Authors: Fillenbaum, Gerda¹; Burchett, Bruce; Dan, J. D.²; Blazer, G.³

Source: Aging and Mental Health, Volume 11, Number 2, March 2007 , pp. 226-235(10)

Publisher: Routledge, part of the Taylor & Francis Group

Abstract:

We examined the effects of use of low charge, integrated and comprehensive health care services (Veterans Administration (VA) health care system) on health care service use and health-related outcomes. Data came from the 10-year (1986/87-1996/97) Duke Established Populations for Epidemiologic Studies of the Elderly, with 159 men aged 65-85 who primarily used VA health services compared with 1,100 men aged 65-85 who did not. In controlled analyses, no differences were found between the two groups on number of OTC medications used, or in speed or likelihood of entering a nursing home. However, veterans who primarily used the VA health care system reported more outpatient visits and prescription drugs, and increased likelihood of using an adjunct health care provider; entry into a hospital was quicker, and number of hospitalizations was greater. Although health status was controlled, because of eligibility requirements it remains possible that veterans were sicker. Nevertheless, no differences were found in health outcome (functional status or mortality). Readier access to better integrated health services appears to result in increased use of health services controlled by the health care provider, but not of services requiring the recipient's relocation, while functional status and mortality attained equivalence.

Document Type: Research article

DOI: http://dx.doi.org/10.1080/13607860600844556

Affiliations: 1: Center for the Study of Aging and Human Development, Duke University Medical Center, Durham, NC, USA,Geriatric Research, Education and Clinical Center, Veterans Administration Medical Center, Durham, NC, USA 2: Center for the Study of Aging and Human Development, Duke University Medical Center, Durham, NC, USA 3: Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA

Publication date: 2007-03-01

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