallardo, Charles E. Levy, Huanguang Jia

Research output: Chapter in Book/Report/Conference proceedingChapter


Inaccessible living environments are problematic for some US Veterans, due to injuries sustained in service or attributed to aging, but can be addressed through home modification (HM) afforded by the Home Improvements and Structural Alterations (HISA) program. The retrospective national assessment of HISA, considering a 50% expected increase in Veterans enrollees over a 10-year time span (2013-23) and a 48% increase in dementia patients by 2033, demonstrates the need for attention to major shifts in HM health services demand. Utilizing data from the National Prosthetics Patient Database and the VA National Medical Outpatient Database, the analyses provide key information to support functional independence in the home by providing data about the HISA program. These include filling a data gap (e.g., Veteran demographic and clinical characteristics, modifications cost comparisons, and regional patterns of HISA utilization) for medically prescribed HM and assess underutilization of HM health services.

Original languageEnglish (US)
Title of host publicationThree Facets of Public Health and Paths to Improvements
Subtitle of host publicationBehavior, Culture, and Environment
Number of pages36
ISBN (Electronic)9780128190081
ISBN (Print)9780128190142
StatePublished - Jan 1 2020
Externally publishedYes


  • Accessibility
  • Health services
  • Home modification
  • Housing
  • Veterans with disabilities

ASJC Scopus subject areas

  • General Agricultural and Biological Sciences
  • General Biochemistry, Genetics and Molecular Biology


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