Depression as a Tracer Condition for the National Study of Medical Care Outcomes

Depression as a Tracer Condition for the National Study of Medical Care Outcomes

Enhancing patient satisfaction with care may be viewed as both a goal and outcome of treatment for depression . ... However , studies of the outpatient mental health care delivered by general medical providers suggest that satisfaction ...

Author: Kenneth B. Wells

Publisher: Rand Corporation

ISBN: UOM:39015054240075

Category: Social Science

Page: 125

View: 423

Categories: Social Science

Caring for Depression

Caring for Depression

Depression and Its Treatment in a U.S. Urban Community : 1975– 1976. ” Archives of General Psychiatry 38 ( 4 ) : 417–421 . Wells , Kenneth B. 1985. Depression as a Tracer Condition for the National Study of Medical Care Outcomes .

Author: Kenneth B. Wells

Publisher: Harvard University Press

ISBN: 0674097297

Category: Political Science

Page: 270

View: 354

One of the major concerns about the changing U.S. health-care systems is whether they will improve or diminish the quality and cost-effectiveness of medical care. The shift from a fee-for-service to a prepaid method of reimbursement has greatly changed the incentives of patients to seek care as well as those of providers to supply it. This change poses a particular challenge for care of depressed patients, a vulnerable population that often does not advocate for its own care. This book documents the inefficiencies of our national systems--prepaid as well as fee-for-service--for treating depression and explores how they can be improved. Although depression is a major illness affecting millions of people, it is seriously undertreated in the United States. The ongoing shift of mental-health care away from specialists and toward primary medical-care providers is causing fewer depressed patients to be appropriately diagnosed and treated. Depression is frequently more devastating than other major illnesses, such as arthritis and heart disease, because it often begins at a younger age, when people are at their productive peak and thus at risk of permanently damaging their careers. It also differs from many medical conditions in that its indirect costs are usually much higher than direct treatment costs. The authors urge the integration of both medical and economic considerations in designing policies for the treatment of depression. They show that by spending more money efficiently on care, the nation will gain greater health improvements per dollar invested and a more productive population.
Categories: Political Science

Preventing Disease

Preventing Disease

Cypress BF Office Visits to Internists: National Ambulatory Medical Care Survey, United States, 1975. National Center for ... Depression as a tracer condition in the National Study of Medical Care Outcomes. Publ No. R-3293-RJW/HJK.

Author: Richard B. Goldbloom

Publisher: Springer Science & Business Media

ISBN: 9781461232803

Category: Language Arts & Disciplines

Page: 478

View: 783

Preventing Disease, the offspring of an extraordinary collaboration between the U.S. and Canadian Preventive Services Task Forces, presents a meticulous and objective review of the published evidence on preventive measures. Examining such diverse and relevant topics as screening for endometrial cancer, exercise counselling for healthy adults, and the evidence for a causal relation between dietary lipids and coronary heart disease, this volume reflects the editors' shared conviction that recommendations for preventive action should rarely exceed what is well justified by the evidence. In the current period, characterized as the Second Public Health Revolution, the authors' hard-nosed approach leads them to ask the tough questions. Are preventive measures cost-saving? Does preventive screening actually lead to treatment in clinical practice? Does the treatment do more good than harm? To what extent does our desire to eliminate causes of serious disability, ill health and premature death cloud our objectivity? All concerned about preventive medicine, community health, and primary care will find valuable stimulation for thought and action in this book: the contributions have gone beyond the rhetoric.
Categories: Language Arts & Disciplines

Treatment Of Depression In Managed Care

Treatment Of Depression In Managed Care

Depression as a tracer condition for the national study of medical care outcomes-background review. Santa Monica, CA: RAND. Wells, K. B., Astrachan, B. M., Tischler, G. L., 8i Unutzer,]. (1995). Issues and approaches in evaulating ...

Author: Mark Mays

Publisher: Routledge

ISBN: 9781135062613

Category: Health & Fitness

Page: 256

View: 627

Published in 1997, Treatment of Depression in Managed Care is a valuable contribution to the field of Psychiatry/Clinical Psychology.
Categories: Health & Fitness

Depression in Primary Care

Depression in Primary Care

The psvchologicai treatment of depression: evidence for the efficacy\ of psvcholherapv alone, and in comparison with, ... Depression as a tracer condition for the national study of medical care outcomes — background review.

Author: DIANE Publishing Company

Publisher: DIANE Publishing

ISBN: 9780788105999

Category: Psychology

Page: 175

View: 611

Tables and charts.
Categories: Psychology

Depression in Primary Care

Depression in Primary Care

Depression as a tracer condition for the national study of medical care outcomes - background review . Santa Monica : RAND ; 1985 . Wells KB , Golding JM , Burnam MA . Psychiatric disorder and limitations in physical functioning in a ...

