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C. Chang, S. Jackson, T. Bullman, E. Cobbs (2009)
Impact of a home-based primary care program in an urban Veterans Affairs medical center.Journal of the American Medical Directors Association, 10 2
David Nyweide, D. Anthony, J. Bynum, R. Strawderman, W. Weeks, L. Casalino, E. Fisher (2013)
Continuity of care and the risk of preventable hospitalization in older adults.JAMA internal medicine, 173 20
D. Mukamel, Derick Peterson, H. Temkin‐Greener, Rachel Delavan, Diane Gross (2007)
Program Characteristics and Enrollees' Outcomes in the Program of All-Inclusive Care for the Elderly (PACE)Health Economics
S. Mäki (1980)
The computer program
T. Edes (1999)
Comprehensive home care after hospitalization of elderly patients.JAMA, 282 12
K. Lipska, J. Ross, Yun Wang, S. Inzucchi, K. Minges, A. Karter, E. Huang, Mayur Desai, T. Gill, H. Krumholz (2014)
National trends in US hospital admissions for hyperglycemia and hypoglycemia among Medicare beneficiaries, 1999 to 2011.JAMA internal medicine, 174 7
A. Wajnberg, Karen Wang, Mohamed Aniff, H. Kunins (2010)
Hospitalizations and Skilled Nursing Facility Admissions Before and After the Implementation of a Home‐Based Primary Care ProgramJournal of the American Geriatrics Society, 58
K. Kizer (2012)
Veterans and the Affordable Care Act.JAMA, 307 8
M. Segelman, Jill Szydlowski, B. Kinosian, M. McNabney, D. Raziano, C. Eng, C. Reenen, H. Temkin‐Greener (2014)
Hospitalizations in the Program of All‐Inclusive Care for the ElderlyJournal of the American Geriatrics Society, 62
H. Meyer (2011)
A new care paradigm slashes hospital use and nursing home stays for the elderly and the physically and mentally disabled.Health affairs, 30 3
S. Hughes, Frances Weaver, Anita Giobbie-Hurder, L. Manheim, W. Henderson, J. Kubal, A. Ulasevich, J. Cummings (2000)
Effectiveness of team-managed home-based primary care: a randomized multicenter trial.JAMA, 284 22
B. Young, E. Lin, M. Korff, G. Simon, Paul Ciechanowski, E. Ludman, Siobhan Everson-Stewart, L. Kinder, Malia Oliver, E. Boyko, W. Katon (2008)
Diabetes complications severity index and risk of mortality, hospitalization, and healthcare utilization.The American journal of managed care, 14 1
V. Prasad, A. Jena (2013)
Prespecified falsification end points: can they validate true observational associations?JAMA, 309 3
S. Pizer (2009)
An intuitive review of methods for observational studies of comparative effectivenessHealth Services and Outcomes Research Methodology, 9
C. Boult, A. Green, L. Boult, J. Pacala, C. Snyder, B. Leff (2009)
Successful Models of Comprehensive Care for Older Adults with Chronic Conditions: Evidence for the Institute of Medicine's “Retooling for an Aging America” ReportJournal of the American Geriatrics Society, 57
P. Fontanarosa, R. Mcnutt (2013)
Revisiting hospital readmissions.JAMA, 309 4
T. Stukel, E. Fisher, D. Wennberg, D. Alter, D. Gottlieb, M. Vermeulen (2007)
Analysis of observational studies in the presence of treatment selection bias: effects of invasive cardiac management on AMI survival using propensity score and instrumental variable methods.JAMA, 297 3
Linda DeCherrie, T. Soriano, Jennifer Hayashi (2012)
Home-based primary care: a needed primary-care model for vulnerable populations.The Mount Sinai journal of medicine, New York, 79 4
D. Hynes, Kristin Koelling, K. Stroupe, Noreen Arnold, K. Mallin, M. Sohn, F. Weaver, L. Manheim, Linda Kok (2007)
Veterans’ Access to and Use of Medicare and Veterans Affairs Health CareMedical Care, 45
C. Boult, G. Wieland (2010)
Comprehensive primary care for older patients with multiple chronic conditions: "Nobody rushes you through".JAMA, 304 17
S. Pizer, J. Gardner (2011)
Is Fragmented Financing Bad for Your Health?INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 48
(2007)
Quality measure of reduction of inpatient days during Home Based Primary Care (HBPC) [abstract
M. Gillick (2014)
When Frail Elderly Adults Get Sick: Alternatives to HospitalizationAnnals of Internal Medicine, 160
Cathleen Mooney, J. Zwanziger, C. Phibbs, C. Phibbs, Susan Schmitt, Susan Schmitt (2000)
Is travel distance a barrier to veterans' use of VA hospitals for medical surgical care?Social science & medicine, 50 12
S. Counsell, C. Callahan, D. Clark, W. Tu, A. Buttar, T. Stump, G. Ricketts (2007)
Geriatric care management for low-income seniors: a randomized controlled trial.JAMA, 298 22
