Reliance on Veterans Affairs Outpatient Care by Medicare-eligible Veterans
Reliance on Veterans Affairs Outpatient Care by Medicare-eligible Veterans
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DOI：
10.1097/mlr.0b013e31822396c5
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发表时间：
2011-10-01
期刊：
影响因子：
3
通讯作者：
Maciejewski, Matthew L.
中科院分区：
文献类型：
--
作者：
Liu, Chuan-Fen;Manning, Willard G.;Maciejewski, Matthew L.
目的：检验符合联邦医疗保险资格的退伍军人对退伍军人事务部(Department of Veterans Affairs，VA)医疗保健系统的依赖程度在4年内的纵向变化。方法：我们合并了退伍军人事务部的行政和联邦医疗保险报销数据，以检查2001-2004财年(FY)15520名使用退伍军人事务部初级保健的符合联邦医疗保险资格的退伍军人的门诊使用情况。对退伍军人事务部门诊护理的依赖程度定义为退伍军人事务部因初级或专科护理而接受的总就诊(VA/Medicare)的比例。结果：在研究期间的86.9万次初级和专科护理就诊中，39%发生在退伍军人事务部内，77%为专科护理。对退伍军人初级保健的依赖程度大大高于专科护理(66%对50%在2001财年；P
Objective: To examine longitudinal changes in Medicare-eligible veterans' reliance on the Department of Veterans Affairs (VA) healthcare system for primary and specialty care over 4 years.Methods: We merged VA administrative and Medicare claims data to examine outpatient use during fiscal years (FY) 2001 to 2004 by 15,520 Medicare-eligible veterans who used VA primary care in FY2000. Reliance on VA outpatient care was defined as the proportion of total (VA/Medicare) visits received in VA for primary or specialty care.Results: Of 869,000 primary and specialty care visits in the study period, 39% occurred within VA and 77% were specialty care. Reliance on VA primary care was substantially higher than specialty care (66% vs. 50% in FY2001; P