ArticleHealth services research2018
Fee-for-Service Medicare-Enrolled Elderly Veterans Are Increasingly Voting with Their Feet to Use More VA and Less Medicare, 2003-2014.
Article in Health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
24 citing papers in PubMed.
- Testing a tailored weight management program for veterans with PTSD: The MOVE! + UP randomized controlled trial.Contemporary clinical trials · 2021Trial
- Perceptions of event notification following discharge to improve geriatric care: qualitative interviews of care team members from a 2-site cluster randomized trial.Journal of the American Medical Informatics Association : JAMIA · 2021Trial
- Characteristics of Veterans With Non-VA Encounters Enrolled in a Trial of Standards-Based, Interoperable Event Notification and Care Coordination.Journal of the American Board of Family Medicine : JABFMTrial
- Rates of diagnosis and service utilization in veterans with hoarding disorder.Psychiatry research · 2024Article
- High-Intensity Care for Nursing Home Residents with Severe Dementia Hospitalized at the End of Life: A Mixed Methods Study.Journal of the American Medical Directors Association · 2024Article
- Characteristics of Veterans With Depression Who Use the Veterans Choice Program of the Veterans Health Administration.Psychiatric services (Washington, D.C.) · 2024Article
- Changes in Outpatient Health Care Use After COVID-19 Infection Among Veterans.JAMA network open · 2024Article
- Is There a VA Advantage? Evidence from Dually Eligible Veterans.The American economic review · 2023Article
- Comparing mental and physical health of U.S. veterans by VA healthcare use: implications for generalizability of research in the VA electronic health records.BMC health services research · 2022Article
- Improvements and Gaps in Financial Risk Protection Among Veterans Following the Affordable Care Act.Journal of general internal medicine · 2022Article
- Antibiotic exposure and acquisition of antibiotic-resistant gram-negative bacteria among outpatients at a US Veterans Affairs medical center.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2022Article
- Benzodiazepine Prescribing from VA and Medicare to Dually Enrolled Older Veterans: A Retrospective Cohort Study.Journal of general internal medicine · 2021Article
- Appointment wait time data for primary & specialty care in veterans health administration facilities vs. community medical centers.Data in brief · 2021Article
- Inequities in access to VA'S aid and attendance enhanced pension benefit to help Veterans pay for long-term care.Health services research · 2021Observational
- End-of-Life Cost Trajectories in Cancer Patients Treated by Medicare versus the Veterans Health Administration.Journal of the American Geriatrics Society · 2021Article
- Impact of VHA's primary care intensive management program on dual system use.Healthcare (Amsterdam, Netherlands) · 2020Article
- Patient experience of health care system hassles: Dual-system vs single-system users.Health services research · 2020Article
- Use of General Primary Care, Specialized Primary Care, and Other Veterans Affairs Services Among High-Risk Veterans.JAMA network open · 2020Article
- Outcomes of primary care delivery by nurse practitioners: Utilization, cost, and quality of care.Health services research · 2020Article
- Does machine learning improve prediction of VA primary care reliance?The American journal of managed care · 2020Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine the long-term reliance on outpatient care at the population (i.e., system) level among fee-for-service Medicare-enrolled elderly veterans in the Department of Veterans Affairs (VA) health care system and Medicare from 2003 to 2014. DATA SOURCES/STUDY
settingWe analyzed a 5 percent random sample, stratified by facility, age, gender, and race, of Medicare-enrolled veterans enrolled in a VA primary care panel using VA administrative data and Medicare claims. STUDY
designWe performed a repeated cross-sectional analysis over 48 quarters. VA reliance was defined at the system level as the proportion of total visits (VA + Medicare) that occurred in VA. We examined four visit types and seven high-volume medical subspecialties. We applied direct standardization adjusting for age, gender, and race using the 2010 population distribution of Medicare-enrolled veterans. PRINCIPAL
findingsOver the 12-year period, VA provided the vast majority of mental health care. Conversely, veterans received slightly more than half of their primary care and most of their specialty care, surgical care, and seven high-volume medical subspecialties through Medicare. However, reliance on VA outpatient care steadily increased over time for all categories of care.
conclusionsDespite the controversies about VA access to care, Medicare-enrolled veterans, who have a choice of using VA or Medicare providers, appear to increase their use of VA care prior to the Choice Act.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.