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Titolo:
Service system finance: Implications for children with depression and manic depression
Autore:
Glied, S; Neufeld, A;
Indirizzi:
Columbia Univ, Mailman Sch Publ Hlth, Div Hlth Policy & Management, New York, NY 10032 USA Columbia Univ New York NY USA 10032 & Management, New York, NY 10032 USA
Titolo Testata:
BIOLOGICAL PSYCHIATRY
fascicolo: 12, volume: 49, anno: 2001,
pagine: 1128 - 1135
SICI:
0006-3223(20010615)49:12<1128:SSFIFC>2.0.ZU;2-4
Fonte:
ISI
Lingua:
ENG
Soggetto:
BEHAVIORAL HEALTH-CARE; MANAGED CARE; COST; PATTERNS;
Keywords:
finance; mental health; parity; children; insurance; DMD;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Life Sciences
Citazioni:
33
Recensione:
Indirizzi per estratti:
Indirizzo: Glied, S Columbia Univ, Mailman Sch Publ Hlth, Div Hlth Policy & Management, 600 W 168th St,6th Floor, New York, NY 10032 USA Columbia Univ 600 W 168th St,6th Floor New York NY USA 10032 USA
Citazione:
S. Glied e A. Neufeld, "Service system finance: Implications for children with depression and manic depression", BIOL PSYCHI, 49(12), 2001, pp. 1128-1135

Abstract

An estimated 6.2% of children in the United Stares satisfy the criteria for a depression diagnosis, but approximately half of this group do not receive necessary treatment. This it is important to consider potential barriersto use through sen,ice system finance. This article reviews three major types of changes affecting access: parity legislation, managed care, and public contacting. How these developments will affect children with depression and manic depression (DMD) is unclear To better understand the potential effects on children with DMD, this review uses new data from the Medical Expenditure Panel Survey to describe the service use patterns of this population. These children have higher levels of expenditures, higher rates of inpatient use, and higher rates of Medicaid payment than do other children with mental health diagnoses; they also are overrepresented among the costliest cases of mental illness in children. Children with DMD pay a relatively lowout-of-pocket share, suggesting that parity efforts focusing only on copayments and deductibles will have little effect on the absolute out of-pocketburden for these children, Because children with DMD are over-represented among high utilizers of health services, health care rationing arrangementsor techniques, such as utilization review and capitation, may place this population at particular risk. (C) 2001 Society of Bioogical Psychiatry.

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Documento generato il 29/03/20 alle ore 01:17:40