Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Characteristics and service use patterns of nonelderly medicare beneficiaries with schizophrenia
Autore:
Yanos, PT; Crystal, S; Kumar, R; Walkup, JT;
Indirizzi:
Univ Med & Dent New Jersey, New Jersey Med Sch, Dept Psychiat, Newark, NJ 07103 USA Univ Med & Dent New Jersey Newark NJ USA 07103 hiat, Newark, NJ 07103 USA
Titolo Testata:
PSYCHIATRIC SERVICES
fascicolo: 12, volume: 52, anno: 2001,
pagine: 1644 - 1650
SICI:
1075-2730(200112)52:12<1644:CASUPO>2.0.ZU;2-X
Fonte:
ISI
Lingua:
ENG
Soggetto:
MENTAL-HEALTH-SERVICES; DIAGNOSES; DELIVERY; CLAIMS; CARE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
20
Recensione:
Indirizzi per estratti:
Indirizzo: Yanos, PT Rutgers State Univ, Inst Hlth Hlth Care Policy & Aging Res, 30 Coll Ave, New Brunswick, NJ 08901 USA Rutgers State Univ 30 Coll Ave New Brunswick NJ USA 08901 01 USA
Citazione:
P.T. Yanos et al., "Characteristics and service use patterns of nonelderly medicare beneficiaries with schizophrenia", PSYCH SERV, 52(12), 2001, pp. 1644-1650

Abstract

Objective: The authors sought to describe the characteristics of nonelderly Medicare beneficiaries who have a diagnosis of schizophrenia and to assess the impact of Medicare financing on set-Nice quality by comparing serviceuse among individuals who were enrolled only in Medicare and those who were enrolled in both Medicare and Medicaid. The authors hypothesized that persons who received only Medicare benefits would use proportionally fewer psychosocial services and less antipsychotic medication than individuals who were dually enrolled. Methods: Data were drawn from the Medicare Current Beneficiary Survey (MCBS). The study sample consisted of 257 individuals younger than age 65 who were included in the 1995 MCBS sample and NN-ho had one inpatient or two outpatient claims for schizophrenia between 1992 and 1996. The variables examined were demographic characteristics, comorbid psychiatric and substance use disorders, activities of daily living, instrumental activities of daily living, self-reported use of prescribed antipsychotic medication, and claims for psychosocial services. A multivariate analysis vasalso conducted to predict the use of antipsychotic medication froth demographic and health status variables. Results: Dually, enrolled beneficiaries were significantly more likely to be receiving antipsychotic medication than Medicare-only beneficiaries, even Ni,hen the analysis controlled for demographic characteristics, health status, and comorbidity. No significant differences were found in the use of psychosocial services. Conclusions: The findings were consistent with tile hypothesis that Medicare financing, whichrestricts access to many mental health services, is not conducive to good community care for persons with schizophrenia.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 26/01/20 alle ore 00:57:25