Comparison of Use of Outpatient Mental Health Services in an HMO and Fee-for-Service Plans
Sensitivity to Definition of a Visit
Bibliographic Data
| ID | 9100596 |
|---|---|
| Authors | Kenneth B Wells (0000-0002-7454-6589, RAND Corporation, corresponding author), Willard G Manning (RAND Corporation), Bernadette Benjamin (RAND Corporation) |
| Year | 1987 |
| Volume | 25 |
| Issue | Supplement |
| Pages | 894-903 |
| Publication date | 1987-09-01 |
| Peer Reviewed | Yes |
| 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 | 10.1097/00005650-198709001-00007 |
| PMID | 3695680 |
| OpenAlex | W4212987088 |
| Language | EN |
| Citations received | 1 |
| References cited | 6 |
Whereas previous authors have used a variety of strategies to identify use of mental health services, the sensitivity of estimates to the definition of a visit has been little studied. The authors examined the sensitivity of estimates of use of outpatient mental health services in both HMO and fee-for-service plans to the method of identifying outpatient mental health visits. The HMO and fee-for-service plans had identical benefits (i.e., free care). Data were from the Rand Health Insurance Study. Mental health visits were identified using two definitions: presence of a mental health diagnosis or procedure; and presence of a mental health procedure, diagnosis, or prescription for psychotropic medication in the absence of physical disorders requiring such medications. The major policy conclusions about lower levels of use in the HMO compared to fee-for-service plans were insensitive to the definition of a visit. Nevertheless, estimates of use of general medical providers were higher when psychotropic medications were included in the definition of a mental health visit; this sensitivity to definition was significantly greater for fee-for-service than HMO participants (P less than 0.05). Further, conclusions about the comparability of enrollment mental health status of patients treated by general medical providers in HMO and fee-for-service plans were somewhat sensitive to the definition of a visit
Business · Comparability · Family medicine · Fee-for-service · Health care · Health maintenance · Medical prescription · MEDLINE · Mental health · Mental health service · Political science · Psychiatry · Service (business) · Emergency and Acute Care Studies · Healthcare Policy and Management · Marketing · Medicine · Mental Health Treatment and Access · Nursing · Primary Care and Health Outcomes
Patients of psychiatrists and psychologists in office-based practice
Health status and the use of outpatient mental health services
Psychiatric diagnoses as reported to Medicaid and as recorded in patient charts
Mental Health Services
Ambulatory Mental Health Services Utilization in Three Provider Plans
The Sensitivity of Mental Health Care Use and Cost Estimates to Methods Effects
| Unique citing works | 1 |
|---|---|
| Citations per year | 0,03 |
| Citation span | 1994 - 1994 (1) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 1 |