Dual use of Medicare and the Veterans Health Administration: are there adverse health outcomes?
Dual use of Medicare and the Veterans Health Administration: are there adverse health outcomes?
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DOI：
10.1186/1472-6963-6-131
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发表时间：
2006-10-09
影响因子：
2.8
通讯作者：
Rosenthal, Gary E.
中科院分区：
文献类型：
--
作者：
Wolinsky, Fredric D.;Miller, Thomas R.;Rosenthal, Gary E.
Background: Millions of veterans are eligible to use the Veterans Health Administration (VHA) and Medicare because of their military service and age. This article examines whether an indirect measure of dual use based on inpatient services is associated with increased mortality risk.Methods: Data on 1,566 self-responding men ( weighted N = 1,522) from the Survey of Assets and Health Dynamics among the Oldest Old ( AHEAD) were linked to Medicare claims and the National Death Index. Dual use was indirectly indicated when the self-reported number of hospital episodes in the 12 months prior to baseline was greater than that observed in the Medicare claims. The independent association of dual use with mortality was estimated using proportional hazards regression.Results: 96 (11%) of the veterans were classified as dual users. 766 men (50.3%) had died by December 31, 2002, including 64.9% of the dual users and 49.3% of all others, for an attributable mortality risk of 15.6% ( p
