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Medical Service Use (medical + service_use)
Selected AbstractsDeterminants of service use among the elderly: the Sydney Older Persons StudyAUSTRALASIAN JOURNAL ON AGEING, Issue 2 2002G.A. Broe Objectives: To examine the determinants of service use in a community dwelling sample aged 75 or over. Methods: Subjects (n = 537) were interviewed about use of community and medical services and the provision of unpaid support from their social network. Measures of disease and disability, detailed network support data and factors that may either enable or predispose subjects to service use were obtained and their prediction of service use examined. Results: Unpaid support and community service use were predicted predominantly by disability, with disease providing little additional prediction. Medical service use was predicted by both disease and disability. With disease and disability controlled for, other variables did not significantly predict medical service use or unpaid support; but did predict small additional variation in some community service use. Conclusions: Disability and disease are the major determinants of service use with other factors contributing to the use of some community services. [source] The dependent patient in a psychiatric inpatient setting: Relationship of interpersonal dependency to consultation and medication frequenciesJOURNAL OF CLINICAL PSYCHOLOGY, Issue 3 2001Richard M. O'Neill To examine the relationship between interpersonal dependency and medical service use in a hospital setting, the number of medical consultations and psychotropic medication prescriptions were compared in matched, mixed-sex samples of 40 dependent and 40 nondependent psychiatric inpatients. Results indicated that dependent patients received more medical consultations and a greater number of medications than did nondependent patients with similar demographic and diagnostic profiles. Implications of these results for theoretical models of interpersonal dependency and for previous research on the dependency,help-seeking relationship are discussed. Practical implications of these findings for work with dependent patients are summarized. © 2001 John Wiley & Sons, Inc. J Clin Psychol 57: 289,298, 2001. [source] What should non-US behavioral health systems learn from the USA?: US behavior health services trends in the 1980s and 1990sPSYCHIATRY AND CLINICAL NEUROSCIENCES, Issue 3 2006YASUHIRO KISHI md Abstract Several countries, such as the USA, inadvertently created a different behavioral health payment system from the rest of medicine through the introduction of diagnostic-related group exemptions for psychiatric care. This led to isolation in the administration and delivery of care for patients with mental health and substance abuse disorders from other medical services with significant, yet unintended, consequences. To insure an efficient and effective health-care system, it is necessary to recognize the problems introduced by segregating behavioral health from the rest of medical care. In this review, the authors assess trends in behavioral health services during the last two decades in the USA, a period in which independently managed behavioral health care has dominated administrative practices. During this time, behavioral health has been an easy target for aggressive cost cutting measures. There have been no clinically significant improvements in the number of adults receiving minimally adequate treatment or in the percentage of the population with behavior health problems receiving psychiatric care with the possible exception of depression. While decreased spending for behavioral health services has been well documented during this period, these savings are offset by costs shifted to greater medical service use with a net increase in the total cost of health care. Targeting behavioral health for reduction in health-care spending through independent management, starting with diagnostic procedure code or diagnostic-related group exemption may not be the wisest approach in addressing the increasing fiscal burden that medical care is placing on the national economy. [source] Determinants of service use among the elderly: the Sydney Older Persons StudyAUSTRALASIAN JOURNAL ON AGEING, Issue 2 2002G.A. Broe Objectives: To examine the determinants of service use in a community dwelling sample aged 75 or over. Methods: Subjects (n = 537) were interviewed about use of community and medical services and the provision of unpaid support from their social network. Measures of disease and disability, detailed network support data and factors that may either enable or predispose subjects to service use were obtained and their prediction of service use examined. Results: Unpaid support and community service use were predicted predominantly by disability, with disease providing little additional prediction. Medical service use was predicted by both disease and disability. With disease and disability controlled for, other variables did not significantly predict medical service use or unpaid support; but did predict small additional variation in some community service use. Conclusions: Disability and disease are the major determinants of service use with other factors contributing to the use of some community services. [source] | ||||||||||