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Predictors of discharge from the VA Caregiver Support Program
Courtney Harold Van Houtven1, Valerie A Smith, Theodore S Z Berkowitz
1Durham ADAPT, 411 W Chapel Hill St, Ste 600, Durham, NC 27701.
The American Journal of Managed Care
|August 18, 2022
Summary
Caregiver discharge rates from the VA
Area of Science:
- Health Services Research
- Veterans Affairs Healthcare
- Caregiver Support Programs
Background:
- The VA Program of Comprehensive Assistance for Family Caregivers (PCAFC) supports caregivers of veterans with service-related injuries.
- Program discharge criteria and rates have faced scrutiny, leading to a discharge freeze.
- PCAFC expanded to include pre-9/11 veterans, necessitating an understanding of past program dynamics.
Purpose of the Study:
- To analyze discharge rates and reasons within the PCAFC.
- To identify factors associated with veteran-caregiver discharge nationally.
- To examine variations in discharge predictors across different VA networks.
Main Methods:
- Retrospective observational study utilizing VA administrative data from FY 2011–2017.
- Multivariable Cox proportional hazards regression analysis to identify discharge predictors.
- Examination of veteran and caregiver characteristics by discharge status.
Main Results:
- 40.5% of participants were discharged from the PCAFC.
- Non-spouse caregivers and later applicants had higher discharge rates.
- Disparities in discharge rates were observed for caregivers of Black veterans compared to White veterans in some networks.
- Significant network variation in discharge predictors was identified.
Conclusions:
- Training on appropriate discharge criteria can enhance clinical practice.
- Addressing identified disparities may improve equity in caregiver support.
- Understanding discharge patterns is crucial for the ongoing PCAFC program, including its expansion.
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