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Association between patient-reported social, behavioral, and health factors and emergency department visits in high-risk VA patients.

Publication ,  Journal Article
Greene, L; Maciejewski, ML; Grubber, J; Smith, VA; Blalock, DV; Zulman, DM
Published in: Health Serv Res
April 2023

RESEARCH OBJECTIVE: To identify patient-reported social risk, behavioral, and health factors associated with emergency department (ED) utilization in high-risk Veterans Affairs (VA) patients. DATA SOURCES: Patient survey, VA, Medicare data. STUDY DESIGN: Prospective cohort study using multivariable logistic regression to identify patient-reported factors associated with all-cause and ambulatory care sensitive condition (ACSC)-related ED visits among VA patients at high risk for hospitalization or death. DATA EXTRACTION METHODS: Patient-reported measures derived from a 2018 survey sent to 10,000 VA patients; clinical and demographic characteristics derived from VA data; ED visits derived from VA and Medicare claims. PRINCIPAL FINDINGS: Among 4680 survey respondents, 52.5% and 16.3% experienced an all-cause or ACSC-related ED visit in the following year, respectively. An ED visit was more likely among individuals with functional status limitations (6.0% points (Confidence Interval [CI] 0.017-0.103)) and transportation barriers (5.2% points [CI 0.005-0.099]). An ACSC-related ED visit was more likely among individuals with functional status limitations (3.2% points [CI 0.003-0.062]) and self-rated poorer health (7.4% points (CI 0.030-0.119) poor; 6.2% points (CI 0.029-0.096) fair; 4.1% points (CI 0.009-0.073) good; compared with excellent/very good). CONCLUSIONS: Patient-reported factors not present in most electronic health records were significantly associated with future ED visits in high-risk VA patients.

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Published In

Health Serv Res

DOI

EISSN

1475-6773

Publication Date

April 2023

Volume

58

Issue

2

Start / End Page

383 / 391

Location

United States

Related Subject Headings

  • United States Department of Veterans Affairs
  • United States
  • Retrospective Studies
  • Prospective Studies
  • Patient Reported Outcome Measures
  • Medicare
  • Humans
  • Hospitalization
  • Health Policy & Services
  • Emergency Service, Hospital
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Greene, L., Maciejewski, M. L., Grubber, J., Smith, V. A., Blalock, D. V., & Zulman, D. M. (2023). Association between patient-reported social, behavioral, and health factors and emergency department visits in high-risk VA patients. Health Serv Res, 58(2), 383–391. https://doi.org/10.1111/1475-6773.14094
Greene, Liberty, Matthew L. Maciejewski, Janet Grubber, Valerie A. Smith, Dan V. Blalock, and Donna M. Zulman. “Association between patient-reported social, behavioral, and health factors and emergency department visits in high-risk VA patients.Health Serv Res 58, no. 2 (April 2023): 383–91. https://doi.org/10.1111/1475-6773.14094.
Greene L, Maciejewski ML, Grubber J, Smith VA, Blalock DV, Zulman DM. Association between patient-reported social, behavioral, and health factors and emergency department visits in high-risk VA patients. Health Serv Res. 2023 Apr;58(2):383–91.
Greene, Liberty, et al. “Association between patient-reported social, behavioral, and health factors and emergency department visits in high-risk VA patients.Health Serv Res, vol. 58, no. 2, Apr. 2023, pp. 383–91. Pubmed, doi:10.1111/1475-6773.14094.
Greene L, Maciejewski ML, Grubber J, Smith VA, Blalock DV, Zulman DM. Association between patient-reported social, behavioral, and health factors and emergency department visits in high-risk VA patients. Health Serv Res. 2023 Apr;58(2):383–391.
Journal cover image

Published In

Health Serv Res

DOI

EISSN

1475-6773

Publication Date

April 2023

Volume

58

Issue

2

Start / End Page

383 / 391

Location

United States

Related Subject Headings

  • United States Department of Veterans Affairs
  • United States
  • Retrospective Studies
  • Prospective Studies
  • Patient Reported Outcome Measures
  • Medicare
  • Humans
  • Hospitalization
  • Health Policy & Services
  • Emergency Service, Hospital