메뉴 건너뛰기




Volumn 44, Issue 6, 2006, Pages 568-580

Development and validation of a psychiatric case-mix system

Author keywords

Behavioral health care; Case mix; Disease burden; Mental health; Psychiatry; Risk adjustment; Substance use disorders; Veterans

Indexed keywords

ADDICTION; AGED; ARTICLE; ECONOMICS; FEMALE; HEALTH SERVICE; HUMAN; MALE; MENTAL DISEASE; MIDDLE AGED; RISK ASSESSMENT; STATISTICAL MODEL; STATISTICS; UTILIZATION REVIEW; VALIDATION STUDY; VETERAN;

EID: 33745327352     PISSN: 00257079     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.mlr.0000215819.76050.a1     Document Type: Article
Times cited : (25)

References (46)
  • 1
    • 0033785579 scopus 로고    scopus 로고
    • Using diagnoses to describe populations and predict costs
    • Ash A, Ellis R, Pope G, et al. Using diagnoses to describe populations and predict costs. Health Care Financ. Rev. 2000;21:7-28.
    • (2000) Health Care Financ. Rev. , vol.21 , pp. 7-28
    • Ash, A.1    Ellis, R.2    Pope, G.3
  • 2
    • 0012215114 scopus 로고    scopus 로고
    • Measuring morbidity in populations: Performance of the John Hopkins adjusted clinical group (ACG) case-mix adjustment system
    • Manitoba Canter for Health Policy and Evaluation, Department of Community Health Services, Faculty of Medicine, University of Manitoba
    • Reid R, MacWilliam L, Roos N, et al. Measuring morbidity in populations: performance of the John Hopkins adjusted clinical group (ACG) case-mix adjustment system. In: Manitoba Report. Manitoba Canter for Health Policy and Evaluation, Department of Community Health Services, Faculty of Medicine, University of Manitoba; 1999.
    • (1999) Manitoba Report
    • Reid, R.1    MacWilliam, L.2    Roos, N.3
  • 3
    • 0035405970 scopus 로고    scopus 로고
    • Risk adjustment for measuring health outcomes: An application in VA long-term Care
    • Rosen AK, Wu J, Chang BH, et al. Risk adjustment for measuring health outcomes: an application in VA long-term Care. Am J Med Qual. 2001;16:118-127.
    • (2001) Am J Med Qual. , vol.16 , pp. 118-127
    • Rosen, A.K.1    Wu, J.2    Chang, B.H.3
  • 5
    • 0031716448 scopus 로고    scopus 로고
    • Inpatient psychiatric treatment of elderly Medicare beneficiaries, 1990-1991
    • Ettner SL, Hermann RC. Inpatient psychiatric treatment of elderly Medicare beneficiaries, 1990-1991. Psychiatr Serv. 1998;49:1173-1179.
    • (1998) Psychiatr Serv. , vol.49 , pp. 1173-1179
    • Ettner, S.L.1    Hermann, R.C.2
  • 6
    • 0034136765 scopus 로고    scopus 로고
    • Risk adjustment of capitation payments to behavioral health care carve-outs: How well do existing methodologies account for psychiatric disability?
    • Ettner SL, Frank RG, Mark T, et al. Risk adjustment of capitation payments to behavioral health care carve-outs: how well do existing methodologies account for psychiatric disability? Health Care Manag Sci. 2000;3:159-169.
    • (2000) Health Care Manag Sci. , vol.3 , pp. 159-169
    • Ettner, S.L.1    Frank, R.G.2    Mark, T.3
  • 8
    • 0036706081 scopus 로고    scopus 로고
    • Diagnostic cost groups (DCGs) and concurrent utilization among patients with substance abuse disorders
    • Rosen A, Loveland S, Anderson J, et al. Diagnostic cost groups (DCGs) and concurrent utilization among patients with substance abuse disorders. Health Services Res. 2002;37:1079-1102.
    • (2002) Health Services Res. , vol.37 , pp. 1079-1102
    • Rosen, A.1    Loveland, S.2    Anderson, J.3
  • 9
    • 0034873921 scopus 로고    scopus 로고
    • Comparing alternative risk-adjustment models
    • Hendryx M, Teague G. Comparing alternative risk-adjustment models. J Behav Health Serv Res. 2001;28:247-257.
    • (2001) J Behav Health Serv Res. , vol.28 , pp. 247-257
