Variations in VA and Medicare Use Among Veterans With Diabetes: Impacts on Ambulatory Care Sensitive Conditions Hospitalizations for 2008, 2009, and 2010.

ABSTRACT:

Introduction

VA and Medicare use among older Veterans has been considered fragmented care, however, it may represent access to needed care.

Methods

The population studied were Veterans with diabetes, age 66 years and older, dually enrolled in VA and Medicare.

Data source/study setting

We conducted a dynamic retrospective cohort study with 2008, 2009, and 2010 as the outcome years (Ambulatory Care Sensitive Conditions Hospitalization (ACSC-H) or not). We analyzed administrative data to identify comorbidities; ambulatory care utilization to identify variations in use before hospitalization. We linked 2007 primary care (PC) survey data to assess if organizational factors were associated with ACSC-H.

Measures and analysis

We identified ACSC-Hs using a validated def

SUBMITTER: Rose DE 

PROVIDER: S-EPMC7418059 | biostudies-literature | 2019 Jun

REPOSITORIES: biostudies-literature