Janet R Hankin
Dados Biográficos
| ID | 360698 |
|---|---|
| NOME | Janet R Hankin |
| PRENOMES | Janet R |
| SOBRENOME | Hankin |
| ASSINATURA | HANKIN J R |
| AFILIAÇÕES | Johns Hopkins University |
| ORCID | 0000-0001-8309-7722 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 15 |
| TOTAL DE CITAÇÕES | 31 |
| TOTAL COMO AUTOR | 15 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1980 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2010 |
| ÍNDICE H | 4 |
Reflections on Fifty Years of Medical Sociology
Executive Summary
For much of 2009 and early 2010, discussions of health care policies dominated national discourse in the United States. The prolonged and often acrimonious debates brought into sharp focus the enormous, complex, and highly fragmented system that provides health care in the United States. Considerable attention was also devoted to demonstrating the advanced state of this country’s medical knowledge, technology, and health services. The debates als…
Short Term Drug Abuse Treatment Costs and Utilization
OBJECTIVES: This report investigates three aspects of drug abuse treatment costs, with special emphasis on systematic differences among employers: (1) predictors of drug abuse treatment costs; (2) differentials in drug abuse treatment costs across employers; and (3) differential impacts of patient and employer characteristics on drug abuse treatment costs. METHODS: The study used multiple regression analysis of behavioral cost functions. It decom…
An Analysis of Short-Term Alcoholism Treatment Cost Functions
A number of alcohol treatment studies have documented variations in the average cost of treating alcoholics. However, these studies have provided little explanation for these variations. In this study, three major issues in the measurement of alcoholism treatment costs are investigated: 1) choice of treatment location, i.e., inpatient versus outpatient; 2) interaction of treatment locations in the estimation of costs; 3) impact of type of alcohol…
A Discrete Choice Model of Alcoholism Treatment Location
In this study, a discrete choice model of alcoholism treatment location, with special emphasis on the roles of comorbidities is considered. Three specific questions are addressed: 1) what demographic and health factors have significant impacts on treatment location for both short- and long-term alcoholism and nonalcoholism treatments?; 2) how does the impact of alcohol dependence differ from the impact of alcohol abuse, on probabilities of short-…
Family Health
The purpose of this study was to determine the extent to which members of families have similar and interralated health behavior. Utilization and morbidity data from more than 80,000 ambulatory visits by 693 families enrolled in a prepaid health plan for 6 consecutive years were examined using family membership as the major unit of analysis. Family members were found to resemble one another in their rates of use of services (r = 0.44; P< 0.001). …
III Health and Use of Medical Care; Community-Based Assessment of Morbidity in Children
The purpose of this study was to assess the relationship between morbidity and ambulatory care utilization in a randomly selected sample of children with stable patterns of use of services in a prepaid multispecialty group practice. The unique features of the approach were a focus on long-term relationships (over 8 years) and on assessment of health status by a combination of parent reports, child reports, teacher reports, and physical examinatio…
Rethinking general practice
Elderly Jews and happiness with locale
The bonds between people and their residential environments
A Longitudinal Study of Offset in the Use of Nonpsychiatric Services Following Specialized Mental Health Care
This study examines the use of nonpsychiatric services by mentally ill persons following the receipt of specialized mental health care, frequently referred to as the "offset effect." A total of 9,761 persons enrolled during 1975 in the Columbia Medical Plan, a prepaid group practice in Columbia, Maryland, were studied over a 5-year period. Enrollees were classified into three groups: Treated--mental disorder diagnosis in 1975 and specialized ment…
The persistence of depressive symptomatology among prepaid group practice enrollees
This exploratory study examines the persistence of depressive symptomatology as measured by the Center for Epidemiological Studies Depressive Scale (CES-D). Over as 12-month period, half of the group of 309 prepaid group practice enrollees reporting depressive symptoms at the beginning of the interval also had high scores on the CES-D at the end of the interval. Sociodemographic characteristics did not predict persistence of depression. Persisten…
Episodes of Psychiatric Care and Medical Utilization
This study examines the reduction in medical care utilization after mental health treatment, also known as the offset effect. With data from a computerized ambulatory care information system, an episode-of-care method is used to characterize the mental health care received by patients in a prepaid group practice. The characteristics of the psychiatric episodes, such as duration, type of therapy, and number of visits, are examined in relation to t…
The Impact on Utilization of a Copayment Increase for Ambulatory Psychiatric Care
The impact of a copayment increase on the utilization of psychiatric services in a prepaid group practice program is examined. Data are presented on utilization at the Columbia Medical Plan (Columbia, Maryland) two years before and two years after the copayment increase. There was a highly transient response to the increse in the copayment for psychiatric care. The year of the copayment increase was characterized by a small decline in the proport…
Episodes of Psychiatric Utilization
The continued growth of outpatient psychiatric care has been accompanied by a large number of research studies concerning the determinants of psychiatric utilization. One of the major limitations of these efforts has been the inability to go beyond distributional data on the use of services. This article describes a methodology for generating episodes of psychiatric care given a data set with a small amount of routinely collected data present in …
The persistence of depressive symptomatology among prepaid group practice enrollees
This exploratory study examines the persistence of depressive symptomatology as measured by the Center for Epidemiological Studies Depressive Scale (CES-D). Over as 12-month period, half of the group of 309 prepaid group practice enrollees reporting depressive symptoms at the beginning of the interval also had high scores on the CES-D at the end of the interval. Sociodemographic characteristics did not predict persistence of depression. Persisten…
