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Prevalence and Costs of Chronic Conditions in the VA Health Care System
- Source :
- Medical Care Research and Review. 60:146S-167S
- Publication Year :
- 2003
- Publisher :
- SAGE Publications, 2003.
-
Abstract
- Chronic conditions are among the most common causes of death and disability in the United States. Patients with such conditions receive disproportionate amounts of health care services and therefore cost more per capita than the average patient. This study assesses the prevalence among the Department of Veterans Affairs (VA) health care users and VA expenditures (costs) of 29 common chronic conditions. The authors used regression to identify the marginal impact of these conditions on total, inpatient, outpatient, and pharmacy costs. Excluding costs of contracted medical services at non-VA facilities, total VA health care expenditures in fiscal year 1999 (FY1999) were $14.3 billion. Among the 3.4 million VA patients in FY1999, 72 percent had 1 or more of the 29 chronic conditions, and these patients accounted for 96 percent of the total costs ($13.7 billion). In addition, 35 percent (1.2 million) of VA health care users had 3 or more of the 29 chronic conditions. These individuals accounted for 73 percent of the total cost. Overall, VA health care users have more chronic diseases than the general population.
- Subjects :
- Gerontology
Total cost
Population
Pharmacy
Comorbidity
03 medical and health sciences
0302 clinical medicine
Cause of Death
Environmental health
Health care
Ambulatory Care
Prevalence
Humans
Medicine
Disabled Persons
030212 general & internal medicine
Hospital Costs
education
Veterans Affairs
health care economics and organizations
Cause of death
education.field_of_study
business.industry
030503 health policy & services
Health Policy
Age Factors
Health services research
Health Care Costs
Mental health
United States
United States Department of Veterans Affairs
Socioeconomic Factors
Pharmaceutical Services
Population Surveillance
Chronic Disease
Regression Analysis
Health Services Research
Health Expenditures
0305 other medical science
business
Models, Econometric
Subjects
Details
- ISSN :
- 15526801 and 10775587
- Volume :
- 60
- Database :
- OpenAIRE
- Journal :
- Medical Care Research and Review
- Accession number :
- edsair.doi.dedup.....745f5cda9c06d08ae5b5ee79d26b494a