Do veterans with COVID-19 experience similar outcomes when hospitalized in Veterans Health Administration hospitals vs. community hospitals? JAMANetworkOpen covid COVID19 SARSCoV2 veterans community hospital healthcare publichealth
By Neha MathurJun 2 2023Reviewed by Lily Ramsey, LLM In a recent article published in JAMA Network Open, researchers performed a retrospective cohort study among 64,856 Veterans Health Administration enrollees aged ≥65 years to describe VHA characteristics and community hospitals delivering care for veteran coronavirus disease 2019 patients.
However, these VHA hospitals were more than one hour drive for over one-third of VHA enrollees, whereas community hospitals with acute care facilities were relatively near. They covered admissions to VHA and community hospitals, accessed via fee-for-service Medicare and Care in the Community program.
The two primary study outcomes were mortality within 30 days of hospitalization and re-admission to a hospital in 30 days after getting discharged. They used logistic regression to estimate the propensity for VHA admission rather than a community hospital. The analytic cohort of 64,856 veterans had an average age of 77.6 years. They received care for COVID-19 in 121 VHA hospitals and 4,369 community hospitals. Of 63,562 men enrolled in the VHA, 17,035 sought admissions in VHA hospitals, 36,362 in community hospitals via FFS Medicare, and 11,459 in community hospitals via the CITC program.
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