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Evaluation of a Care Coordination/Home-Telehealth Program for Veterans with Diabetes

Health Services Utilization and Health-Related Quality of Life

Veterans Affairs Health Services Research and Development/Rehabilitation Research and Development, Rehabilitation Outcomes Research Center, & Veterans Affairs Health Services Research and Development Stroke QUERI, North Florida/South Georgia Veterans Health System & University of Florida

Britta Neugaard

University of Florida

Rita Kobb

Patricia Ryan

Veterans Health Administration Office of Care Coordination

Haijing Qin

Veterans Affairs Health Services Research and Development/Rehabilitation Research and Development, Rehabilitation Outcomes Research Center, North Florida/ South Georgia Veterans Health System

Yongsung Joo

Veterans Affairs Health Services Research and Development/Rehabilitation Research and Development, Rehabilitation Outcomes Research Center, North Florida/ South Georgia Veterans Health System & University of Florida

We evaluated a Veterans Health Administration (VHA) care coordination/ hometelehealth (CC/HT) programon the utilization of health care services and health-related quality of life (HRQL) in veterans with diabetes. Administrative records of 445 veterans with diabetes were reviewed to compare health care service utilization in the 1-year period before and 1-year period postenrollment and also examined self-reported HRQL at enrollment and 1 year later. Multivariate analyses indicated a statistically significant reduction in the proportion of patients who were hospitalized (50% reduction), emergency room use (11% reduction), reduction in the average number of bed days of care (decreased an average of 3.0 days), and improvement in the HRQL role-physical functioning, bodily pain, and social functioning. The results need to be interpreted with caution because we used a single-group study design that may be influenced by regression to the mean. Ideally, future research should use a randomized controlled trial design.

Key Words: diabetes • coordinated care • home-telehealth

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