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Department of Veterans Affairs-Medicare dual beneficiaries with stroke: Where do they get care?

Yujing Shen, PhD, et al.

Figure. Cross-system use during 1-year follow-up after initial stroke hospitalization (n = 6,699).

Where do veterans receive care after they have a stroke: a community hospital that is reimbursed by  Medicare, a Department of Veterans Affairs (VA) hospital, or some combination of both? We found that veterans who were white, married, female, or living farther from a VA hospital were more likely to use a community hospital first. These veterans then used both VA and community hospitals for their ongoing care in the year after their stroke. This combined use of care systems means that coordination of care across and between the two systems must be addressed.


Volume 45 Number 1, 2008
   Pages 43 — 52

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