An Analysis of Panel Data
The Impact of a Psychiatric Consultation Letter on the Expenditures and Outcomes of Care for Patients With Somatization Disorder
Bibliographic Data
| ID | 9098058 |
|---|---|
| Authors | T MICHAEL KASHNER (The University of Texas Southwestern Medical Center, corresponding author), Kathryn Rost (University of Arkansas for Medical Sciences), Glen Smith (0000-0002-7594-4386, University of Arkansas for Medical Sciences), G RICHARD SMITH, Sandra Lewis (0009-0005-0175-2591, Dallas VA Medical Center) |
| Year | 1992 |
| Volume | 30 |
| Issue | 9 |
| Pages | 811-821 |
| Publication date | 1992-09-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00005650-199209000-00005 |
| OpenAlex | W4296577484 |
| Language | EN |
| Citations received | 5 |
In this study, the cost and health outcomes of a psychiatric consultation letter to primary care physicians caring for a sample of patients diagnosed with somatization disorder, a psychiatric condition associated with multiple, unexplained medical complaints, was assessed. To accommodate the small sample size of 73 patients, outcome effects were calculated using panel analysis. Study patients were randomized to a consultation or noconsultation group, and were repeatedly assessed at equal time intervals. Data were analyzed using parsimonious regression models derived from economic theory. During the 1-year follow-up period, a psychiatric consultation letter was associated with a 12% reduction in health care costs ($455 per patient within first year), with no evidence of deterioration in physical, mental, or general health. Less powerful t-test comparisons between treated and control groups lead to different conclusions. Reasons for these differences are discussed
Mental health · Panel data · Psychiatry · Sample size determination · Somatization · Statistics · Health Systems, Economic Evaluations, Quality of Life · Healthcare Policy and Management · Medicine · Patient Satisfaction in Healthcare · Psychology
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Agreement Between Administrative Files and Written Medical Records
| Citations per year | 0.18 |
|---|---|
| Citation span | 1998 - 2009 (12) |
| Highly cited | No |