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dc.contributor.authorAmara, Jomana
dc.contributor.authorPogoda, Terri K.
dc.contributor.authorKrengel, Maxine
dc.contributor.authorIverson, Katherine M.
dc.contributor.authorBaker, Errol
dc.contributor.authorHendricks, Ann
dc.contributor.otherDefense Resources Management Institute
dc.date.accessioned2018-09-06T16:23:09Z
dc.date.available2018-09-06T16:23:09Z
dc.date.issued2014-09
dc.identifier.citationAmara, Jomana, et al. "Determinants of utilization and cost of VHA care by OEF/OIF veterans screened for mild traumatic brain injury." Military medicine 179.9 (2014): 964-972.
dc.identifier.urihttp://hdl.handle.net/10945/59875
dc.descriptionThe article of record as published may be found at http://dx.doi.org/10.7205/MILMED-D-13-00559
dc.description.abstractObjective: To determine the demographic and service characteristics that differentially impact utilization and cost of Veterans Health Administration (VHA) services for Operation Enduring Freedom and Operation Iraq Freedom (OEF/OIF) Veterans screened or evaluated for traumatic brain injury (TBI). Setting: We examined Department of Defense (DoD) and VHA administrative records of OEF/OIF Veterans who were screened or evaluated for TBI. Participants: Our study population was OEF/OIF Veterans who separated from DoD in Fiscal Years 2003–2009 and who were screened or evaluated in VHA for TBI between October 2008 and July 2009. Design: We describe the demographics and service characteristics of separated Veterans and those who accessed the VHA. We report the cost of VHA utilization and estimate a probit regression model to assess determinants of VHA utilization and costs by OEF/OIF Veterans screened and evaluated for TBI by VHA. Results: Females and Veterans older than 37 years utilize VHA services more intensely. Across all services, the Reserve Components utilize health services more than the Active Components placing more demand on VHA for services. Conclusion: VHA utilization and costs is impacted by the demographic and service characteristics of Veterans. The variation in Veteran groups incurring higher costs and utilization indicates different usage patterns of VHA services by each group with implications for patient load as the DoD deploys higher numbers of females and the Reserve Components.en_US
dc.description.sponsorshipOffice of Research and Developmenten_US
dc.description.sponsorshipHealth Services R&D Serviceen_US
dc.description.sponsorshipDepartment of Veterans Affairsen_US
dc.format.extent9 p.
dc.rightsThis publication is a work of the U.S. Government as defined in Title 17, United States Code, Section 101. Copyright protection is not available for this work in the United States.
dc.titleDeterminants of Utilization and Cost of VHA Care by OEF/OIF Veterans Screened for Mild Traumatic Brain Injuryen_US
dc.typeArticle
dc.contributor.corporateNaval Postgraduate School (U.S.)
dc.contributor.corporateThe article of record as published may be found at http://dx.doi.org/10.7205/MILMED-D-13-00559
dc.description.funderServices Career Development Award (CDA 10-029)en_US
dc.description.funderDepartment of Veterans Affairs SDR 08-405.en_US


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