PMID: 9659851Jul 11, 1998Paper

Expenditures for the treatment of major depression

The American Journal of Psychiatry
K RostG R Smith

Abstract

Health policy makers lack accurate information about per capita spending for the treatment of major depression, the distribution of those expenditures, and the proportion of the health care dollar consumed by depression treatment. The authors recruited and followed a community cohort of individuals with major depression; the 298 subjects were either enrolled in fee-for-service insurance plans or self-insured. Charges for all health care services received during the year following baseline were abstracted from medical and insurance records. Over the course of 1 year, 48.1% of the subjects received depression treatment. The per capita total expenditure for inpatient and outpatient depression treatment averaged $631, with a median of $152, for the treated subjects. Just 4.9% of the treated subjects consumed 45.0% of the outpatient expenditures. Depression treatment consumed only 8 cents of every health care dollar spent on the patients treated for depression. Studies are needed to examine how the level and distribution of expenditures for depression treatment change under managed care and to determine whether and how any differences affect outcomes in the afflicted population. Managed care attempts to contain costs by limiting out...Continue Reading

Citations

Apr 20, 2005·Journal of General Internal Medicine·Roger G KatholWilliam Gold
Nov 24, 1999·The Journal of Behavioral Health Services & Research·B J CuffelH Schlesinger
Jan 7, 2010·The Journal of Behavioral Health Services & Research·Stanley XuL Miriam Dickinson
Nov 16, 2013·The Psychiatric Clinics of North America·Kara ZivinOla Rostant
Jul 26, 2000·The Psychiatric Clinics of North America·G N McNeil
Jul 25, 2013·Journal of Affective Disorders·Catherine TunnardAnthony J Cleare
Apr 11, 2002·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·K RostG R Smith
Sep 15, 2005·Acta Psychiatrica Scandinavica·G S MalhiP B Mitchell
Sep 11, 2002·Medical Care Research and Review : MCRR·Kathryn RostJeffrey Smith
Mar 23, 2011·Journal of Women's Health·Kathryn RostJeffrey Harman
Feb 13, 2007·Administration and Policy in Mental Health·John FortneyKathryn Rost
May 2, 2002·The British Journal of Psychiatry : the Journal of Mental Science·John M EaglesSimon A Naji
Jun 16, 2004·European Psychiatry : the Journal of the Association of European Psychiatrists·Timothy PetersenAndrew A Nierenberg

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