Outpatient Care Fragmentation and Acute Care Utilization in Veterans Affairs Home-Based Primary Care.

ABSTRACT:

Importance

Veterans Affairs (VA) Home-Based Primary Care (HBPC) provides comprehensive, interdisciplinary primary care at home to patients with complex, chronic, disabling disease, but little is known about care fragmentation patterns and consequences among these patients.

Objective

To examine outpatient care fragmentation patterns and subsequent acute care among HBPC-engaged patients at high risk of hospitalization or death.

Design, setting, and participants

This retrospective cohort study included VA patients aged at least 65 years who were enrolled in the VA and Medicare, whose risk of hospitalization or death was in the top 10%, and who had at least 4 outpatient visits between October 1, 2013, and September 30, 2014. HBPC engagement was defined as having at least

SUBMITTER: Edwards ST 

PROVIDER: S-EPMC9449785 | biostudies-literature | 2022 Sep

REPOSITORIES: biostudies-literature