Managed Care and Systems Cost-Effectiveness
Treatment for Depression
Bibliographic Data
| ID | 9104616 |
|---|---|
| Authors | Margarita Alegria (0000-0003-2241-707X, Harvard University, corresponding author), Robert G Frank (0000-0003-1551-7072, Harvard University), Richard Frank (0000-0001-5927-1217), Thomas Mcguire (Harvard University) |
| Year | 2005 |
| Volume | 43 |
| Issue | 12 |
| Pages | 1225-1233 |
| Publication date | 2005-12-01 |
| 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 | 10.1097/01.mlr.0000185735.44067.42 |
| PMID | 16299434 |
| OpenAlex | W2081682936 |
| Language | EN |
| Citations received | 1 |
| References cited | 33 |
OBJECTIVE: The objective of this study was to assess the change in system cost-effectiveness of depression treatment after the introduction of managed care. DATA SOURCES/STUDY SETTING: The study population consisted of adults ages 18 to 69 living in low-income areas of Puerto Rico. STUDY DESIGN: Using a random probability sample of the population, 2 waves (1992-1993, 1993-1994) of data were collected before implementation of managed care and one wave (1996-1998) after implementation. Composite International Diagnostic Interview (CIDI)-generated depression diagnoses and Centers for Epidemiologic Studies-Depression (CES-D) scale of depressive symptoms scales were used to assess depression. DATA COLLECTION/EXTRACTION METHODS: Effectiveness of treatment was defined by guideline standards and experts' assessment of the probability of remission resulting from treatment. Costs were measured by assigning representative prices to each treatment modality. Difference-in-difference (D-in-D) estimators were used to assess the impact of managed care on the effectiveness and costs of treating depression at the system level for the entire population. PRINCIPAL FINDINGS: System cost-effectiveness improved slightly after the introduction of managed care, with diminished costs but no significant improvements in effectiveness. CONCLUSION: Cost-effectiveness can be measured at the population level to assess system changes. Additional incentives and system realignments beyond utilization review and diminished treatment costs are necessary to attain a more cost-effective system of care
CIDI · Cost effectiveness · Environmental health · Health care · Managed care · Population · Risk analysis (engineering) · Medicine · Mental Health Treatment and Access · Patient Satisfaction in Healthcare · Primary Care and Health Outcomes
Reliability and validity studies of the WHO-Composite International Diagnostic Interview (CIDI)
The Epidemiology of Major Depressive Disorder
The Quality of Care for Depressive and Anxiety Disorders in the United States
Recent care of common mental disorders in the united states
Impact of Disseminating Quality Improvement Programs for Depression in Managed Primary Care
Interaction terms in logit and probit models
The Impact of Managed Care on the Use of Outpatient Mental Health and Substance Abuse Services in Puerto Rico
Changes in Access to Mental Health Care Among the Poor and Nonpoor
The use of outpatient mental health services in the United States and Ontario
"Managing" the poor
| Unique citing works | 1 |
|---|---|
| Citations per year | 0,06 |
| Citation span | 2008 - 2008 (1) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 1 |