Med Care Res Rev. 2003 Sep;60(3 Suppl):146S-167S.

Prevalence and costs of chronic conditions in the VA health care system.

Yu W, Ravelo A, Wagner TH, Phibbs CS, Bhandari A, Chen S, Barnett PG.

Source

VA HSR&D Health Economics Resource Center, Center for Health Policy, Center for Primary Care and Outcomes Research, Stanford University, USA.

Abstract

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 of Veterans Affairs (VA) health care users and VA expenditures (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-VA facilities, total VA health care expenditures in fiscal year 1999 (FY1999) were $14.3 billion. Among the 3.4 million VA patients 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 VA health 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.

PMID:: 15095551; [PubMed - indexed for MEDLINE]

LinkOut - more resources

Full Text Sources

Other Literature Sources

COS Scholar Universe

Medical

Coping with Chronic Illness - MedlinePlus Health Information

Supplemental Content

Related citations

The relationships among age, chronic conditions, and healthcare costs. [Am J Manag Care. 2004]
The relationships among age, chronic conditions, and healthcare costs.
Yu W, Ravelo A, Wagner TH, Barnett PG. Am J Manag Care. 2004 Dec; 10(12):909-16.
Economic costs of diabetes in the US in 2002. [Diabetes Care. 2003]
Economic costs of diabetes in the US in 2002.
Hogan P, Dall T, Nikolov P, American Diabetes Association. Diabetes Care. 2003 Mar; 26(3):917-32.
Spending for specialized mental health treatment in The VA: 1995-2001. [Health Aff (Millwood). 2003]
Spending for specialized mental health treatment in The VA: 1995-2001.
Chen S, Smith MW, Wagner TH, Barnett PG. Health Aff (Millwood). 2003 Nov-Dec; 22(6):256-63.
Review Determination of VA health care costs. [Med Care Res Rev. 2003]
Review Determination of VA health care costs.
Barnett PG. Med Care Res Rev. 2003 Sep; 60(3 Suppl):124S-141S.
Review Estimating the costs of VA ambulatory care. [Med Care Res Rev. 2003]
Review Estimating the costs of VA ambulatory care.
Phibbs CS, Bhandari A, Yu W, Barnett PG. Med Care Res Rev. 2003 Sep; 60(3 Suppl):54S-73S.

See reviews... See all...

Cited by 16 PubMed Central articles

Predicting implementation from organizational readiness for change: a study protocol. [Implement Sci. 2011]
Predicting implementation from organizational readiness for change: a study protocol.
Helfrich CD, Blevins D, Smith JL, Kelly PA, Hogan TP, Hagedorn H, Dubbert PM, Sales AE. Implement Sci. 2011 Jul 22; 6:76. Epub 2011 Jul 22.
Quality of care for veterans with chronic diseases: performance on quality indicators, medication use and adherence, and health care utilization. [Popul Health Manag. 2011]
Quality of care for veterans with chronic diseases: performance on quality indicators, medication use and adherence, and health care utilization.
Neugaard BI, Priest JL, Burch SP, Cantrell CR, Foulis PR. Popul Health Manag. 2011 Apr; 14(2):99-106. Epub 2010 Nov 23.
The implementation of a translational study involving a primary care based behavioral program to improve blood pressure control: The HTN-IMPROVE study protocol (01295). [Implement Sci. 2010]
The implementation of a translational study involving a primary care based behavioral program to improve blood pressure control: The HTN-IMPROVE study protocol (01295).
Bosworth HB, Almirall D, Weiner BJ, Maciejewski M, Kaufman MA, Powers BJ, Oddone EZ, Lee SY, Damush TM, Smith V, et al. Implement Sci. 2010 Jul 16; 5:54. Epub 2010 Jul 16.

See all...

Related information

Related Citations
Calculated set of PubMed citations closely related to the selected article(s) retrieved using a word weight algorithm. Related articles are displayed in ranked order from most to least relevant, with the “linked from” citation displayed first.
Cited in PMC
Full-text articles in the PubMed Central Database that cite the current articles.
Cited in Books
NCBI Bookshelf books that cite the current articles.

Recent activity

Clear Turn Off Turn On

Prevalence and costs of chronic conditions in the VA health care system.
Prevalence and costs of chronic conditions in the VA health care system.
Med Care Res Rev. 2003 Sep ;60(3 Suppl):146S-167S.

PubMed
Smad4 dependency defines two classes of transforming growth factor {beta} (TGF-{...
Smad4 dependency defines two classes of transforming growth factor {beta} (TGF-{beta}) target genes and distinguishes TGF-{beta}-induced epithelial-mesenchymal transition from its antiproliferative and migratory responses.
Mol Cell Biol. 2005 Sep ;25(18):8108-25.

PubMed
Large-scale small-molecule screen using zebrafish embryos.
Large-scale small-molecule screen using zebrafish embryos.
Methods Mol Biol. 2009 ;486:43-55.

PubMed
Reactivation and/or growth of fecal coliform bacteria during centrifugal dewater...
Reactivation and/or growth of fecal coliform bacteria during centrifugal dewatering of anaerobically digested biosolids.
Water Sci Technol. 2004 ;50(9):115-20.

PubMed
Microarray profiling of gene expression in aging and its alteration by caloric r...
Microarray profiling of gene expression in aging and its alteration by caloric restriction in mice.
J Nutr. 2001 Mar ;131(3):918S-923S.

PubMed

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

PubMed

Display Settings:

Send to:

Prevalence and costs of chronic conditions in the VA health care system.

Source

Abstract

Publication Types, MeSH Terms

Publication Types

MeSH Terms

LinkOut - more resources

Full Text Sources

Other Literature Sources

Medical

Supplemental Content

Related citations

Cited by 16 PubMed Central articles

Related information

Recent activity

Simple NCBI Directory

Getting Started

Resources

Popular

Featured

NCBI Information