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Comprehensive Support for Family Caregivers: Impact on Veteran Health Care Utilization and Costs.

Publication ,  Journal Article
Van Houtven, CH; Smith, VA; Stechuchak, KM; Shepherd-Banigan, M; Hastings, SN; Maciejewski, ML; Wieland, GD; Olsen, MK; Miller, KEM; Kabat, M ...
Published in: Med Care Res Rev
February 2019

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.

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Published In

Med Care Res Rev

DOI

EISSN

1552-6801

Publication Date

February 2019

Volume

76

Issue

1

Start / End Page

89 / 114

Location

United States

Related Subject Headings

  • Veterans
  • United States Department of Veterans Affairs
  • United States
  • Patient Acceptance of Health Care
  • Middle Aged
  • Male
  • Humans
  • Health Policy & Services
  • Health Care Costs
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
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Van Houtven, C. H., Smith, V. A., Stechuchak, K. M., Shepherd-Banigan, M., Hastings, S. N., Maciejewski, M. L., … Oddone, E. Z. (2019). Comprehensive Support for Family Caregivers: Impact on Veteran Health Care Utilization and Costs. Med Care Res Rev, 76(1), 89–114. https://doi.org/10.1177/1077558717697015
Van Houtven, Courtney Harold, Valerie A. Smith, Karen M. Stechuchak, Megan Shepherd-Banigan, Susan Nicole Hastings, Matthew L. Maciejewski, Gilbert Darryl Wieland, et al. “Comprehensive Support for Family Caregivers: Impact on Veteran Health Care Utilization and Costs.Med Care Res Rev 76, no. 1 (February 2019): 89–114. https://doi.org/10.1177/1077558717697015.
Van Houtven CH, Smith VA, Stechuchak KM, Shepherd-Banigan M, Hastings SN, Maciejewski ML, et al. Comprehensive Support for Family Caregivers: Impact on Veteran Health Care Utilization and Costs. Med Care Res Rev. 2019 Feb;76(1):89–114.
Van Houtven, Courtney Harold, et al. “Comprehensive Support for Family Caregivers: Impact on Veteran Health Care Utilization and Costs.Med Care Res Rev, vol. 76, no. 1, Feb. 2019, pp. 89–114. Pubmed, doi:10.1177/1077558717697015.
Van Houtven CH, Smith VA, Stechuchak KM, Shepherd-Banigan M, Hastings SN, Maciejewski ML, Wieland GD, Olsen MK, Miller KEM, Kabat M, Henius J, Campbell-Kotler M, Oddone EZ. Comprehensive Support for Family Caregivers: Impact on Veteran Health Care Utilization and Costs. Med Care Res Rev. 2019 Feb;76(1):89–114.
Journal cover image

Published In

Med Care Res Rev

DOI

EISSN

1552-6801

Publication Date

February 2019

Volume

76

Issue

1

Start / End Page

89 / 114

Location

United States

Related Subject Headings

  • Veterans
  • United States Department of Veterans Affairs
  • United States
  • Patient Acceptance of Health Care
  • Middle Aged
  • Male
  • Humans
  • Health Policy & Services
  • Health Care Costs
  • Female