Preventing Hospitalization with Veterans Affairs Home-Based Primary Care: Which Individuals Benefit Most?

ABSTRACT:

Objectives

To examine how medical complexity modifies the relationship between enrollment in Department of Veterans Affairs (VA) home-based primary care (HBPC) and hospitalization for ambulatory care-sensitive conditions (ACSC) for veterans with diabetes mellitus and whether the effect of HBPC on hospitalizations varies according to clinical condition.

Design

Retrospective cohort study.

Setting

VA and non-VA hospitals.

Participants

VA beneficiaries aged 67 and older with diabetes mellitus and enrolled in Medicare (N = 364,972).

Measurements

Instrumental variables regression models were used to estimate the effect of HBPC enrollment on hospitalization for ACSCs (defined according to the Agency for Healthcare Research and Quality Prevention Quality Indicat

SUBMITTER: Edwards ST 

PROVIDER: S-EPMC8284941 | biostudies-literature | 2017 Aug

REPOSITORIES: biostudies-literature