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 (Referent = “VA Only”): | Dual Users | Non-VA Only | Dual Users | Non-VA Only | |
Sex: Referent = Male | Female | 0.98 | 1.18 | 0.99 | 0.84 |
ZIP Code estimated 1999 household income: Referent = Less than $33500 | $33500-$42500 | 1.07 | 1.25** | 1.09 | 1.54** |
> $42500 | 1.14* | 1.61** | 1.23** | 2.30** | |
Priority for VA care: Referent = Level 1 (Highest priority) | Level 2 | 1.04 | 1.54** | 0.96 | 1.99** |
Level 3 | 0.93 | 1.65** | 0.97 | 2.28** | |
Level 4 | 1.02 | 0.98 | 1.12 | 1.62** | |
Level 5 | 1.02 | 1.05 | 0.95 | 1.04 | |
Level 6 | 1.00 | 3.16** | 0.98 | 3.12** | |
Level 7 | 1.06 | 1.75* | 1.02 | 2.77** | |
Level 8 | 1.12 | 3.64** | 1.28* | 6.64** | |
RUCA category of patient residence: Referent = Urban | Large Rural | 0.90 | 0.95 | 1.03 | 1.07 |
Small Rural | 0.77* | 0.68** | 0.92 | 0.95 | |
Isolated Rural | 0.74* | 0.63** | 0.80 | 0.68** | |
Driving time to nearest VA hospital: Referent = Less than 60 min | More than 60 min | 1.88** | 2.72** | 1.99** | 3.77** |
Driving time to nearest non-VA hospital: Referent = Less than 15 min | More than 15 min | 0.91 | 0.91 | 0.83** | 0.74** |
VA hospitalizations during 2004–2006: Referent = None | Any | 0.52** | 0.10** | 0.49** | 0.04** |
Non-VA hospitalizations during 2004–2006: Referent = None | Any | 2.51** | 5.97** | 2.62** | 7.15** |
Having any hospitalizations in 2004–2007 for diseases in each of several major diagnostic categories: Referent = None | Circulatory System | 1.35** | 1.56** | 1.37** | 1.48** |
Digestive System | 1.08 | 1.08 | 1.03 | 1.14* | |
Respiratory System | 1.37** | 1.32** | 1.21** | 1.12* | |
Genitourinary System | 0.91 | 0.86* | 1.04 | 0.91 | |
Mental Disorders | 1.60** | 0.69** | 1.15 | 0.52* | |
Symptoms, Signs, Ill-Defined Conds | 1.24** | 0.97 | 1.04 | 0.76** | |
Injury & Poisoning | 1.44** | 1.61** | 1.31** | 1.38** | |
Musculoskeletal & Connective | 1.04 | 1.24** | 1.14 | 1.43** | |
Neoplasms | 0.83* | 0.69** | 0.87* | 0.70** | |
Other Diagnoses | 1.23** | 1.13* | 1.38** | 1.18** |