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Centre for Policy on Ageing | |
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Health service use and outcome
— comparison of low charge, integrated, comprehensive services with usual health care | | Author(s) | Gerda G Fillenbaum, Bruce M Burchett, J D Dan |
| Journal title | Aging & Mental Health, vol 11, no 2, March 2007 |
| Pages | pp 226-235 |
| Source | http://www.tandfonline.com |
| Keywords | Health services ; Coordination ; Interaction [welfare services] ; Usage [services] ; Longitudinal surveys ; United States of America. |
| Annotation | The effects of low charge, integrated and comprehensive health care services (Veterans Administration, VA, health care system) on health care services and health-related outcomes were examined. Data are from the 10-year (1986/87-1996/97) Duke Established Populations for Epidemiologic Studies of the Elderly (EPESE), with 159 men aged 65-85 who primarily used VA health services compared with 1100 men aged 65-85 who did not. In controlled analyses, no differences were found between the two groups on numbers of over-the-counter (OTC) medications used, or in speed of likelihood of entering a nursing home. However, veterans who primarily used the VA health care system reported more out-patient visits and prescription drugs, and increased likelihood of using an adjunct health care provider, admission to a hospital was quicker, and number of admissions to hospital was greater. Although health status was controlled because of eligibility requirements, it remains possible that veterans were sicker. Nevertheless, no differences were found in health outcome (functional status or mortality). Readier access to better integrated health services appears to result in increased use of health services controlled by the health care provider, but not of services requiring the recipient's relocation, while functional status and mortality attained equivalence. (RH). |
| Accession Number | CPA-070514220 A |
| Classmark | L: QAJ: QK6: QLD: 3J: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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