    • Hendryx, M.1    Teague, G.2
  • 10
    • 0030986379 scopus 로고    scopus 로고
    • How well do ambulatory care groups predict expenditures of mental health and substance abuse patients
    • Ettner SL, Notman E. How well do ambulatory care groups predict expenditures of mental health and substance abuse patients. Adm Policy Ment Health. 1997;24:339-357.
    • (1997) Adm Policy Ment Health. , vol.24 , pp. 339-357
    • Ettner, S.L.1    Notman, E.2
  • 11
    • 0031880662 scopus 로고    scopus 로고
    • Risk adjustment of mental health and substance abuse payments
    • Ettner SL, Frank RG, McGuire TG, et al. Risk adjustment of mental health and substance abuse payments. Inquiry. 1998;35:223-239.
    • (1998) Inquiry , vol.35 , pp. 223-239
    • Ettner, S.L.1    Frank, R.G.2    McGuire, T.G.3
  • 12
    • 0034897203 scopus 로고    scopus 로고
    • Risk adjustment alternatives in paying for behavioral health care under Medicaid
    • Ettner S, Frank R, McGuire T, et al. Risk adjustment alternatives in paying for behavioral health care under Medicaid. Health Services Res. 2001;36:793-811.
    • (2001) Health Services Res. , vol.36 , pp. 793-811
    • Ettner, S.1    Frank, R.2    McGuire, T.3
  • 13
    • 0032752737 scopus 로고    scopus 로고
    • Behavioral health care services increase the cost of providing medical care?
    • Cuffel B, Goldman W, Schlesinger H. Behavioral health care services increase the cost of providing medical care? J Behav Health Serv Res. 1999;26:372-380.
    • (1999) J Behav Health Serv Res. , vol.26 , pp. 372-380
    • Cuffel, B.1    Goldman, W.2    Schlesinger, H.3
  • 14
    • 0035286571 scopus 로고    scopus 로고
    • From clinical trials to real-world practice: Use of atypical antipsychotic medication nationally in the Department of Veterans Affairs
    • Rosenheck R, Leslie D, Sernyak M. From clinical trials to real-world practice: use of atypical antipsychotic medication nationally in the Department of Veterans Affairs. Med Care. 2001;39:302-308.
    • (2001) Med Care , vol.39 , pp. 302-308
    • Rosenheck, R.1    Leslie, D.2    Sernyak, M.3
  • 15
    • 0036707652 scopus 로고    scopus 로고
    • Impact of modifying risk adjust-ment models on rankings of access to care in the VA mental health report card
    • Weissman E, Rosenheck R, Essock S. Impact of modifying risk adjust-ment models on rankings of access to care in the VA mental health report card. Psychiatr Serv. 2002;53:1153-1158.
    • (2002) Psychiatr Serv. , vol.53 , pp. 1153-1158
    • Weissman, E.1    Rosenheck, R.2    Essock, S.3
  • 17
    • 0032700280 scopus 로고    scopus 로고
    • Mental disorders and mental health treatment among US Department of Veterans Affairs outpatients: The Veterans Health Study
    • Hankin CS, Spiro A, Miller DR, et al. Mental disorders and mental health treatment among US Department of Veterans Affairs outpatients: the Veterans Health Study. Am J Psychiatry. 1999;156:1924-1930.
    • (1999) Am J Psychiatry. , vol.156 , pp. 1924-1930
    • Hankin, C.S.1    Spiro, A.2    Miller, D.R.3
  • 19
    • 0029011742 scopus 로고
    • Results of the DSM-IV mood disorders field trial
    • Keller M, Klein D, Hirschfeld R, et al. Results of the DSM-IV mood disorders field trial. Am J Psychiatry. 1995;152:843-849.
    • (1995) Am J Psychiatry , vol.152 , pp. 843-849
    • Keller, M.1    Klein, D.2    Hirschfeld, R.3
  • 20
    • 0035097328 scopus 로고    scopus 로고
    • Reliability of DSM-IV anxiety and mood disorders: Implications for the classification of emotional disorders
    • Brown T, Di Nardo P, Lehman C, et al. Reliability of DSM-IV anxiety and mood disorders: implications for the classification of emotional disorders. J Abnorm Psychol. 2001;110:49-58.
    • (2001) J Abnorm Psychol. , vol.110 , pp. 49-58
