Ignite Creation Date:
2024-05-05 @ 11:23 AM
Last Modification Date:
2024-10-26 @ 9:06 AM
Study NCT ID:
NCT00012623
Status:
COMPLETED
Last Update Posted:
2015-04-07
First Post:
2001-03-14
Brief Title:
Improving Service Delivery Through Access Points
Sponsor:
US Department of Veterans Affairs
Organization:
VA Office of Research and Development
Study Overview
Official Title:
Improving Service Delivery Through Access Points
Status:
COMPLETED
Status Verified Date:
2015-04
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
CBOCs represent one of VAs main managed care strategies for shifting the focus of care from the inpatient to the outpatient setting and for improving the health of our nations veterans Hypothesis-driven research is critically needed to test the basic assumptions motivating the expansion of CBOCs throughout the VA health care system
Detailed Description:
Background
CBOCs represent one of VAs main managed care strategies for shifting the focus of care from the inpatient to the outpatient setting and for improving the health of our nations veterans Hypothesis-driven research is critically needed to test the basic assumptions motivating the expansion of CBOCs throughout the VA health care system
Objectives
The purpose was to determine how increased geographic access to primary care services affects service use and costs Two specific aims addressed were 1 to determine how CBOCs impact the service use of all existing users and existing users with the following ambulatory care sensitive conditions ACSC alcohol dependence angina chronic obstructive pulmonary disease COPD depression diabetes and hypertension and 2 to describe how CBOCs affect the workload and costs of the VA health care system from the VISNs perspective
Methods
A quasi-experimental pre-post study design with intervention and reference groups was employed to compare service use and costs in the 18 months following the establishment of a new CBOC Fifteen CBOCs from 11 VISNs were included in the analysis For specific aim 1 the intervention group was defined as existing users in the catchment area of a new CBOC and the reference group was defined as matched existing users outside CBOC catchment areas Multivariate statistical regression analyses were used to estimate the impact of residing within the CBOC catchment area on use and cost in the post-period controlling for patient casemix and usecost in the 18 month pre-period For specific aim 2 the intervention group was defined as zip codes in the catchment area of a new CBOC and the reference group was defined as matched zip codes outside CBOC catchment areas Average use and costs for all users existing users and new users from intervention zip codes and reference zip codes were compared
Status
Complete
CBOCs represent one of VAs main managed care strategies for shifting the focus of care from the inpatient to the outpatient setting and for improving the health of our nations veterans Hypothesis-driven research is critically needed to test the basic assumptions motivating the expansion of CBOCs throughout the VA health care system
Objectives
The purpose was to determine how increased geographic access to primary care services affects service use and costs Two specific aims addressed were 1 to determine how CBOCs impact the service use of all existing users and existing users with the following ambulatory care sensitive conditions ACSC alcohol dependence angina chronic obstructive pulmonary disease COPD depression diabetes and hypertension and 2 to describe how CBOCs affect the workload and costs of the VA health care system from the VISNs perspective
Methods
A quasi-experimental pre-post study design with intervention and reference groups was employed to compare service use and costs in the 18 months following the establishment of a new CBOC Fifteen CBOCs from 11 VISNs were included in the analysis For specific aim 1 the intervention group was defined as existing users in the catchment area of a new CBOC and the reference group was defined as matched existing users outside CBOC catchment areas Multivariate statistical regression analyses were used to estimate the impact of residing within the CBOC catchment area on use and cost in the post-period controlling for patient casemix and usecost in the 18 month pre-period For specific aim 2 the intervention group was defined as zip codes in the catchment area of a new CBOC and the reference group was defined as matched zip codes outside CBOC catchment areas Average use and costs for all users existing users and new users from intervention zip codes and reference zip codes were compared
Status
Complete
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None