Context: To identify VA and non-VA Emergency Department (ED) and hospital utilization by veterans with spinal cord injury and disorders (SCI/D) in California.

Design: Retrospective cohort study.

Setting: VA and Office of Statewide Health Planning and Development (OSHPD) in California.

Participants: Total 300 veterans admitted to the study VA SCI/D Center for initial rehabilitations from 01/01/1999 through 08/17/2014.

Interventions: N/A.

Outcome Measures: Individual-level ED visits and hospitalizations during the first-year post-rehabilitation.

Results: Among 145 veterans for whom ED visit data available, 168 ED visits were identified: 94 (55.2%) at non-VA EDs and 74 (44.8%) at the VA ED, with a mean of 1.16 (±2.21) ED visit/person. Seventy-seven (53.1%) veterans did not visit any ED. Of 68 (46.9%) veterans with ≥ one ED visit, 20 (29.4%) visited the VA ED only, 34 (50.0%) visited non-VA EDs only, and 14 (20.6%) visited both VA and non-VA EDs. Among 212 Veterans for whom hospitalization data were available, 247 hospitalizations were identified: 82 (33.2%) non-VA hospitalizations and 165 (66.8%) VA hospitalization with a mean of 1.17 (±1.62) hospitalizations/person. One hundred-seven (50.5%) veterans had no hospitalizations. Of 105 veterans with ≥ one hospitalization, 58 (55.2%) were hospitalized at the study VA hospital, 15 (14.3%) at a non-VA hospital, and 32 (30.5%) at both VA and non-VA hospitals.

Conclusion: Non-VA ED and hospital usage among veterans with SCI/D occurred frequently. The acquisition of non-VA healthcare data managed by state agencies is vital to accurately and comprehensively evaluate needs and utilization rates among veteran populations.

背景：确定加利福尼亚州脊髓损伤和疾病 (SCI/D) 退伍军人对 VA 和非 VA 急诊科 (ED) 和医院的使用情况。

设计：回顾性队列研究。

地点：弗吉尼亚州和加利福尼亚州的全州卫生规划与发展办公室 (OSHPD) 。

参与者：从 1999 年 1 月 1 日到 2014 年 8 月 17 日，共有 300 名退伍军人进入研究 VA SCI/D 中心进行初步康复。

干预措施：不适用。

结果测量：康复后第一年的个人级 ED 就诊和住院治疗。

结果：在有 ED 就诊数据的 145 名退伍军人中，确定了 168 次 ED 就诊：非 VA ED 94 人（55.2%），VA ED 74 人（44.8%），平均 1.16（±2.21）次 ED 就诊/人. 七十七名 (53.1%) 的退伍军人没有去过任何急诊室。在 68 名 (46.9%) 的 68 名 (46.9%) 退伍军人中，有 20 名 (29.4%) 只访问了 VA ED，34 名 (50.0%) 只访问了非 VA ED，14 名 (20.6%) 访问了 VA 和非 VA ED . 在可获得住院数据的 212 名退伍军人中，确定了 247 人住院：82 人（33.2%）非退伍军人住院和 165 人（66.8%）退伍军人住院，平均每人 1.17（±1.62）次住院。一百七名（50.5%）退伍军人没有住院。在 ≥ 1 次住院的 105 名退伍军人中，58 人 (55.2%) 在研究 VA 医院住院，15 人 (14.3%) 在非 VA 医院住院，32 人 (30.

结论： SCI/D退伍军人中非VA ED和医院使用频繁发生。获取由州机构管理的非退伍军人医疗保健数据对于准确、全面地评估退伍军人的需求和利用率至关重要。