Table 1.
Veterans with primary care | Veterans with no PACT social work encounter at participating sites | Veterans at participating sites with 1 + social work encounters | |
---|---|---|---|
No. veterans | 507,329 (100.00%) | 463,609 (100.00%) | 43,720 (100.00%) |
One or more social work encounters | 43,720 (8.62%) | 0 (0.00%) | 43,720 (100.00%) |
Number of social work encounters | 0.15 (0.75) | 0 (0.00%) | 1.79 (1.91) |
Age | 64.76 (15.92) | 64.41 (15.89) | 68.52 (15.75) |
Over age 75 | 139,358 (27.47%) | 123,398 (26.62%) | 15,960 (36.51%) |
Male | 475,440 (93.71%) | 434,732 (93.77%) | 40,708 (93.11%) |
Female | 31,889 (6.29%) | 28,877 (6.23%) | 3,012 (6.89%) |
Race | |||
Asian or Pacific Islander | 2,860 (0.56%) | 2,656 (0.57%) | 204 (0.47%) |
Black | 39,645 (7.81%) | 35,616 (7.68%) | 4,029 (9.22%) |
Other race | 10,213 (2.01%) | 9,276 (2.00%) | 937 (2.14%) |
White | 418,109 (82.41%) | 382,719 (82.55%) | 35,390 (80.95%) |
Rural or highly rural | 315,623 (62.21%) | 289,053 (62.35%) | 26,570 (60.77%) |
Enrollment group: >70% services-connected disability | 194,110 (38.26%) | 177,240 (38.23%) | 16,870 (38.59%) |
Hypertension | 279,758 (55.14%) | 254,753 (54.95%) | 25,005 (57.19%) |
Congestive heart failure | 27,655 (5.45%) | 22,433 (4.84%) | 5,222 (11.94%) |
Diabetes mellitus | 123,621 (24.37%) | 110,651 (23.87%) | 12,970 (29.67%) |
Tumor | 36,304 (7.16%) | 32,059 (6.92%) | 4,245 (9.71%) |
Homeless or unstably housed | 11,648 (2.30%) | 8,075 (1.74%) | 3,573 (8.17%) |
Dementia | 11,252 (2.22%) | 7,634 (1.65%) | 3,618 (8.28%) |
Psychiatric diagnosis | 173,829 (34.26%) | 155,126 (33.46%) | 18,703 (42.78%) |
Substance use disorder | 44,540 (8.78%) | 39,086 (8.43%) | 5,454 (12.47%) |
Elixhauser index | 2.45 (2.13) | 2.36 (2.03) | 3.45 (2.80) |
Current smoker | 15,887 (3.13%) | 13,624 (2.94%) | 2,263 (5.18%) |
CAN score >95 | 19,612 (3.87%) | 13,861 (2.99%) | 5,751 (13.15%) |
Acute hospital admission, Previous 30 days | 3,183 (0.63%) | 2,172 (0.47%) | 1,011 (2.31%) |
Acute hospital admission, previous 12 months | 15,153 (2.99%) | 11,812 (2.55%) | 3,341 (7.64%) |
Emergency department use, previous 30 days | 29,935 (5.90%) | 24,594 (5.30%) | 5,341 (12.22%) |
Emergency department use, previous 12 months | 125,945 (24.83%) | 109,093 (23.53%) | 16,852 (38.55%) |
CAN, care assessment needs score, a percentile rank of the risk of hospital admission or mortality.