Table 4.
Regression analyses predicting behavioral health outpatient visits and inpatient stays in VA-purchased community care
| Characteristic | Community care inpatient stay | Community care outpatient visit | ||
|---|---|---|---|---|
| Probability | 95% CI | Probability | 95% CI | |
| Medical conditions | ||||
| Behavioral health condition group (ref=other behavioral health disorders) | ||||
| Serious mental illness | .000 | −.010, .010 | −.023 | −.026, −.021 |
| Substance use disorder | .000 | −.010, .010 | −.002 | −.005, .001 |
| Post-traumatic stress disorder | −.053 | −.065, −.042 | −.004 | −.006, −.001 |
| Personality disorders | −.117 | −.130, −.104 | −.015 | −.019, −.011 |
| Mood disorders | .037 | .027, .047 | −.002 | −.004, .001 |
| Anxiety disorders | −.066 | −.079, −.053 | −.004 | −.007, −.002 |
| Non-behavioral health specific diagnosis | N/A | N/A | −.029 | −.031, −.027 |
| Gagne physical health score | −.002 | −.002, −.001 | −.000 | −.000, −.000 |
| Sociodemographic characteristics | ||||
| Age (in years) | −.033 | −.047, −.018 | −.000 | −.002, .001 |
| Male (ref=female) | −.033 | −.047, −.018 | −.011 | −.015, −.007 |
| Race (ref=White) | ||||
| American Indian or Alaska Native | −.024 | −.039, −.009 | −.008 | −.010, −.007 |
| Asian | −.024 | −.039, −.009 | −.006 | −.010, −.002 |
| Black or African American | −.004 | −.021, .013 | −.005 | −.010, −.001 |
| Native Hawaiian or other Pacific Islander | .009 | .005, .014 | −.009 | −.010, −.007 |
| Multiple races | .002 | −.005, .009 | −.005 | −.007, −.003 |
| Non-Hispanic (ref=Hispanic) | .011 | .007, .014 | .003 | .002, .004 |
| Marital status (ref=never married) | ||||
| Married | .002 | −.002, .007 | .001 | −.004, .006 |
| Previously Married | .002 | −.002, .007 | .003 | .001, .004 |
| Not Homeless (ref=Homeless) | .019 | .016, .022 | .016 | .015, .017 |
| Access to healthcare systems | ||||
| Distance to VA Primary/Secondary Care No (<= 40 miles) (ref = Yes (>40 miles)) | −.054 | −.055, −.053 | −.032 | −.032, −.032 |
| Rurality (ref=Urban) | ||||
| Rural | −.030 | −.030, −.029 | −.005 | −.005, −.005 |
| Highly rural | −.061 | −.062, −.059 | −.007 | −.008, −.007 |
| VA priority group assignment High priority service (ref=Above annual income threshold) | .014 | .010, .018 | .001 | .001, .002 |
| Health insurance (ref=no health insurance) | −.046 | −.067, −.025 | −.004 | −.016, .008 |
| County characteristics | ||||
| VA Medical Center or Community-Based Outpatient Center (ref=no) | −.002 | −.023, .019 | .006 | −.006, .018 |
| Ratio of population to behavioral health providers | −.002 | −.023, .019 | −.002 | −.014, .010 |
| Median income | −.000 | −.030, .030 | −.001 | −.013, .012 |
| Unemployment rate | −.003 | −.060, .054 | −.000 | −.014, .013 |
| Poverty rate | −.001 | −.038, .036 | −.001 | −.016, .014 |
| Fiscal year (ref=FY2016) | ||||
| 2017 | .005 | −.006, .015 | .008 | −.005, .021 |
| 2018 | .005 | −.006, .015 | .017 | −.001, .034 |
| 2019 | −.018 | −.032, −.004 | .026 | .012, .040 |
| Intercept | −.079 | −.107, −.050 | .143 | .129, .157 |
Note: Text is bolded when p<.05.