Rates of health services utilization and survival in patients with heart failure in the Department of Veterans Affairs Medical Care System

Citation
Cm. Ashton et al., Rates of health services utilization and survival in patients with heart failure in the Department of Veterans Affairs Medical Care System, AM J MED QU, 14(1), 1999, pp. 55-63
Citations number
24
Categorie Soggetti
Health Care Sciences & Services
Journal title
AMERICAN JOURNAL OF MEDICAL QUALITY
ISSN journal
10628606 → ACNP
Volume
14
Issue
1
Year of publication
1999
Pages
55 - 63
Database
ISI
SICI code
1062-8606(199901/02)14:1<55:ROHSUA>2.0.ZU;2-K
Abstract
The objective of this study was to describe patterns of hospital and clinic use and survival for a large nationwide cohort of patients with heart fail ure. A retrospective co hort study of patients treated in the Veterans Affa irs medical care system was conducted using linked administrative databases as data sources. In 1996, the average heart failure cohort member had 1-2 hospitalizations, 14 inpatient days, 6-7 visits with the primary physician, 15 other visits for consultations or tests, and 1-2 urgent care visits per 12 months. The overall risk-adjusted 5-year survival rate was 36%. Hospita l use rates in the cohort fell dramatically between 1992 and 1996. One-year survival rates increased slightly over the period. Patients with heart fai lure are heavy users of services and have a very poor prognosis. Utilizatio n and outcome data indicate the need for major efforts to assure quality of care and to devise innovative ways of delivering comprehensive services.