Prevalence and Costs of Chronic Conditions in the VA Health Care System  

Oleh:

Wei, Yu ; Ravelo, Arliene ; Wagner, Todd H. ; Phibbs, Ciaran S. ; Bhandari, Aman ; Shuo, Chen ; Barnett, Paul G.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Medical Care Research and Review vol. 60 no. 3 (Sep. 2003), page 146S-167S.
Topik: cost; economic; chronic disease; veterans; mental health
Fulltext: 146SMCR60.3.pdf (101.34KB)

Isi artikel

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 ofVeterans Affairs (VA) health care users and VAexpenditures (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-VAfacilities, totalVAhealth care expenditures in fiscal year 1999 (FY1999) were $14.3 billion. Among the 3.4 million VApatients 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 VAhealth 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.

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