Author:

Publisher:

ISBN: UCLA:L0067522987

Category:

Page: 348

View: 607

Categories:

Depression in Primary Care Treatment of major depression

Depression in Primary Care  Treatment of major depression

Depression as a tracer condition for the national study of medical care outcomes — background review . Santa Monica : RAND ; 1985 . Wells KB , Golding JM , Burnam MA . Psychiatric disorder and limitations in physical functioning in a ...

Author: United States. Depression Guideline Panel

Publisher:

ISBN: UOM:39015032939178

Category: Depression, Mental

Page:

View: 777

Categories: Depression, Mental

National Library of Medicine Current Catalog

National Library of Medicine Current Catalog

Title Wells , Kenneth B. , 1948- Depression as a tracer condition for the National Study of Medical Care Outcomes : background review / Kenneth B. Wells . Santa Monica , CA : Rand , ( 1985 ) -- xxv , 125 p . : ill .

Author: National Library of Medicine (U.S.)

Publisher:

ISBN: STANFORD:36105214549003

Category: Medicine

Page:

View: 667

Categories: Medicine

Depression in Primary Care Detection and diagnosis

Depression in Primary Care  Detection and diagnosis

Children with recurrent abdominal pain and their parents : more somatic complaints , anxiety , and depression than other patient ... Depression as a tracer condition for the national study of medical care outcomes — background review .

Author: United States. Depression Guideline Panel

Publisher:

ISBN: UOM:39015032939293

Category: Depression, Mental

Page: 144

View: 852

Categories: Depression, Mental

Treatment of Suicidal Patients in Managed Care

Treatment of Suicidal Patients in Managed Care

JAMA 276 : 1039–1047 , 1996 Wells KB : Depression as a Tracer Condition for the National Study of Medical Care Outcomes : Background Review ( Publ R - 3292 - RWJ / HJK ) . Santa Monica , CA , The RAND Corporation , 1985 Wells KB ...

Author: James M. Ellison

Publisher: American Psychiatric Pub

ISBN: 1585627917

Category: Medical

Page: 240

View: 878

Suicide remains all too common in the United States. As the ninth leading cause of death -- responsible for 30,000 deaths annually -- it is also one of the more preventable causes of death Increasingly, mental health clinicians must care for suicidal patients within managed care systems. Managed care's cost-driven focus on rapid assessment and triage, narrowly restrictive hospital admission criteria, and abbreviated inpatient stays have resulted in poorer clinical care and increased opportunities both for adverse outcomes such as suicide and for clinician liability. Bringing together a unique mix of clinicians, authorities, and administrators from private practice and managed care, Treatment of Suicidal Patients in Managed Care offers practical guidance on how to improve care and reduce risk for suicidal patients. Contributors explore a wide range of topics: Hospitalization -- Emphasizes the increased importance of the initial assessment when managed care systems shorten or deny hospitalization for suicidal patients and of knowing whom to call within the managed care system. Includes alternative programs from acute residential care to cognitive-behavioral strategies and dialectical behavior therapy for the suicidal patient in crisis Suicide risk among adolescents and the elderly -- For adolescents, emphasizes the value of multiple levels of care when admissions are too short and too often followed by distressing and costly readmissions. For the elderly, offers preventive interventions for primary care physicians who are uncomfortable discussing depression and suicidal ideation and intention with their elderly patients Suicide and substance abuse -- Details the role of case managers in providing continuity of care in a disorder known to be chronic and relapsing Pharmacotherapy of depression and suicidality -- Discusses the effects of managed care and raises questions about the expertise of the prescriber, especially relevant now that more primary care physicians are treating patients with uncomplicated unipolar depression Risk management issues -- To counter the perception that managed care companies profit from withholding care, emphasizes the crucial importance today of documenting the reasons for treatment decisions Helping those affected by the aftermath of a suicide -- A step-by-step process: 1) anticipating a suicide, 2) announcing or sharing the news of a suicide, 3) assessing those affected by a suicide, and 4) seeing what can be learned from reviewing the patient's treatment This clinical guide will aid understanding of clinical, administrative, and risk management issues relevant to the care of suicidal patients. Psychiatrists, psychologists, nurse clinical specialists, social workers, administrators, and primary care physicians will also rely on it as they cope with the mounting pressures of managed care while maintaining the quality of their care for these vulnerable and patients.
Categories: Medical