Comprehensive Support for Family Caregivers: Impact on Veteran Health Care Utilization and Costs.
Veterans health care utilization
emergency department
family caregivers
informal care
inpatient hospitalization
mental health outpatient care
primary care
Journal
Medical care research and review : MCRR
ISSN: 1552-6801
Titre abrégé: Med Care Res Rev
Pays: United States
ID NLM: 9506850
Informations de publication
Date de publication:
02 2019
02 2019
Historique:
pubmed:
18
11
2017
medline:
14
6
2019
entrez:
18
11
2017
Statut:
ppublish
Résumé
This study aimed to examine the early impact of the Program of Comprehensive Assistance for Family Caregivers (PCAFC) on Veteran health care utilization and costs. A pre-post cohort design including a nonequivalent control group was used to understand how Veterans' use of Veteran Affairs health care and total health care costs changed in 6-month intervals up to 3 years after PCAFC enrollment. The control group was an inverse probability of treatment weighted sample of Veterans whose caregivers applied for, but were not accepted into, PCAFC. Veterans in PCAFC had similar acute care utilization postenrollment when compared with those in the control group, but significantly greater primary, specialty, and mental health outpatient care use at least 30, and up to 36, months postenrollment. Estimated total health care costs for PCAFC Veterans were $1,500 to $3,400 higher per 6-month interval than for control group Veterans. PCAFC may have increased Veterans' access to care.
Identifiants
pubmed: 29148338
doi: 10.1177/1077558717697015
pmc: PMC5726944
mid: NIHMS872359
doi:
Types de publication
Journal Article
Research Support, U.S. Gov't, Non-P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
89-114Subventions
Organisme : HSRD VA
ID : I50 HX001676
Pays : United States
Organisme : HSRD VA
ID : IP1 HX002258
Pays : United States
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