M. Mcclellan, B. McNeil, J. Newhouse (1995)
Does More Intensive Treatment of Acute Myocardial Infarction in the Elderly Reduce Mortality? Analysis Using Instrumental VariablesSurvey of Anesthesiology, 39
J. Terza, A. Basu, P. Rathouz (2008)
Two-stage residual inclusion estimation: addressing endogeneity in health econometric modeling.Journal of health economics, 27 3
M. Mcclellan, Aaron McKethan, Julie Lewis, J. Roski, E. Fisher (2010)
A national strategy to put accountable care into practice.Health affairs, 29 5
H. Jia, Yu Zheng, D. Reker, D. Cowper, S. Wu, W. Vogel, Gail Young, P. Duncan (2007)
Multiple System Utilization and Mortality for Veterans With StrokeStroke, 38
J. Lynn (2013)
Reliable and sustainable comprehensive care for frail elderly people.JAMA, 310 18
Sunny Kim (2007)
Burden of Hospitalizations Primarily Due to Uncontrolled DiabetesDiabetes Care, 30
A. Elixhauser, C. Steiner, Harris Dr, R. Coffey (1998)
Comorbidity measures for use with administrative data.Medical care, 36 1
E. Slade, J. Mccarthy, M. Valenstein, Stephanie Visnic, L. Dixon (2013)
Cost savings from assertive community treatment services in an era of declining psychiatric inpatient use.Health services research, 48 1
E. Huang, N. Laiteerapong, Jennifer Liu, Priya John, H. Moffet, A. Karter (2014)
Rates of complications and mortality in older patients with diabetes mellitus: the diabetes and aging study.JAMA internal medicine, 174 2
N. Wenger, D. Solomon, C. Roth, C. MacLean, D. Saliba, C. Kamberg, L. Rubenstein, R. Young, E. Sloss, Rachel Louie, John Adams, John Chang, P. Venus, J. Schnelle, P. Shekelle (2003)
The Quality of Medical Care Provided to Vulnerable Community-Dwelling Older PatientsAnnals of Internal Medicine, 139
ImportancePrimary care services based at home have the potential to reduce the likelihood of hospitalization among older adults with multiple chronic diseases. ObjectiveTo characterize the association between enrollment in Home-Based Primary Care (HBPC), a national home care program operated by the US Department of Veterans Affairs (VA), and hospitalizations owing to an ambulatory care–sensitive condition among older veterans with diabetes mellitus. Design and SettingRetrospective cohort study. Patients admitted to VA and non-VA hospitals were followed up from January 1, 2006, through December 31, 2010. ParticipantsVeterans 67 years or older who were fee-for-service Medicare beneficiaries, were diagnosed as having diabetes mellitus and at least 1 other chronic disease, and had at least 1 admission to a VA or non-VA hospital in 2005 or 2006. ExposuresEnrollment in HBPC, defined as a minimum of 2 HBPC encounters during the study period. Main Outcomes and MeasuresAdmission to VA and non-VA hospitals owing to an ambulatory care–sensitive condition, as measured by the Agency for Healthcare Research and Quality’s Prevention Quality Indicators in VA medical records and Medicare claims. Outcomes were analyzed using distance from the veteran’s residence to a VA facility that provides HBPC as an instrumental variable. ResultsAmong 56 608 veterans, 1978 enrolled in HBPC. These patients were older (mean age, 79.1 vs 77.1 years) and had more chronic diseases (eg, 59.2% vs 53.5% had congestive heart failure). Multivariable predictors for HBPC enrollment included paralysis (odds ratio [OR], 2.11; 95% CI, 1.63-2.74), depression (OR, 1.99; 95% CI, 1.70-2.34), congestive heart failure (OR, 1.36; 95% CI, 1.17-1.58), and distance from the nearest HBPC-providing VA facility (OR, 0.59; 95% CI, 0.50-0.70 for >10-30 vs <5 miles). After controlling for selection using an instrumental variable analysis, HBPC was associated with a significant reduction in the probability of experiencing a hospitalization owing to an ambulatory care–sensitive condition (hazard ratio, 0.71; 95% CI, 0.57-0.89), with an absolute reduction in the probability of hospitalization of 5.8% in 1 year. Conclusions and RelevanceHome-Based Primary Care is associated with a decreased probability of ambulatory care–sensitive condition hospitalization among elderly veterans with diabetes mellitus. In accountable care models, HBPC may have an important role in the management of older adults with multiple chronic diseases.
JAMA Internal Medicine – American Medical Association
Published: Nov 1, 2014
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