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Titolo:
Use and costs of ambulatory care services among medicare enrollees with schizophrenia
Autore:
Dixon, L; Lyles, A; Smith, C; Hoch, JS; Fahey, M; Postrado, L; Lucksted, A; Lehman, A;
Indirizzi:
Univ Maryland, Sch Med, Ctr Mental Hlth Serv Res, Baltimore, MD 21201 USA Univ Maryland Baltimore MD USA 21201 th Serv Res, Baltimore, MD 21201 USA Dept Vet Affairs, Capitol Hlth Care Network Mental Illness Res Educ, Baltimore, MD 21201 USA Dept Vet Affairs Baltimore MD USA 21201 Res Educ, Baltimore, MD 21201 USA Johns Hopkins Univ, Sch Publ Hlth, Baltimore, MD USA Johns Hopkins Univ Baltimore MD USA iv, Sch Publ Hlth, Baltimore, MD USA Univ Western Ontario, London, ON, Canada Univ Western Ontario London ON Canada estern Ontario, London, ON, Canada
Titolo Testata:
PSYCHIATRIC SERVICES
fascicolo: 6, volume: 52, anno: 2001,
pagine: 786 - 792
SICI:
1075-2730(200106)52:6<786:UACOAC>2.0.ZU;2-6
Fonte:
ISI
Lingua:
ENG
Soggetto:
SUBSTANCE-ABUSE; EXPENDITURES; DIAGNOSES; OUTCOMES; GENDER;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
28
Recensione:
Indirizzi per estratti:
Indirizzo: Dixon, L Univ Maryland, Sch Med, Ctr Mental Hlth Serv Res, 701 W Pratt St,Floor 4, Baltimore, MD 21201 USA Univ Maryland 701 W Pratt St,Floor 4 Baltimore MD USA 21201 1 USA
Citazione:
L. Dixon et al., "Use and costs of ambulatory care services among medicare enrollees with schizophrenia", PSYCH SERV, 52(6), 2001, pp. 786-792

Abstract

Objective: The objective of this study was to identify predictors of the use and cost of ambulatory care services among Medicare recipients with schizophrenia. Methods: The design was a cross-sectional analysis of Medicare claims in 1991, The study subjects were a 5 percent random sample of all persons in the United States who had at least one Medicare service claim in 1991 and who were diagnosed as having schizophrenia in any care setting. Outcome measures included use and cost of any ambulatory care service, individual therapy, psychiatric somatotherapy, group therapy, or family therapy. Results: For nearly 25 percent of the total sample of 12,440, no claims were filed for ambulatory care services in 1991. The mean +/- SD number of ambulatory care visits during the year was 7.9 +/- 21. The most frequently used type of therapy was individual therapy (5 +/- 14 visits). The mean +/- SD yearly cost of care for persons who received ambulatory care services was $470 +/- $1,028. Among persons under 65 years of age, Caucasians were about 1.5 times as likely as African Americans to have received an ambulatory careservice and 1.3 times as likely to have received individual therapy. Persons who were 65 or older were less likely to have received any service. Among service recipients, costs of care were lower for African Americans and for older people. Conclusions: The use of Medicare-funded ambulatory care services by persons with schizophrenia varied by race and age. Further investigation is required to determine whether subgroups of individuals who do nothave additional insurance coverage or access to services are receiving substandard care.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/01/20 alle ore 20:52:38