Health service use and outcome: Comparison of low charge, integrated, comprehensive services with usual health care
| Autor: | G. Blazer, Gerda G. Fillenbaum, J. D. Dan, Bruce M. Burchett |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Male
medicine.medical_specialty Health Status Health care service Health administration Health services Ambulatory care Outcome Assessment Health Care Health care Humans Medicine Mortality Medical prescription health care economics and organizations Aged Demography Veterans Aged 80 and over Delivery of Health Care Integrated business.industry Health Care Costs Health Services United States humanities United States Department of Veterans Affairs Psychiatry and Mental health Outpatient visits Occupational health nursing Family medicine Comprehensive Health Care Geriatrics and Gerontology Pshychiatric Mental Health business Gerontology |
| Zdroj: | Aging & Mental Health. 11:226-235 |
| ISSN: | 1364-6915 1360-7863 |
| DOI: | 10.1080/13607860600844556 |
| Popis: | We examined the effects of use of low charge, integrated and comprehensive health care services (Veterans Administration (VA) health care system) on health care service use and health-related outcomes. Data came from the 10-year (1986/87-1996/97) Duke Established Populations for Epidemiologic Studies of the Elderly, with 159 men aged 65-85 who primarily used VA health services compared with 1,100 men aged 65-85 who did not. In controlled analyses, no differences were found between the two groups on number of OTC medications used, or in speed or likelihood of entering a nursing home. However, veterans who primarily used the VA health care system reported more outpatient visits and prescription drugs, and increased likelihood of using an adjunct health care provider; entry into a hospital was quicker, and number of hospitalizations was greater. Although health status was controlled, because of eligibility requirements it remains possible that veterans were sicker. Nevertheless, no differences were found in health outcome (functional status or mortality). Readier access to better integrated health services appears to result in increased use of health services controlled by the health care provider, but not of services requiring the recipient's relocation, while functional status and mortality attained equivalence. |
| Databáze: | OpenAIRE |
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