Source:http://linkedlifedata.com/resource/pubmed/id/19882490
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
2009-11-2
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pubmed:abstractText |
In this study, we assessed the longitudinal effect of a Department of Veterans Affairs (VA) patient-centered Care Coordination Home Telehealth (CCHT) program on preventable hospitalization use by veterans with diabetes mellitus (DM) at four VA medical centers. We used a matched treatment-control design (n = 387 for both groups). All patients were followed for 4 years. We operationalized ambulatory care-sensitive conditions (ACSCs) by applying Agency for Healthcare Research and Quality criteria to VA inpatient databases to determine preventable hospitalization use. We used a generalized linear mixed model to estimate the adjusted effect of the CCHT program on preventable hospitalization use over time. During the initial 18 months of follow-up, CCHT enrollees were less likely to be admitted for a preventable hospitalization than their nonenrollee counterparts, and this difference diminished during the rest of the 4-year follow-up period. The VA CCHT program for DM patients reduced preventable hospitalizations. These findings are some of the first that have systematically examined the extent to which home telehealth programs have a long-term effect on preventable hospitalization use.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:issn |
1938-1352
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pubmed:author | |
pubmed:issnType |
Electronic
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pubmed:volume |
46
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
557-66
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pubmed:meshHeading |
pubmed-meshheading:19882490-Aged,
pubmed-meshheading:19882490-Ambulatory Care,
pubmed-meshheading:19882490-Diabetes Complications,
pubmed-meshheading:19882490-Female,
pubmed-meshheading:19882490-Home Care Services,
pubmed-meshheading:19882490-Hospitalization,
pubmed-meshheading:19882490-Humans,
pubmed-meshheading:19882490-Long-Term Care,
pubmed-meshheading:19882490-Longitudinal Studies,
pubmed-meshheading:19882490-Male,
pubmed-meshheading:19882490-Middle Aged,
pubmed-meshheading:19882490-Patient-Centered Care,
pubmed-meshheading:19882490-Retrospective Studies,
pubmed-meshheading:19882490-Telemedicine,
pubmed-meshheading:19882490-United States,
pubmed-meshheading:19882490-United States Department of Veterans Affairs
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pubmed:year |
2009
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pubmed:articleTitle |
Long-term effect of home telehealth services on preventable hospitalization use.
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pubmed:affiliation |
VA Rehabilitation Outcomes Research Center (151B), 1601 SW Archer Road, Gainesville, FL 32608, USA. Huanguang.Jia@va.gov
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, Non-P.H.S.,
Multicenter Study
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