Talk to the Veterans Crisis Line now
U.S. flag
An official website of the United States government

Health Services Research & Development

Go to the ORD website
Go to the QUERI website

HSR&D Citation Abstract

Search | Search by Center | Search by Source | Keywords in Title

Intensity of follow-up care to inpatient detoxification: The relative impact of domiciliary care in Veterans' Health Administration

Lotchin T, Gardner J, Hendricks A, MacDonald J. Intensity of follow-up care to inpatient detoxification: The relative impact of domiciliary care in Veterans' Health Administration. Bedford, MA: HCFE; 2004 Mar 31. 1-22 p. Report No.: HCFE Working Paper No. 2004-04.

Related HSR&D Project(s)


OBJECTIVES: To quantify the impact of resource-intensive treatment programs on veterans' healthcare utilization following inpatient detoxification. METHODS: All veterans receiving inpatient detoxification in a Veterans' Administration (VA) Medical Center during FY1998 were grouped based on the follow-up care they received. Healthcare utilization was characterized using administrative databases and a standard survival analysis. RESULTS: Veterans discharged from the VA who received follow-up care through a domiciliary program were significantly less likely to be rehospitalized in the VA within 12 months of their domiciliary discharge than veterans receiving only outpatient follow-up care following their detoxification discharge. Almost two-thirds (63.7%) of veterans receiving outpatient follow-up had an inpatient admission in the 12 months following detoxification compared to 57.1% of veterans who received care in a domiciliary. Further, remaining in the domiciliary programs more than 3 to 4 months approximately doubled the likelihood that the patient would not be rehospitalized, controlling for population characteristics. CONCLUSIONS: The VA's domiciliary follow-up program extends the period of time to an acute hospitalization not only for the time of the domiciliary stay itself but also following discharge. A longer follow-up period is needed to capture the pattern of hospitalizations for veterans receiving domiciliary care.

Questions about the HSR&D website? Email the Web Team.

Any health information on this website is strictly for informational purposes and is not intended as medical advice. It should not be used to diagnose or treat any condition.