Variations in mental health needs and fee-for-service reimbursement for physicians in Ontario

Psychiatric Services

Volumn 49, Issue 11, 1998, Pages 1445-1451

  Lin, Elizabeth ^a,b   Chan, Ben ^b,c   Goering, Paula ^a,d  

^a CENTRE FOR ADDICTION AND MENTAL HEALTH   (Canada)

^b UNIVERSITY OF TORONTO   (Canada)

^c INSTITUTE FOR CLINICAL EVALUATIVE SCIENCES   (Canada)

^d Inst of Med Sci at the University

Author keywords

[No Author keywords available]

Indexed keywords

ADOLESCENT; ADULT; AGED; ARTICLE; CANADA; CLINICAL PRACTICE; DEMOGRAPHY; FEMALE; HEALTH CARE COST; HEALTH CARE NEED; HEALTH CARE PLANNING; HEALTH CARE UTILIZATION; HEALTH INSURANCE; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAL FEE; MENTAL HEALTH CARE; REIMBURSEMENT; RESOURCE ALLOCATION; SEX DIFFERENCE; URBAN AREA;

EID: 0031733306     PISSN: 10752730     EISSN: None     Source Type: Journal    
DOI: 10.1176/ps.49.11.1445     Document Type: Article

References (47)

1. Klerman GL, Olfson M, Leon AC, et al: Measuring the need for mental health care. Health Affairs 11(3):23-33, 1992
2. Bebbington PE: Population surveys of psychiatric disorders and the need for treatment. Social Psychiatry and Psychiatric Epidemiology 25:33-40, 1990
3. Brewin CR, Wing JK: The MRC needs for care assessment: progress and controversies. Psychological Medicine 23:837-841, 1993
4. Holley HL, Kulczycki G, Arboleda-Flórez J: Case-mix funding and legislated psychiatric care. International Journal of Law and Psychiatry 17:377-393, 1994
5. Ciarlo JA, Shern DL, Tweed DL, et al: The Colorado social health survey of mental health service needs: sampling, instrumentation, and major findings. Evaluation and Program Planning 15:133-147, 1992
6. Lehtinen V, Joukama M, Jyrkinen E. et al: Need for mental health services of the adult population in Finland: results from the Mini Finland Health Survey. Acta Psychiatrica Scandinavica 81:426-431, 1990
7. Lesage AD, Mignoli G, Faccincani C, et al: Standardized assessment of the needs for care in a cohort of patients with schizophrenic psychoses. Psychological Medicine 19(monograph suppl):27-33, 1991
8. Wells KB, Manning WG, Duan N, et al: Sociodemographic factors and the use of outpatient mental health services. Medical Care 1:75-85, 1986
9. Rhodes AR, Goering P: Gender differences in the use of outpatient mental health services. Journal of Mental Health Administration 21:338-345, 1994
10. Padgett DK, Patrick C, Bums BJ, et al: Ethnicity and the use of outpatient mental health services in a national insured population. American Journal of Public Health 84:222-226, 1994
11. Crow MR, Smith HL, McNamee AH, et al: Considerations in predicting mental health care use: implications for managed care plans. Journal of Mental Health Administration 21:5-23, 1994
12. Wells KB, Manning WG, Duan N, et al: Sociodemographic factors and the use of outpatient mental health services. Medical Care 1:75-85, 1986
13. Tarlov AR, Ware JE Jr, Nelson EC, et al: The Medical Outcomes Study. JAMA 262:925-930, 1989
14. Ware JE Jr, Manning WG, Duan N, et al: Health status and the user of outpatient mental health services. American Psychologist 39:1090-1100, 1984
15. Simon GE, VonKorff M, Durham ML: Predictors of outpatient mental health utilization by primary care patients in a health maintenance organization. American Journal of Psychiatry 151:908-913, 1994
16. Diehr P, Price K, Williams SJ, et al: Factors related to the use of ambulatory mental health services in three provider plans. Social Science and Medicine 23:663-780, 1986
17. Lin E, Goering PN, Offord DR, et al: The use of mental health services in Ontario: epidemiologic findings. Canadian Journal of Psychiatry 41:572-577, 1996
18. Goering P, Lin E: Mental health: levels of need and variations in service use in Ontario, in Patterns of Health Care in Ontario, 2nd ed. Edited by Goel V, Williams JI, Anderson GM, et al. Ottawa, Canadian Medical Association, 1996
19. Boyle MH, Offord DR, Campbell D, et al: Mental Health Supplement to the Ontario Health Survey: methodology. Canadian Journal of Psychiatry 41:549-558, 1996
20. Schedule of Benefits: Physician Services Under the Health Insurance Act. Toronto, Ontario Ministry of Health, 1992
21. National Physician Database: Functional Specifications manual. Ottawa, Ontario, Canadian Institute for Health Information, March 1966
22. Kessler RC, Mc-Gonagle KA, Zhao S, et al: Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Archives of General Psychiatry 15:8-19, 1994
