**GAO-09-899T**                      Published: Jul 16, 2009. Publicly Released: Jul 16, 2009.                  

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## Highlights

Historically, the vast majority of VA patients have been men, but that is changing. VA provided health care to over 281,000 women veterans in 2008--an increase of about 12 percent since 2006--and the number of women veterans in the United States is projected to increase by 17 percent between 2008 and 2033. Women veterans seeking care at VA medical facilities need access to a full range of health care services, including basic gender-specific services--such as cervical cancer screening--and specialized gender-specific services--such as treatment of reproductive cancers. This testimony, based on ongoing work, discusses GAO's preliminary findings on (1) the on-site availability of health care services for women veterans at VA facilities, (2) the extent to which VA facilities are following VA policies that apply to the delivery of health care services for women veterans, and (3) some key challenges that VA facilities are experiencing in providing health care services for women veterans. GAO reviewed applicable VA policies, interviewed officials, and visited 19 medical facilities--9 VA medical centers (VAMC) and 10 community-based outpatient clinics (CBOC)--and 10 Vet Centers. These facilities were chosen based in part on the number of women using services and whether facilities offered specific programs for women. The results from these site visits cannot be generalized to all VA facilities. GAO shared this statement with VA officials, and they generally agreed with the information presented.

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## Topics

Veterans

Breast cancerCancerDisease detection or diagnosisHealth care facilitiesHealth care programsHealth care servicesHealth information privacyMedical examinationsMental care facilitiesMental health care servicesMilitary facilitiesMilitary health servicesMilitary hospitalsMilitary personnelPatient care servicesPost-traumatic stress disordersRequirements definitionVeteransVeterans benefitsVeterans hospitalsVeterans' medical careWomenHealth policiesPolicies and procedures