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An economic evaluation of inpatient residential treatment programs in the Department of Veterans Affairs.
Med Care Res Rev. 2005 Apr; 62(2):187-204.MC

Abstract

The Veterans Health Administration (VA) established psychosocial residential rehabilitation treatment programs (RTPs) to treat eligible veterans who have psychiatric and substance use disorders in a less intensive and more self-reliant inpatient setting. Forty-two (25 percent) VA medical centers adopted RTPs in 1995. Panel regression models using data from 1993 through 1999 indicated that RTPs were associated with 8.6 and 24.4 percent decreases in the average cost per day for inpatient psychiatry and substance use care, respectively. During this time, VA transitioned much of the inpatient mental health care to ambulatory services. Yet medical centers with RTPs had smaller decreases in the number of inpatient patient days than those without RTPs. Because medical centers with RTPs provided more services, this offset the per diem savings, resulting in no significant differences in total costs between medical centers with and without RPTs.

Authors+Show Affiliations

VA Palo Alto Health Care System, Stanford University, Stanford, CA, USA.No affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

15750176

Citation

Wagner, Todd H., and Shuo Chen. "An Economic Evaluation of Inpatient Residential Treatment Programs in the Department of Veterans Affairs." Medical Care Research and Review : MCRR, vol. 62, no. 2, 2005, pp. 187-204.
Wagner TH, Chen S. An economic evaluation of inpatient residential treatment programs in the Department of Veterans Affairs. Med Care Res Rev. 2005;62(2):187-204.
Wagner, T. H., & Chen, S. (2005). An economic evaluation of inpatient residential treatment programs in the Department of Veterans Affairs. Medical Care Research and Review : MCRR, 62(2), 187-204.
Wagner TH, Chen S. An Economic Evaluation of Inpatient Residential Treatment Programs in the Department of Veterans Affairs. Med Care Res Rev. 2005;62(2):187-204. PubMed PMID: 15750176.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - An economic evaluation of inpatient residential treatment programs in the Department of Veterans Affairs. AU - Wagner,Todd H, AU - Chen,Shuo, PY - 2005/3/8/pubmed PY - 2005/5/25/medline PY - 2005/3/8/entrez SP - 187 EP - 204 JF - Medical care research and review : MCRR JO - Med Care Res Rev VL - 62 IS - 2 N2 - The Veterans Health Administration (VA) established psychosocial residential rehabilitation treatment programs (RTPs) to treat eligible veterans who have psychiatric and substance use disorders in a less intensive and more self-reliant inpatient setting. Forty-two (25 percent) VA medical centers adopted RTPs in 1995. Panel regression models using data from 1993 through 1999 indicated that RTPs were associated with 8.6 and 24.4 percent decreases in the average cost per day for inpatient psychiatry and substance use care, respectively. During this time, VA transitioned much of the inpatient mental health care to ambulatory services. Yet medical centers with RTPs had smaller decreases in the number of inpatient patient days than those without RTPs. Because medical centers with RTPs provided more services, this offset the per diem savings, resulting in no significant differences in total costs between medical centers with and without RPTs. SN - 1077-5587 UR - https://www.unboundmedicine.com/medline/citation/15750176/An_economic_evaluation_of_inpatient_residential_treatment_programs_in_the_Department_of_Veterans_Affairs_ DB - PRIME DP - Unbound Medicine ER -