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pubmed-article:19882490pubmed:dateCreated2009-11-2lld:pubmed
pubmed-article:19882490pubmed:abstractTextIn 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.lld:pubmed
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pubmed-article:19882490pubmed:statusMEDLINElld:pubmed
pubmed-article:19882490pubmed:issn1938-1352lld:pubmed
pubmed-article:19882490pubmed:authorpubmed-author:JiaHuanguangHlld:pubmed
pubmed-article:19882490pubmed:authorpubmed-author:WangXinpingXlld:pubmed
pubmed-article:19882490pubmed:authorpubmed-author:WuSamuel SSSlld:pubmed
pubmed-article:19882490pubmed:authorpubmed-author:ChumblerNeale...lld:pubmed
pubmed-article:19882490pubmed:authorpubmed-author:ChuangHo-Chih...lld:pubmed
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pubmed-article:19882490pubmed:volume46lld:pubmed
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pubmed-article:19882490pubmed:pagination557-66lld:pubmed
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pubmed-article:19882490pubmed:year2009lld:pubmed
pubmed-article:19882490pubmed:articleTitleLong-term effect of home telehealth services on preventable hospitalization use.lld:pubmed
pubmed-article:19882490pubmed:affiliationVA Rehabilitation Outcomes Research Center (151B), 1601 SW Archer Road, Gainesville, FL 32608, USA. Huanguang.Jia@va.govlld:pubmed
pubmed-article:19882490pubmed:publicationTypeJournal Articlelld:pubmed
pubmed-article:19882490pubmed:publicationTypeResearch Support, U.S. Gov't, Non-P.H.S.lld:pubmed
pubmed-article:19882490pubmed:publicationTypeMulticenter Studylld:pubmed