Association Between Self-Reported Health and Reliance on Veterans Affairs for Health Care Among Veterans Affairs Enrollees

Rose, Liam; Schmidt, Anna Marie; Gehlert, Elizabeth; Graham, Laura A.; Aouad, Marion

doi:10.1001/jamanetworkopen.2023.23884

Cited by 1 publication

(1 citation statement)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Compared to other Veterans, those who use VHA have a higher prevalence of chronic physical and mental health conditions [ 26 ]. VHA-reliant reliant also have lower self-reported health [ 27 ]. Consequently, such an adjustment would likely be conservative.…”

Section: Discussionmentioning

confidence: 99%

Lower comorbidity scores and severity levels in Veterans Health Administration hospitals: a cross-sectional study

Dizon,

Chow,

Ong

et al. 2024

BMC Health Serv Res

View full text Add to dashboard Cite

Background Previous studies found that documentation of comorbidities differed when Veterans received care within versus outside Veterans Health Administration (VHA). Changes to medical center funding, increased attention to performance reporting, and expansion of Clinical Documentation Improvement programs, however, may have caused coding in VHA to change. Methods Using repeated cross-sectional data, we compared Elixhauser-van Walraven scores and Medicare Severity Diagnosis Related Group (DRG) severity levels for Veterans’ admissions across settings and payers over time, utilizing a linkage of VHA and all-payer discharge data for 2012–2017 in seven US states. To minimize selection bias, we analyzed records for Veterans admitted to both VHA and non-VHA hospitals in the same year. Using generalized linear models, we adjusted for patient and hospital characteristics. Results Following adjustment, VHA admissions consistently had the lowest predicted mean comorbidity scores (4.44 (95% CI 4.34–4.55)) and lowest probability of using the most severe DRG (22.1% (95% CI 21.4%-22.8%)). In contrast, Medicare-covered admissions had the highest predicted mean comorbidity score (5.71 (95% CI 5.56–5.85)) and highest probability of using the top DRG (35.3% (95% CI 34.2%-36.4%)). Conclusions More effective strategies may be needed to improve VHA documentation, and current risk-adjusted comparisons should account for differences in coding intensity.

show abstract

Section: Discussionmentioning

confidence: 99%

Lower comorbidity scores and severity levels in Veterans Health Administration hospitals: a cross-sectional study

Dizon,

Chow,

Ong

et al. 2024

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

Association Between Self-Reported Health and Reliance on Veterans Affairs for Health Care Among Veterans Affairs Enrollees

Abstract: This cross-sectional study using survey data investigates the association between level of reliance on the Department of Veterans Affairs for health care and self-reported health by type of insurance coverage among VA enrollees.

Cited by 1 publication

References 8 publications

Lower comorbidity scores and severity levels in Veterans Health Administration hospitals: a cross-sectional study

Lower comorbidity scores and severity levels in Veterans Health Administration hospitals: a cross-sectional study

Contact Info

Product

Resources

About