Table 1 Characteristics and hospital use of 115,693 VA-enrolled veterans who were hospitalized more than once in 2007, by age range and type(s) of hospital used (VA only, non-VA only, or both, i.e., dual use)
From: Dual use of VA and non-VA hospitals by Veterans with multiple hospitalizations
Age Range: | Younger than 65 Years | 65 Years or Older | |||||
|---|---|---|---|---|---|---|---|
Hospital Use: | VA Only | Dual Users | Non-VA Only | VA Only | Dual Users | Non-VA Only | |
Patient Characteristics: N (% of age group) | 9391 (26.6 %) | 8354 (23.7 %) | 17539 (49.7 %) | 8129 (10.1 %) | 6768 (8.4 %) | 65512 (81.5 %) | |
Mean Age in 2007 (SD) | 54.4 (8.0) | 54.3 (8.0) | 55.3 (7.9) | 76.6 (7.2) | 77.0 (7.1) | 78.8 (6.7) | |
% Female | 5.9 % | 5.5 % | 5.9 % | 2.5 % | 2.6 % | 2.1 % | |
Cramer’s V = 0.01 | Cramer’s V = 0.01 | ||||||
ZIP Code-based Median Household Income: Mean (SD) | $34673 (13947) | $35544 (12886) | $38001 (14140) | $36235 (14208) | $37163 (13640) | $41931 (16204) | |
% in VA Priority Categories: 1 (Highest Priority) | 32.7 % | 32.4 % | 23.0 % | 20.5 % | 20.9 % | 9.3 % | |
2 | 5.4 % | 5.3 % | 6.6 % | 4.8 % | 4.4 % | 4.7 % | |
3 | 9.1 % | 8.4 % | 11.6 % | 8.7 % | 8.3 % | 10.1 % | |
4 | 4.7 % | 5.1 % | 2.9 % | 8.9 % | 10.0 % | 5.2 % | |
5 | 39.0 % | 39.6 % | 27.1 % | 44.0 % | 40.1 % | 19.9 % | |
6 | 1.8 % | 1.7 % | 5.7 % | 0.4 % | 0.4 % | 0.8 % | |
7 | 1.0 % | 1.0 % | 1.5 % | 1.9 % | 2.1 % | 3.2 % | |
8 (Lowest Priority) | 6.3 % | 6.7 % | 21.5 % | 10.8 % | 13.9 % | 46.9 % | |
Cramer’s V = 0.20 | Cramer’s V = 0.23 | ||||||
% Living in RUCA Categories: Urban | 83.8 % | 83.9 % | 82.0 % | 82.9 % | 80.8 % | 80.6 % | |
Large Rural Town | 8.5 % | 9.2 % | 10.8 % | 8.3 % | 10.1 % | 11.2 % | |
Small Rural Town | 4.5 % | 4.2 % | 4.4 % | 4.7 % | 5.2 % | 4.9 % | |
Isolated Small Rural Town | 3.1 % | 2.7 % | 2.8 % | 4.1 % | 3.9 % | 3.4 % | |
Cramer’s V = 0.02 | Cramer’s V = 0.02 | ||||||
Minutes of Driving Time to Nearest Hospital: | Nearest VA Mean (SD) | 40.0 | 51.0 | 60.9 | 36.2 | 45.9 | 59.0 |
(37.4) | (78.0) | (45.4) | (34.0) | (37.6) | (115.0) | ||
Nearest non-VA Mean (SD) | 12.4 | 12.0 | 12.7 | 13.8 | 13.1 | 12.3 | |
(13.1) | (11.8) | (12.2) | (14.2) | (12.9) | (11.5) | ||
Use of Inpatient Care in 2007: | |||||||
Number of Hospitalizations per Person: | Any (VA or non-VA) Mean (SD) | 2.7 | 3.8 | 2.9 | 2.8 | 3.5 | 2.8 |
(1.3) | (2.8) | (1.8) | (1.3) | (2.0) | (1.4) | ||
VA Mean (SD) | 2.7 | 1.9 | 0.0 | 2.8 | 1.7 | 0.0 | |
(1.3) | (1.6) | (−−) | (1.3) | (1.2) | (−−) | ||
non-VA Mean (SD) | 0.0 | 1.9 | 2.9 | 0.0 | 1.8 | 2.8 | |
(−−) | (2.0) | (1.8) | (−−) | (1.6) | (1.4) | ||
Days of Stay per Hospitalization: | Any (VA or non-VA) Mean (SD) | 5.5 | 5.2 | 3.9 | 5.5 | 5.2 | 3.9 |
(8.7) | (8.5) | (5.4) | (8.4) | (6.7) | (4.7) | ||
VA Mean (SD) | 5.5 | 6.1 | 0.0 | 5.5 | 5.9 | 0.0 | |
(8.7) | (14.8) | (−−) | (8.4) | (10.9) | (−−) | ||
non-VA Mean (SD) | 0.0 | 4.3 | 3.9 | 0.0 | 4.5 | 3.9 | |
(−−) | (6.7) | (5.4) | (−−) | (5.8) | (4.7) | ||
