Substance use disorders and health care costs among veterans affairs nursing home residents

Medical Care

Volumn 49, Issue 6, 2011, Pages 538-544

  Smith, Mark W ^a,b   Lemke, Sonne ^a   Schaefer, Jeanne ^a  

^a VA PALO ALTO HEALTH CARE SYSTEM   (United States)

^b STANFORD UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

direct medical costs; long term care; nursing homes; substance abuse

Indexed keywords

ADULT; AGED; ARTICLE; COHORT ANALYSIS; CONTROLLED STUDY; COST CONTROL; DEMOGRAPHY; FEMALE; FINANCIAL MANAGEMENT; HEALTH CARE COST; HOSPITAL PATIENT; HUMAN; INCOME; MAJOR CLINICAL STUDY; MALE; MARRIAGE; MEDICARE; NURSING HOME PATIENT; OUTPATIENT; PREDICTIVE VALUE; PRIORITY JOURNAL; RETROSPECTIVE STUDY; SUBSTANCE ABUSE; UNITED STATES; VETERAN;

AGED; AGED, 80 AND OVER; CONTINUITY OF PATIENT CARE; COST-BENEFIT ANALYSIS; FEMALE; GERIATRIC ASSESSMENT; HEALTH CARE COSTS; HEALTH SERVICES FOR THE AGED; HEALTH STATUS; HUMANS; MALE; MENTAL HEALTH SERVICES; MIDDLE AGED; NURSING HOMES; RETROSPECTIVE STUDIES; SUBSTANCE-RELATED DISORDERS; UNITED STATES; VETERANS;

EID: 79957467438     PISSN: 00257079     EISSN: 15371948     Source Type: Journal    
DOI: 10.1097/MLR.0b013e318207f257     Document Type: Article

References (36)