    • Brown, T.1    Di Nardo, P.2    Lehman, C.3
  • 21
    • 0027260890 scopus 로고
    • An 8-year follow-up of patients with DSM-III-R psychotic depression, schizoaffective disorder, and schizophrenia
    • Tsuang D, Coryell W. An 8-year follow-up of patients with DSM-III-R psychotic depression, schizoaffective disorder, and schizophrenia. Am J Psychiatry. 1993;150:1182-1188.
    • (1993) Am J Psychiatry , vol.150 , pp. 1182-1188
    • Tsuang, D.1    Coryell, W.2
  • 22
    • 4444292273 scopus 로고    scopus 로고
    • Risk adjustment of Medicare capitation payments using the CMS-HCC model
    • Pope G, Kautter J, Ellis R, et al. Risk adjustment of Medicare capitation payments using the CMS-HCC model. Health Care Financ. Rev. 2004; 25:119-141.
    • (2004) Health Care Financ. Rev. , vol.25 , pp. 119-141
    • Pope, G.1    Kautter, J.2    Ellis, R.3
  • 23
    • 0041742179 scopus 로고    scopus 로고
    • Determination of VA health care costs
    • Barnett P. Determination of VA health care costs. Med Care Res Rev. 2003;60:54S-73S.
    • (2003) Med Care Res Rev. , vol.60
    • Barnett, P.1
  • 24
    • 0043244857 scopus 로고    scopus 로고
    • Estimating the costs of VA ambulatory care
    • Phibbs C, Bhandari A, Yu W, et al. Estimating the costs of VA ambulatory care. Med Care Res Rev. 2003;60:54S-73S.
    • (2003) Med Care Res Rev. , vol.60
    • Phibbs, C.1    Bhandari, A.2    Yu, W.3
  • 25
    • 0041742180 scopus 로고    scopus 로고
    • Using average cost methods to estimate encounter-level costs for medical-surgical stays in the VA
    • Wagner T, Chen S, Barnett P. Using average cost methods to estimate encounter-level costs for medical-surgical stays in the VA. Med Care Res Rev. 2003;60:15S-36S.
    • (2003) Med Care Res Rev. , vol.60
    • Wagner, T.1    Chen, S.2    Barnett, P.3
  • 26
    • 0043244858 scopus 로고    scopus 로고
    • Average cost of VA rehabilitation, mental health, and long-term hospital stays
    • Yu W, Wagner T, Chen S, et al. Average cost of VA rehabilitation, mental health, and long-term hospital stays. Med Care Res Rev. 2003; 60:40S-53S.
    • (2003) Med Care Res Rev. , vol.60
    • Yu, W.1    Wagner, T.2    Chen, S.3
  • 27
    • 84858936336 scopus 로고    scopus 로고
    • Accessed March 25, 2005
    • Health Economic Resource Center (HERC). Available at: http://www.herc.research.med.va.gov. Accessed March 25, 2005.
  • 29
    • 0003658951 scopus 로고    scopus 로고
    • Cary, NC: SAS Institute, Inc
    • SAS Software, version 8.01. Cary, NC: SAS Institute, Inc; 1999.
    • (1999) SAS Software, Version 8.01
  • 34
    • 33747851313 scopus 로고    scopus 로고
    • Deleted in proof
    • Deleted in proof.
  • 35
    • 0028156958 scopus 로고
    • Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Results from the National Comorbidity Survey
    • Kessler R, McGonagle K, Zhao S. Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Results from the National Comorbidity Survey. Arch Gen Psychiatry. 1994;51:8-19.
    • (1994) Arch Gen Psychiatry , vol.51 , pp. 8-19
    • Kessler, R.1    McGonagle, K.2    Zhao, S.3
  • 36
    • 0025352623 scopus 로고
    • Psychiatric disorder in male veterans and nonveterans
    • Norquist G, Hough R, Golding J, et al. Psychiatric disorder in male veterans and nonveterans. J Nerv Ment Dis. 1990;178;328-335.
    • (1990) J Nerv Ment Dis. , vol.178 , pp. 328-335
    • Norquist, G.1    Hough, R.2    Golding, J.3
  • 37
    • 20444367599 scopus 로고    scopus 로고
    • Lifetime and 12-month prevalence of psychiatric disorders in 8,169 male Vietnam War era veterans
    • Eisen S, Griffith K, Xian H, et al. Lifetime and 12-month prevalence of psychiatric disorders in 8,169 male Vietnam War era veterans. Mil Med. 2004;169:896-902.
    • (2004) Mil Med. , vol.169 , pp. 896-902