23. Wittchen H-U: Reliability and validity studies of the WHO-Composite International Diagnostic Interview (CIDI): a critical review. Journal of Psychiatric Research 28: 57-84, 1994
24. Diagnostic and Statistical Manual of Mental Disorders, 3rd ed, rev. Washington, DC, American Psychiatric Association, 1987
25. Regional Allocation of Estimated Expenditures of Mental Health and Addictions Services (Fiscal Year 1992-93). Report of the Information, Planning and Evaluation Branch, Health Strategies Group. Toronto, Ontario Ministry of Health, March 1995
26. Shah BV, Barnwell BG, Bieler GS: SUDAAN User's Manual, Release 7.0. Research Triangle Park, NC, Research Triangle Institute, 1996
27. Regier DA, Farmer ME, Rae DS, et al: Co-morbidity of mental disorders with alcohol and other drug abuse: results from the Epidemiologic Catchment Area (ECA) study. JAMA 264:2511-2518, 1990
28. Bland RC, Newman SC, Orn H: Period prevalence of psychiatric disorders in Edmonton. Acta Psychiatrica Scandinavica 77(suppl 338):33-42, 1988
29. Oakley-Browne MA, Joyce PR, Wells JE, et al: Christchurch psychiatric epidemiology study, part II: six-month and other period prevalences of specific psychiatric disorders in the Christchurch urban area. Australia and New Zealand Journal of Psychiatry 23:327-340, 1989
30. The Status of Mental Health Reform in New Brunswick: An Evaluation Carried out for the Mental Health Commission of New Brunswick. Shediac, New Brunswick, PGF Consultants, Inc, May 1994
31. Knapp M: Cost effectiveness, accountability, and their relationship to alternative fiscal mechanisms: results from Great Britain. Keynote address, Proceedings of the Mental Health and Fiscal Reform Workshop, Mental Health Policy Research Group, Toronto, Ontario, Feb 10, 1997
32. Olfson M, Pincus HA: Outpatient psychotherapy in the United States: I. volume, costs, and user characteristics. American Journal of Psychiatry 151:1281-1288, 1994
33. Olfson M, Pincus HA: Measuring outpatient mental health care in the United States. Health Affairs 13(5):172-180, 1994
34. Leaf PJ, Livingston MM, Tischler GL, et al: Contact with health professionals for the treatment of psychiatric and emotional problems. Medical Care 23:1322-1337, 1985
35. Broman CL, Joffman WS, Hamilton VL: Impact of mental health services use upon subsequent health of autoworkers. Journal of Health and Social Behavior 35:80-95, 1994
36. Shapiro S, Skinner EA, Kramer M, et al: Measuring need for mental health services in a general population. Medical Care 23: 1033-1043, 1983
37. Anderson GM, Chan B, Carter JA, et al: An overview of trends in the use of acute care hospitals, physician and diagnostic services, and prescription drugs, in Patterns of Health Care in Ontario, 2nd ed. Edited by Goel V, Williams JI, Anderson GM, et al. Ottawa, Canadian Medical Association, 1996
38. Geller JL: A report on the "worst" state hospital recidivists in the US. Hospital and Community Psychiatry 43:904-908, 1992
39. Kent S, Fogarty M, Yellowlees P: Heavy utilization of inpatient and outpatient services in a public mental health service. Psychiatric Services 46:1254-1257, 1995
40. Estimating the Utilization of Inpatient Beds in a Reformed System of Care. Report to the Ontario Ministry of Health. Toronto, Clarke Institute Consulting Group, March 1994
41. Kent S, Fogarty M, Yellowlees P: A review of studies of heavy users of psychiatric services. Psychiatric Services 46:1247-1253, 1995
42. Hansson L, Sandlund M: Utilization and patterns of care in comprehensive psychiatric care organizations. Acta Psychiatric Scandinavica 86:255-261, 1992
43. Lin E, Goering PN, Lesage A, et al: Epidemiologic assessment of overmet need in mental health care. Social Psychiatry and Psychiatric Epidemiology 32:355-362, 1997
44. Tweed DL, Blazer DG, Ciarlo JA: Psychiatric epidemiology in elderly populations, in The Epidemiologic Study of the Elderly. Edited by Wallace RB, Woolson RF. New York, Oxford University Press, 1992
45. Knäuper B, Wittchen H-U: Diagnosing major depression in the elderly: evidence for response bias in standardized diagnostic interviews? Journal of Psychiatric Research 28:147-164, 1994
46. Burville PW: An appraisal of the NIMH Epidemiologic Catchment Area program. Australian and New Zealand Journal of Psychiatry 21:175-184, 1987
47. Koenig HG, Blazer DG: Epidemiology of geriatric affective disorders. Clinics in Geriatric Affective Disorders 8:235-251, 1992