1. Federal Interagency Form on Aging-Related Statistics. Older Americans 2008: Key Indicators of Well-being. Washington, DC: US Government Printing Office; 2008.
2. Colliver JD, Compton WM, Gfroerer JC, et al. Projecting drug use among aging baby boomers in 2020. Ann Epidemiol. 2006;16:257-265.
3. Gutjahr E, Gmel G, Rehm J. Relation between average alcohol consumption and disease: an overview. Eur Addict Res. 2001;7: 117-127. (Pubitemid 32757345)
4. Blose JO, Holder HD. The utilization of medical care by treated alcoholics: longitudinal patterns by age, gender, and type of care. J Subst Abuse. 1991;3:13-27.
5. Mansell D, Penk W, Hankin CS, et al. The illness burden of alcohol-related disorders among VA patients: the Veterans Health Study. J Ambul Care Manage. 2005;29:61-70.
6. Fortney JC, Booth BM, Curran GM. Do patients with alcohol dependence use more services? A comparative analysis with other chronic disorders. Alcohol Clin Exp Res. 1999;23:127-133. (Pubitemid 29068476)
7. Kraemer KL, McGinnis KA, Skanderson M, et al. Alcohol problems and health care services use in human immunodeficiency virus (HIV)-infected and HIV-uninfected veterans. Med Care. 2006;44:S44-S51. (Pubitemid 44284257)
8. Lemke S, Schaefer JA. Recent changes in the prevalence of mental health disorders among VA nursing home residents. Psychiatr Serv. 2010;61:356-363.
9. Joseph CL, Ganzini L, Atkinson RM. Screening for alcohol use disorders in the nursing home. J Am Geriatr Soc. 1995;43:368-373.
10. Joseph CL, Rasmussen J, Ganzini L, et al. Outcome of nursing home care for residents with alcohol use disorders. Int J Geriatr Psychiatry. 1997;12:767-772. (Pubitemid 27341781)
11. Lemke S, Schaefer JA. Nursing home patients with substance use disorders: mental health comorbidities, functioning, and problem behavior. Aging Ment Health. 2010;14:593-602.
12. Smith MW, Chow A. Fee Basis Data: A Guide for Researchers. Menlo Park, CA: Health Economics Resource Center, US Department of Veterans Affairs; 2010.
13. Phibbs CS, Bhandari A, Yu W, et al. Estimating the costs of VA ambulatory care. Med Care Res Rev. 2003;60(suppl 3):54S-73S. (Pubitemid 36993495)
14. Wagner TH, Chen S, Barnett PG. Using average cost methods to estimate encounter-level costs for medical-surgical stays in the VA. Med Care Res Rev. 2003;60(suppl 3):15S-36S. (Pubitemid 36993492)
15. Yu W, Wagner TH, Chen S, et al. Average cost of VA rehabilitation, mental health, and long-term hospital stays. Med Care Res Rev. 2003;60(suppl 3):40S-53S. (Pubitemid 36993494)
16. Moos RH, Moos BS. Treated and untreated alcohol-use disorders: course and predictors of remission and relapse. Eval Rev. 2007;31: 564-584.
17. AHRQ (Agency for Healthcare Research and Quality). HCUP Clinical Classifications Software, Healthcare Cost and Utilization Project (HCUP). Rockville, MD: Agency for Healthcare Research and Quality; 2009. Available at: www.hcup-us.ahrq.gov/toolssoftware/ccs/ccs.jsp. (Accessed April 17, 2009).
18. Manning WG, Mullahy J. Estimating log models: to transform or not to transform? J Health Econ. 2001;20:461-494. (Pubitemid 32515166)
19. Shen Y, Hendricks A, Zhang S, et al. VHA enrollees' health care coverage and use of care. Med Care Res Rev. 2003;60:253-267. (Pubitemid 36605436)
20. Hynes DM, Koelling K, Stroupe K, et al. Veterans' access to and use of Medicare and Veterans Affairs health care. Med Care. 2007;45: 214-223.
21. Petersen LA, Byrne MM, Daw CN, et al. Relationship between clinical conditions and use of Veterans Affairs health care among Medicare-enrolled veterans. Health Serv Res. 2010;45:762-791.
22. Hashimoto H, Horiguchi H, Matsuda S. Micro data analysis of medical and long-term care utilization among the elderly in Japan. Int J Environ Res Public Health. 2010;7:3022-3037.
23. Werblow A, Felder S, Zweifel P. Population ageing and health care expenditure: a school of "red herrings"? Health Econ. 2007;16: 1109-1126. (Pubitemid 47534736)
24. Häkkinen U, Martikainen P, Noro A, et al. Aging, health expenditure, proximity to death, and income in Finland. Health Econ Policy Law. 2008;3:165-195. (Pubitemid 351493996)
25. Payne G, Laporte A, Deber R, et al. Counting backward to health care's future: using time-to-death modeling to identify changes in end-of-life morbidity and the impact of aging on health care expenditures. Milbank Q. 2007;85:213-257.
26. Andel R, Hyer K, Slack A. Risk factors for nursing home placement in older adults with and without dementia. J Aging Health. 2007;19:213-228. (Pubitemid 46548386)
27. Kinosian B, Stallard E, Wieland D. Projected use of long-term-care services by enrolled veterans. Gerontologist. 2007;47:356-364. (Pubitemid 47308976)
28. Brennan PL, Greenbaum MA. Functioning, problem behavior and health services use among nursing home residents with alcohol-use disorder: nationwide data from the VA Minimum Data Set. J Stud Alcohol. 2005;66:395-400. (Pubitemid 40917871)
29. Oslin DW, Streim JE, Parmelee P, et al. Alcohol abuse: a source of reversible functional disability among residents of a VA nursing home. Int J Geriatr Psychiatry. 1997;12:825-832. (Pubitemid 27390093)
30. Brennan PL. Functioning and health service use among elderly nursing home residents with alcohol use disorders: findings from the National Nursing Home Survey. Am J Geriatr Psychiatry. 2005;13:475-483.
31. National Survey on Drug and Alcohol Abuse, 2002 (database online). Ann Arbor, MI: Inter-University Consortium for Political and Social Research. Available at: www.icpsr.umich.edu. (Accessed April 14, 2010).
32. Ekstrand LE. VA long-term care: trends and planning challenges in providing nursing home care to veterans. Testimony before the Committee on Veterans' Affairs, US Senate, January 9, 2006. GAO-06-333 T. Available at: www.gao.gov/new.items/d06333t.pdf. (Accessed August 21, 2008).
33. Desai RA, Rosenheck RA. The impact of managed care on cross-system use of mental health services by veterans in Colorado. Psychiatr Serv. 2002;53:1599-1604. (Pubitemid 35404038)
34. Borowsky SJ, Cowper DC. Dual use of VA and non-VA primary care. J Gen Intern Med. 1999;14:274-280. (Pubitemid 29226672)
35. Kizer KW, Demakis JG, Feussner JR. Reinventing VA health care: systematizing quality improvement and quality innovation. Med Care. 2000;38(6 suppl 1):I7-I16.
36. Streim J. Testimony before the Committee on Veterans Affairs, US House of Representatives. January 28, 2004. Available at: http:// www.aagpgpa.org/ advocacy/testimony.asp?viewfull=19. (Accessed August 22, 2008).