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Table 3 Adjusted Utilization and Expenditures of CBOC, VAMC and Crossover Patients in 2000–2001

From: Utilization and expenditures of veterans obtaining primary care in community clinics and VA medical centers: an observational cohort study

 

Odds Ratio (for two-part models only)

Difference in predicted Visits or admissions per patient per year

Difference in Predicted Expenditures Per Patient Per Year

 

CBOC

Crossover

CBOC

Crossover

CBOC

Crossover

Outpatient

      

   Primary Carea

--

--

0.10 (0.03)***

1.34 (0.04)***

-71 (5)***

130 (6)***

   Specialty Careb

0.46 (0.01)***

1.10 (0.03)

-1.42 (0.07)***

-0.10 (0.08)

-339 (33)***

60 (47)

   Mental Healthb

0.78 (0.02)***

1.14 (0.03)***

-1.85 (0.35)***

-0.60 (0.35).

-282 (43)***

-78 (47).

   Pharmacya

--

--

--

--

-81 (20)***

103 (17)***

   Radiologyb

0.41 (0.01)***

1.05 (0.02)*

-0.39 (0.02)***

0.03 (0.03)

-58 (14)***

34 (8)***

   Laboratoryb

0.45 (0.01)***

0.90 (0.03)***

-0.41 (0.04)***

0.31 (0.04)***

-34 (4)***

29 (16).

Total Outpatienta

--

--

--

--

-923 (39)***

364 (52)***

Inpatientb

0.48 (0.02)***

1.08 (0.03)

-0.12 (0.04)***

0.01 (0.03)

-109 (577)

81 (497)

OVERALLa

--

--

--

--

-1551 (70)***

491 (91)***

   Sample Size

126,956

Variable

Variable

  1. Reference Group is VAMC patients; ***P-value < 0.0001, **P-value < 0.001, *P-value < 0.01;
  2. Utilization and expenditure regressions control for age, age-squared, female gender, age and gender interaction, marital status, race, veteran percent service connection, distance, DCG risk score, copay status and time (2000);
  3. All analyses were adjusted for sampling weights;
  4. a – one-part models of utilization and costs estimated on the entire sample and odds of use was not estimated
  5. b – two-part models of utilization and costs estimated on veterans with use > 0 and odds of use estimated on entire sample