Intensity, Characteristics, and Factors Associated With Receipt of Care Coordination Among High-Risk Veterans in the Veterans Health Administration
Datos Bibliográficos
BACKGROUND: The Veterans Health Administration (VHA) has initiatives underway to enhance the provision of care coordination (CC), particularly among high-risk Veterans. Yet, evidence detailing the characteristics of and who receives VHA CC is limited. OBJECTIVES: We examined intensity, timing, setting, and factors associated with VHA CC among high-risk Veterans. RESEARCH DESIGN: We conducted a retrospective observational cohort study, following Veterans for 1 year after being identified as high-risk for hospitalization or mortality, to characterize their CC. Demographic and clinical factors predictive of CC were identified via multivariate logistic regression. SUBJECTS: A total of 1,843,272 VHA-enrolled high-risk Veterans in fiscal years 2019-2021. MEASURES: We measured 5 CC variables during the year after Veterans were identified as high risk: (1) receipt of any service, (2) number of services received, (3) number of days to first service, (4) number of days between services, and (5) type of visit during which services were received. RESULTS: Overall, 31% of high-risk Veterans in the sample received CC during one-year follow-up. Among Veterans who received ≥1 service, a median of 2 [IQR (1, 6)] services were received. Among Veterans who received ≥2 services, there was a median of 26 [IQR (10, 57)] days between services. Most services were received during outpatient psychiatry (46%) or medicine (16%) visits. Veterans' sociodemographic and clinical characteristics were associated with receipt of CC. CONCLUSIONS: A minority of Veterans received CC in the year after being identified as high-risk, and there was variation in intensity, timing, and setting of CC. Research is needed to examine the fit between Veterans' CC needs and preferences and VHA CC delivery
Cohort · Cohort study · Family medicine · Health care · Logistic regression · Receipt · Retrospective cohort study · Risk factor · Veterans Affairs · Chronic Disease Management Strategies · Demography · Emergency Medicine · Internal Medicine · Interprofessional Education and Collaboration · Medicine · Primary Care and Health Outcomes · Gerontology
Defining and Measuring Integrated Patient Care
Balance diagnostics for comparing the distribution of baseline covariates between treatment groups in propensity‐score matched samples
Using the Standardized Difference to Compare the Prevalence of a Binary Variable Between Two Groups in Observational Research
Nursing Care Coordination for Patients with Complex Needs in Primary Healthcare
Predicting Risk of Hospitalization or Death Among Patients Receiving Primary Care in the Veterans Health Administration
Veterans’ Access to and Use of Medicare and Veterans Affairs Health Care
| Obras citantes distintas | 2 |
|---|---|
| Citas por año | 2 |
| Intervalo de citas | 2025 - 2026 (2) |
| Velocidad de citación | current |
| Altamente citado | No |
| Tipos de cita | Neutras: 1 |