Trajectories and Transitions in Service Use Among Older Veterans at High Risk of Long-Term Institutional Care.

ABSTRACT:

Background

We aimed to identify combinations of long-term services and supports (LTSS) Veterans use, describe transitions between groups, and identify factors influencing transition.

Methods

We explored LTSS across a continuum from home to institutional care. Analyses included 104,837 Veterans Health Administration (VHA) patients 66 years and older at high-risk of long-term institutional care (LTIC). We conduct latent class and latent transition analyses using VHA and Medicare data from fiscal years 2014 to 2017. We used logistic regression to identify variables associated with transition.

Results

We identified 5 latent classes: (1) No Services (11% of sample in 2015); (2) Medicare Services (31%), characterized by using LTSS only in Medicare; (3) VHA-Medicare Care Con

SUBMITTER: Bouldin ED 

PROVIDER: S-EPMC11545584 | biostudies-literature | 2024 Oct

REPOSITORIES: biostudies-literature