    • Eisen, S.1    Griffith, K.2    Xian, H.3
  • 38
    • 0026033671 scopus 로고
    • Lifetime and current prevalence of specific psychiatric disorders among Vietnam veterans and controls
    • Jordan B, Schlenger W, Hough R, et al. Lifetime and current prevalence of specific psychiatric disorders among Vietnam veterans and controls. Arch Gen Psychiatry. 1991;48;207-215.
    • (1991) Arch Gen Psychiatry. , vol.48 , pp. 207-215
    • Jordan, B.1    Schlenger, W.2    Hough, R.3
  • 39
    • 0029016282 scopus 로고
    • Do Vietnam-era veterans who suffer from posttraumatic stress disorder avoid VA mental health services?
    • Rosenheck R, Fontana A. Do Vietnam-era veterans who suffer from posttraumatic stress disorder avoid VA mental health services? Mil Med. 1995;160:136-142.
    • (1995) Mil Med , vol.160 , pp. 136-142
    • Rosenheck, R.1    Fontana, A.2
  • 40
    • 0038678677 scopus 로고    scopus 로고
    • Construction and characteristics of the RxRisk-V: A VA-adapted pharmacy-based case-mix instrument
    • Sloan KL, Sales AE, Liu CF, et al. Construction and characteristics of the RxRisk-V: a VA-adapted pharmacy-based case-mix instrument. Med Care. 2003;41:761-774.
    • (2003) Med Care , vol.41 , pp. 761-774
    • Sloan, K.L.1    Sales, A.E.2    Liu, C.F.3
  • 41
    • 8544272520 scopus 로고    scopus 로고
    • Value for taxpayers' dollars: What VA care would cost at medicare prices
    • Nugent GN, Hendricks A, Nugent L, et al. Value for taxpayers' dollars: what VA care would cost at medicare prices. Med Care Res Rev. 2004;61:495-508.
    • (2004) Med Care Res Rev. , vol.61 , pp. 495-508
    • Nugent, G.N.1    Hendricks, A.2    Nugent, L.3
  • 42
    • 0032161098 scopus 로고    scopus 로고
    • Agreement between administrative files and written medical records: A case of the Department of Veterans Affairs
    • Kashner T. Agreement between administrative files and written medical records: a case of the Department of Veterans Affairs. Med Care. 1998;36:1324-1336.
    • (1998) Med Care , vol.36 , pp. 1324-1336
    • Kashner, T.1
  • 43
    • 8144221907 scopus 로고    scopus 로고
    • Assessing the accuracy of administrative data in health information systems
    • Peabody J, Luck J, Jain S, et al. Assessing the accuracy of administrative data in health information systems. Med Care. 2004;42:1066-1072.
    • (2004) Med Care , vol.42 , pp. 1066-1072
    • Peabody, J.1    Luck, J.2    Jain, S.3
  • 44
    • 0001541234 scopus 로고    scopus 로고
    • Risk adjustment for high utilizers of public mental health care
    • Kapur K, Young A, Murata D. Risk adjustment for high utilizers of public mental health care. J Ment Health Policy Econ. 2000;3:129-137.
    • (2000) J Ment Health Policy Econ. , vol.3 , pp. 129-137
    • Kapur, K.1    Young, A.2    Murata, D.3
  • 45
    • 0037270628 scopus 로고    scopus 로고
    • Do adjusted clinical groups eliminate incentives for HMOs to avoid substance abusers? Evidence from the Maryland Medicaid HealthChoice program
    • Ettner S, Johnson S. Do adjusted clinical groups eliminate incentives for HMOs to avoid substance abusers? Evidence from the Maryland Medicaid HealthChoice program. J Behav Health Serv Res. 2003;30:63-77.
    • (2003) J Behav Health Serv Res. , vol.30 , pp. 63-77
    • Ettner, S.1    Johnson, S.2
  • 46
    • 0032896664 scopus 로고    scopus 로고
    • Risk-adjusted outcome models for public mental health outpatient programs
    • Hendryx MS, Dyck DG, Srebnik D. Risk-adjusted outcome models for public mental health outpatient programs. Health Services Res. 1999; 34:171-195.
    • (1999) Health Services Res. , vol.34 , pp. 171-195
    • Hendryx, M.S.1    Dyck, D.G.2    Srebnik, D.3


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.