Rethinking general practice
Executive Summary
For much of 2009 and early 2010, discussions of health care policies dominated national discourse in the United States. The prolonged and often acrimonious debates brought into sharp focus the enormous, complex, and highly fragmented system that provides health care in the United States. Considerable attention was also devoted to demonstrating the advanced state of this country’s medical knowledge, technology, and health services. The debates als…
Reflections on Fifty Years of Medical Sociology
Elderly Jews and happiness with locale
The bonds between people and their residential environments
The Impact on Utilization of a Copayment Increase for Ambulatory Psychiatric Care
The impact of a copayment increase on the utilization of psychiatric services in a prepaid group practice program is examined. Data are presented on utilization at the Columbia Medical Plan (Columbia, Maryland) two years before and two years after the copayment increase. There was a highly transient response to the increse in the copayment for psychiatric care. The year of the copayment increase was characterized by a small decline in the proport…
Episodes of Psychiatric Utilization
The continued growth of outpatient psychiatric care has been accompanied by a large number of research studies concerning the determinants of psychiatric utilization. One of the major limitations of these efforts has been the inability to go beyond distributional data on the use of services. This article describes a methodology for generating episodes of psychiatric care given a data set with a small amount of routinely collected data present in …
The persistence of depressive symptomatology among prepaid group practice enrollees
This exploratory study examines the persistence of depressive symptomatology as measured by the Center for Epidemiological Studies Depressive Scale (CES-D). Over as 12-month period, half of the group of 309 prepaid group practice enrollees reporting depressive symptoms at the beginning of the interval also had high scores on the CES-D at the end of the interval. Sociodemographic characteristics did not predict persistence of depression. Persisten…
Episodes of Psychiatric Care and Medical Utilization
This study examines the reduction in medical care utilization after mental health treatment, also known as the offset effect. With data from a computerized ambulatory care information system, an episode-of-care method is used to characterize the mental health care received by patients in a prepaid group practice. The characteristics of the psychiatric episodes, such as duration, type of therapy, and number of visits, are examined in relation to t…
A Longitudinal Study of Offset in the Use of Nonpsychiatric Services Following Specialized Mental Health Care
This study examines the use of nonpsychiatric services by mentally ill persons following the receipt of specialized mental health care, frequently referred to as the "offset effect." A total of 9,761 persons enrolled during 1975 in the Columbia Medical Plan, a prepaid group practice in Columbia, Maryland, were studied over a 5-year period. Enrollees were classified into three groups: Treated--mental disorder diagnosis in 1975 and specialized ment…
Elderly Jews and happiness with locale
The bonds between people and their residential environments
III Health and Use of Medical Care; Community-Based Assessment of Morbidity in Children
The purpose of this study was to assess the relationship between morbidity and ambulatory care utilization in a randomly selected sample of children with stable patterns of use of services in a prepaid multispecialty group practice. The unique features of the approach were a focus on long-term relationships (over 8 years) and on assessment of health status by a combination of parent reports, child reports, teacher reports, and physical examinatio…
Rethinking general practice
Family Health
The purpose of this study was to determine the extent to which members of families have similar and interralated health behavior. Utilization and morbidity data from more than 80,000 ambulatory visits by 693 families enrolled in a prepaid health plan for 6 consecutive years were examined using family membership as the major unit of analysis. Family members were found to resemble one another in their rates of use of services (r = 0.44; P< 0.001). …
An Analysis of Short-Term Alcoholism Treatment Cost Functions
A number of alcohol treatment studies have documented variations in the average cost of treating alcoholics. However, these studies have provided little explanation for these variations. In this study, three major issues in the measurement of alcoholism treatment costs are investigated: 1) choice of treatment location, i.e., inpatient versus outpatient; 2) interaction of treatment locations in the estimation of costs; 3) impact of type of alcohol…
A Discrete Choice Model of Alcoholism Treatment Location
In this study, a discrete choice model of alcoholism treatment location, with special emphasis on the roles of comorbidities is considered. Three specific questions are addressed: 1) what demographic and health factors have significant impacts on treatment location for both short- and long-term alcoholism and nonalcoholism treatments?; 2) how does the impact of alcohol dependence differ from the impact of alcohol abuse, on probabilities of short-…
Short Term Drug Abuse Treatment Costs and Utilization
OBJECTIVES: This report investigates three aspects of drug abuse treatment costs, with special emphasis on systematic differences among employers: (1) predictors of drug abuse treatment costs; (2) differentials in drug abuse treatment costs across employers; and (3) differential impacts of patient and employer characteristics on drug abuse treatment costs. METHODS: The study used multiple regression analysis of behavioral cost functions. It decom…
Reflections on Fifty Years of Medical Sociology
Executive Summary
For much of 2009 and early 2010, discussions of health care policies dominated national discourse in the United States. The prolonged and often acrimonious debates brought into sharp focus the enormous, complex, and highly fragmented system that provides health care in the United States. Considerable attention was also devoted to demonstrating the advanced state of this country’s medical knowledge, technology, and health services. The debates als…
Medicine (13 obras) · Psychiatry (9 obras) · Psychology (9 obras) · Health care (7 obras) · Healthcare Policy and Management (6 obras) · Political science (4 obras) · Sociology (4 obras) · Economics (3 obras) · Family medicine (3 obras) · Geography (3 obras)