Date of Conferral
2022
Degree
Doctor of Business Administration (D.B.A.)
School
Business Administration
Advisor
Edgar Jordan
Abstract
Heart failure (HF), the leading hospital admission diagnosis for military veteran patients discharged from a Department of Veterans Affairs (VA) hospital, is more common in patients residing in rural than urban areas. Primary care managers prioritize reducing readmissions for HF as up to 80% of health care costs for HF, projected to increase to $69.7 billion annually by 2030, incur during hospitalizations. Underpinned in Andersen’s behavioral model of health services use, the purpose of this quantitative ex post facto correlational study was to examine the relationship between residence rurality, home telehealth enrollment, and bed days of care for military veteran patients readmitted for HF. The data comprised archival routinely collected health data files (N = 1081) from the VA corporate data warehouse of military veteran patients readmitted for HF at any VA hospital in the United States during the 2017 calendar year. The results of the multiple linear regression model were statistically non-significant. A key recommendation is for VA healthcare leaders to avoid routinely referring rural and urban military veteran patients to home telehealth for HF care without a compelling clinical reason. The implications for positive social change include the potential to improve the health of military veteran patients with HF and enhance health care value, decreasing the financial burden of HF care on individuals and VA hospitals by home telehealth optimization.
Recommended Citation
Morgan, Storm Li, "Relationship Between Rurality, Home Telehealth, and Bed Days of Care for Military Veterans Readmitted for Heart Failure" (2022). Walden Dissertations and Doctoral Studies. 13613.
https://scholarworks.waldenu.edu/dissertations/13613
