Hospital Use and Survival among Veterans Affairs Beneficiaries
- 23 October 2003
- journal article
- research article
- Published by Massachusetts Medical Society in New England Journal of Medicine
- Vol. 349 (17), 1637-1646
- https://doi.org/10.1056/nejmsa003299
Abstract
Initiatives to reduce hospital care were part of the reorganization of the Department of Veterans Affairs (VA) medical care system undertaken in the mid-1990s. We examined changes in the use of VA health services and survival from 1994 through 1998 among VA beneficiaries with serious chronic diseases. We postulated that if access to hospital care was reduced too much, or if decreased hospital use was not offset by improvements in ambulatory care, urgent care visits would increase or survival rates would fall.Keywords
This publication has 20 references indexed in Scilit:
- Reengineering the Veterans Healthcare SystemPublished by Springer Science and Business Media LLC ,2001
- The "New VA": A National Laboratory for Health Care Quality ManagementAmerican Journal of Medical Quality, 1999
- Impact of an All-Inclusive Diagnosis-Related Group Payment System on Inpatient UtilizationMedical Care, 1998
- Application of an Analytic Model to Early Readmission Rates Within the Department of Veterans AffairsMedical Care, 1997
- Reform of the Veterans Affairs Health Care SystemNew England Journal of Medicine, 1996
- Vital status ascertainment through the files of the Department of Veterans Affairs and the Social Security AdministrationAnnals of Epidemiology, 1996
- Overutilization of Acute-Care Beds in Veterans Affairs HospitalsMedical Care, 1996
- Changes in VA Hospital Use 1980-1990Medical Care, 1994
- Estimating the Treatment Costs of Breast and Lung CancerMedical Care, 1991
- Does quality influence choice of hospital?Published by American Medical Association (AMA) ,1990