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Long-term effect of home telehealth services on preventable hospitalization use.
- Source :
-
Journal of Rehabilitation Research & Development . 2009, Vol. 46 Issue 5, p557-565. 9p. 3 Charts, 1 Graph. - Publication Year :
- 2009
-
Abstract
- In this study, we assessed the longitudinal effect of a Department of Veterans Affairs (VA) patient-centered Care Coordination Home Telehealth (CCHT) program on preventable hospitalization use by veterans with diabetes mellitus (DM) at four VA medical centers. We used a matched treatment- control design (n = 387 for both groups). All patients were followed for 4 years. We operationalized ambulatory care-sensitive conditions (ACSCs) by applying Agency for Healthcare Research and Quality criteria to VA inpatient databases to determine preventable hospitalization use. We used a generalized linear mixed model to estimate the adjusted effect of the CCHT program on preventable hospitalization use over time. During the initial 18 months of follow-up, CCHT enrollees were less likely to be admitted for a preventable hospitalization than their nonenrollee counterparts, and this difference diminished during the rest of the 4-year follow-up period. The VA CCHT program for DM patients reduced preventable hospitalizations. These findings are some of the first that have systematically examined the extent to which home telehealth programs have a long-term effect on preventable hospitalization use. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 07487711
- Volume :
- 46
- Issue :
- 5
- Database :
- Academic Search Index
- Journal :
- Journal of Rehabilitation Research & Development
- Publication Type :
- Academic Journal
- Accession number :
- 44993686
- Full Text :
- https://doi.org/10.1682/JRRD.2008.09.0133