Use of Outpatient Care in Veterans Health Administration and Medicare among Veterans Receiving Primary Care in Community-Based and Hospital Outpatient Clinics

Objective. To examine differences in use of Veterans Health Administration (VA) and Medicare outpatient services by VA primary care patients. Data Sources/Study Setting. VA administrative and Medicare claims data from 2001 to 2004. Study Design. Retrospective cohort study of outpatient service use b...

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Bibliographic Details
Published in:Health services research 2010-10, Vol.45 (5p1), p.1268-1286
Main Authors: Liu, Chuan-Fen, Chapko, Michael, Bryson, Chris L., Burgess Jr, James F., Fortney, John C., Perkins, Mark, Sharp, Nancy D., Maciejewski, Matthew L.
Format: Article
Language:English
Subjects:
Access/demand/utilization of services
Aged
Algorithms
Analysis
Cohort analysis
Cohort Studies
Community based
Community Health Centers - utilization
Continuity of care
Continuity of Patient Care
Female
Government agencies
Health care delivery
Health Care Surveys
Health Services Accessibility
Health services utilization
Hospital administration
Hospital outpatient services
Hospitals
Hospitals, Veterans - statistics & numerical data
Humans
Insurance Claim Reporting - statistics & numerical data
Male
Medicare
Medicare - utilization
Medicine - statistics & numerical data
Mental health
Mental health care
Middle Aged
Military hospitals
Multivariate Analysis
Outpatient care facilities
Outpatient Clinics, Hospital - utilization
Outpatient services
Outpatient treatment
Primary care
Primary health care
Primary Health Care - utilization
Public Programs
Reimbursement
Reimbursement Mechanisms - organization & administration
Retrospective Studies
Service provision
Statistics, Nonparametric
Studies
United States
United States Department of Veterans Affairs - utilization
User statistics
VA health care system
Veterans - statistics & numerical data
Veterans benefits
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Summary:Objective. To examine differences in use of Veterans Health Administration (VA) and Medicare outpatient services by VA primary care patients. Data Sources/Study Setting. VA administrative and Medicare claims data from 2001 to 2004. Study Design. Retrospective cohort study of outpatient service use by 8,964 community‐based and 6,556 hospital‐based VA primary care patients. Principal Findings. A significant proportion of VA patients used Medicare‐reimbursed primary care (>30 percent) and specialty care (>60 percent), but not mental health care (3–4 percent). Community‐based patients had 17 percent fewer VA primary care visits (p
ISSN:0017-9124
1475-6773
DOI:10.1111/j.1475-6773.2010.01123.x