Number of Co-morbid (Elixhauser) Diagnoses: | Physical Mean (SD) | 1.9 | 1.6 | 1.4 | 2.6 | 2.3 | 1.9 |
(1.3) | (1.1) | (1.3) | (1.3) | (1.2) | (1.3) | ||
Mental Mean (SD) | 0.6 | 0.6 | 0.3 | 0.1 | 0.2 | 0.1 | |
(0.8) | (0.6) | (0.5) | (0.3) | (0,3) | (0.2) | ||
% of Individuals With ≥ 1 Admission in 2007 for a Principal Diagnosis in the Category of: Circulatory System Diseases | 26.2 % | 33.0 % | 40.7 % | 44.1 % | 52.1 % | 53.8 % | |
Cramer’s V = 0.13 | Cramer’s V = 0.06 | ||||||
Mental Disorders | 31.4 % | 38.1 % | 15.0 % | 0.2 % | 0.2 % | 0.0 % | |
Cramer’s V = 0.23 | Cramer’s V = 0.03 | ||||||
Symptoms, Signs, & Ill-defined Conditions | 16.8 % | 22.1 % | 16.1 % | 20.8 % | 23.0 % | 14.5 % | |
Cramer’s V = 0.06 | Cramer’s V = 0.08 | ||||||
Injury & Poisoning | 12.7 % | 20.3 % | 20.9 % | 13.6 % | 18.0 % | 18.3 % | |
Cramer’s V = 0.09 | Cramer’s V = 0.04 | ||||||
Diseases of Respiratory System | 11.4 % | 17.0 % | 15.9 % | 22.6 % | 27.3 % | 21.9 % | |
Cramer’s V = 0.06 | Cramer’s V = 0.04 | ||||||
Diseases of Digestive System | 17.0 % | 18.9 % | 18.2 % | 17.3 % | 18.2 % | 17.9 % | |
Cramer’s V = 0.02 | Cramer’s V = 0.01 | ||||||
Diseases of Genitourinary System | 9.2 % | 8.9 % | 7.8 % | 16.7 % | 18.0 % | 13.9 % | |
Cramer’s V = 0.02 | Cramer’s V = 0.04 | ||||||
% of Individuals Hospitalized for Diagnoses in Only One, Two, or More than Two Major Categories: | One | 43.0 % | 28.9 % | 35.7 % | 29.8 % | 21.1 % | 26.9 % |
Two | 45.6 % | 46.5 % | 49.3 % | 53.7 % | 48.0 % | 53.8 % | |
More than Two | 11.4 % | 24.6 % | 15.0 % | 16.5 % | 30.9 % | 19.3 % | |
Cramer’s V = 0.10 | Cramer’s V = 0.06 | ||||||
Hospitalizations for Circulatory System Diseases: | Mean (SD) % in VA Hospitals | 0.4 | 0.7 | 0.7 | 0.7 | 1.0 | 0.9 |
(0.8) | (1.3) | (1.1) | (1.0) | (1.4) | (1.1) | ||
100 % | 46.9 % | 0 % | 100 % | 47.3 % | 0 % | ||
Hospitalizations for Mental Disorders: | Mean (SD) % in VA Hospitals | 0.7 | 1.0 | 0.3 | 0.0 | 0.0 | 0.0 |
(1.2) | (2.0) | (1.1) | (0.1) | (0.1) | -- | ||
100 % | 57.9 % | 0 % | 100 % | 66.7 % | 0 % | ||
% of Individuals Hospitalized for Mental Disorders and also Hospitalized for non-Mental Diagnoses | 13.1 % | 26.0 % | 9.3 % | 0.2 % | 0.2 % | 0.0 % | |
Cramer’s V = 0.19 | Cramer’s V = 0.03 | ||||||
Prior Hospital Use, in 2004 – 2006: | |||||||
% with Any Prior Hospitalizations | 64.6 % | 68.9 % | 63.0 % | 67.9 % | 70.3 % | 67.4 % | |
Cramer’s V = 0.05 | Cramer’s V = 0.02 | ||||||
% with Any Prior VA Hospitalizations | 57.2 % | 50.3 % | 11.9 % | 60.7 % | 47.8 % | 4.4 % | |
Cramer’s V = 0.32 | Cramer’s V = 0.41 | ||||||
% with Any Prior non-VA Hospitalizations | 25.2 % | 49.3 % | 59.7 % | 23.6 % | 47.9 % | 66.1 % | |
Cramer’s V = 0.21 | Cramer’s V = 0.20 | ||||||
Mean Prior VA Hospitalizations (SD) | 2.0 | 1.7 | 0.3 | 1.9 | 1.3 | 0.1 | |
(3.0) | (3.0) | (1.0) | (2.6) | (2.3) | (0.5) | ||
Mean Prior non-VA Hospitalizations (SD) | 0.5 | 1.9 | 2.4 | 0.5 | 1.4 | 2.1 | |
(1.4) | (4.3) | (4.2) | (1.2) | (2.7) | (1.8) | ||