Characteristics of veterans with non-VA encounters enrolled in a trial of standards-based, interoperable event notification and care coordination

Rebecca Kartje, Brian E. Dixon, Ashley L. Schwartzkopf, Vivian Guerrero, Kimberly M. Judon, Joanne C. Yi, Kenneth Boockvar

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Introduction: Understanding how veterans use Veterans Affairs (VA) for primary care and non-VA for acute care can help policy makers predict future health care resource use. We aimed to describe characteristics of veterans enrolled in a multisite clinical trial of non-VA acute event notifications and care coordination and to identify patient factors associated with non-VA acute care. Methods: Characteristics of 565 veterans enrolled in a prospective cluster randomized trial at the Bronx and Indianapolis VA Medical Centers were obtained by interview and chart review. Results: Veterans' mean age was 75.8 years old, 98.3% were male, and 39.2% self-identified as a minority race; 81.2% reported receiving the majority of care at the VA. There were 197 (34.9%) veterans for whom a non-VA acute care alert was received. Patient characteristics significantly associated with greater odds of a non-VA alert included older age (OR = 1.05; 95% CI, 1.04-1.05); majority of care received is non-VA (OR = 1.83; 95% CI, 1.06-3.15); private insurance (OR = 1.39; 95% CI, 1.19-1.62); and higher income (OR = 4.01; 95% CI, 2.68-5.98). Conclusions: We identified several patient-level factors associated with non-VA acute care that can inform the design of VA services and policies for veterans with non-VA acute care encounters and reintegration back into the VA system.

Original languageEnglish
Pages (from-to)301-308
Number of pages8
JournalJournal of the American Board of Family Medicine
Volume34
Issue number2
DOIs
StatePublished - Mar 2021

Keywords

  • Access to Health Care
  • Cluster Randomized
  • Continuity of Patient Care
  • Health Behavior
  • Health Information Exchange
  • Health Services Research
  • Patient Care
  • Population Health
  • Primary Health Care
  • Prospective Studies
  • Veterans Health Administration

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