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Health service use and outcome: comparison of low charge, integrated, comprehensive services with usual health care.

Publication ,  Journal Article
Fillenbaum, GG; Burchett, BM; Dan, JD; Blazer, G
Published in: Aging Ment Health
March 2007

We examined the effects of use of low charge, integrated and comprehensive health care services (Veterans Administration (VA) health care system) on health care service use and health-related outcomes. Data came from the 10-year (1986/87-1996/97) Duke Established Populations for Epidemiologic Studies of the Elderly, with 159 men aged 65-85 who primarily used VA health services compared with 1,100 men aged 65-85 who did not. In controlled analyses, no differences were found between the two groups on number of OTC medications used, or in speed or likelihood of entering a nursing home. However, veterans who primarily used the VA health care system reported more outpatient visits and prescription drugs, and increased likelihood of using an adjunct health care provider; entry into a hospital was quicker, and number of hospitalizations 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.

Duke Scholars

Published In

Aging Ment Health

DOI

ISSN

1360-7863

Publication Date

March 2007

Volume

11

Issue

2

Start / End Page

226 / 235

Location

England

Related Subject Headings

  • Veterans
  • United States Department of Veterans Affairs
  • United States
  • Outcome Assessment, Health Care
  • Mortality
  • Male
  • Humans
  • Health Status
  • Health Services
  • Health Care Costs
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Fillenbaum, G. G., Burchett, B. M., Dan, J. D., & Blazer, G. (2007). Health service use and outcome: comparison of low charge, integrated, comprehensive services with usual health care. Aging Ment Health, 11(2), 226–235. https://doi.org/10.1080/13607860600844556
Fillenbaum, Gerda G., Bruce M. Burchett, J. D. Dan, and G. Blazer. “Health service use and outcome: comparison of low charge, integrated, comprehensive services with usual health care.Aging Ment Health 11, no. 2 (March 2007): 226–35. https://doi.org/10.1080/13607860600844556.
Fillenbaum GG, Burchett BM, Dan JD, Blazer G. Health service use and outcome: comparison of low charge, integrated, comprehensive services with usual health care. Aging Ment Health. 2007 Mar;11(2):226–35.
Fillenbaum, Gerda G., et al. “Health service use and outcome: comparison of low charge, integrated, comprehensive services with usual health care.Aging Ment Health, vol. 11, no. 2, Mar. 2007, pp. 226–35. Pubmed, doi:10.1080/13607860600844556.
Fillenbaum GG, Burchett BM, Dan JD, Blazer G. Health service use and outcome: comparison of low charge, integrated, comprehensive services with usual health care. Aging Ment Health. 2007 Mar;11(2):226–235.
Journal cover image

Published In

Aging Ment Health

DOI

ISSN

1360-7863

Publication Date

March 2007

Volume

11

Issue

2

Start / End Page

226 / 235

Location

England

Related Subject Headings

  • Veterans
  • United States Department of Veterans Affairs
  • United States
  • Outcome Assessment, Health Care
  • Mortality
  • Male
  • Humans
  • Health Status
  • Health Services
  • Health Care Costs