The medical offset effect: Patterns in outpatient services reduction for high utilizers of health care

Contemporary Family Therapy

Volumn 30, Issue 2, 2008, Pages 127-138

  Crane, D Russell ^a   Christenson, Jacob D ^a  

^a BRIGHAM YOUNG UNIVERSITY   (United States)

Author keywords

Ambulatory care; Cost eccectiveness; Cost effectiveness of marital couple and family therapy; Effectiveness research; Family therapy effectiveness; Health care; High utilizers of health care; Outpatient health care

Indexed keywords

EID: 43349105074     PISSN: 08922764     EISSN: 15733335     Source Type: Journal    
DOI: 10.1007/s10591-008-9058-2     Document Type: Article

References (35)

1. Agency for Health Care Research, Quality. (2002). Health care costs [Brochure]. Rockville, MD: Author.
2. Barker, L. R., Burton, J. R., & Zieve, P. D. (1995). Principles of ambulatory care (4th ed.). Baltimore, MD: Williams & Wilkins.
3. Chiles, J. A., Lambert, M. J., & Hatch, A. L. (1999). The impact of psychological interventions on medical cost offset: A meta-analytic review. Clinical Psychology, 6(2), 204-219.
4. Clarkin, J. F., Carpenter, D., Hull, J., Wilner, P., & Glick, I. (1998). Effects of psychoeducational intervention for married patients with bipolar disorder and their spouses. Psychiatric Services, 49, 531-533.
5. Cockerham, W. C. (1998). Medical sociology (7th ed.). Upper Saddle Valley, New Jersey: Prentice Hall.
6. Cohen, S., & Herbert T. B. (1996). Health psychology: Psychological factors and physical disease from the perspective of human psychoneuroimmuniology. Annual Review of Psychology, 47, 113-142.
7. Crane, D. R. (1995). Health care reform in the United States: Implications for training and practice in marriage and family therapy. Journal of Marital and Family Therapy, 21, 115-125.
8. Crane, D. R., Wood, N. D., Law, D. D., & Schaalje B. (2004). The relationship between therapist characteristics and decreased medical utilization: An exploratory study. Contemporary Family Therapy: An International Journal, 26(1), 61-69.
9. Cummings, N. A. (1997). Behavioral health in primary care: Dollars, sense. In N. Cummings, J. Cummings, & J. Johnson (Eds.), Behavioral health in primary care: A guide for clinical integration (pp. 3-21). Madison, CT: Psychosocial Press/International Universities Press.
10. Finney, J. W., Riley, A. W., & Cataldo, M. F. (1991). Psychology in primary health care: Effects of brief targeted therapy on children's medical care utilization. Journal of Pediatric Psychology, 16, 447-461.
11. Fleet, R. P., Dupuis, G., Marchand, A., Burelle, D., Arsenault, A., & Beitman, B. D. (1996). Panic disorder in emergency department chest pain patients: Prevalence, comorbidity, suicidal ideation, and physician recognition. The American Journal of Medicine, 101, 371-380.
12. Follette, W., & Cummings, N. A. (1967). Psychiatric services and medical utilization in a prepaid health plan setting. Medical Care, 5, 25-35.
13. Garcia-Vega, E., & Fernandez-Rodriguez, C. (2004). A stress management programme for Crohn's disease. Behavior Research & Therapy, 42, 367-383.
14. Goldberg, I. D., Allen, G., Kessler, L., Carey, J. F., Locke, B. Z., & Cook, W. A. (1981). Utilization of medical services after short-term psychiatric therapy in a prepaid health plan setting. Medical Care, 19, 672-686.
15. Graves, R., & Hastrup, J. (1981). Psychological intervention and medical utilization in children and adolescents of low-income families. Professional Psychology, 12, 426-433.
16. Groth-Marnat, G., & Edkins, G. (1996). Professional psychologists in general health care settings: A review of the financial efficacy of direct treatment interventions. Professional Psychology: Research and Practice, 27(2), 161-174.
17. Hafen, B. O., Karren, K. J., Frandsen, K. S., & Smith, N. L. (1996). Mind/body health. Boston: Allyn & Bacon.
18. Holder, H. D., & Blose, J. O. (1987). Mental health treatment and the reduction of health care costs: A four-year study of U.S. federal employees enrolled with the Aetna Life Insurance Company. In T. G. McGuire & R. M. Scheffler (Eds.), Advances in health economics and health services research: The economics of mental health services (pp. 157-174). Greenwich, CT: JAI Press.
19. Jenkins, J. A. (1997). Family functioning correlates of health care utilization. Unpublished Doctoral Dissertation: California School of Professional Psychology-Berkeley.
20. Jones, K., & Vischi, T. (1980). Impact of alcohol, drug abuse and mental health treatment and medical care utilization: A review of the literature. Medical Care, 17, 1-82.
21. Kiecolt-Glaser, J. K., & Newton, T. L. (2001). Marriage and health: His and hers. Psychological Bulletin, 127(4), 472-503.
22. Keicolt-Glaser, J. K., Glaser, R., Cacioppo, J. T., MacCallum, R. C., Snydersmith, M., Kim, C., & Malarkey, W. B. (1997). Marital conflict in older adults: Endocrinological and immunological correlates. Psychosomatic Medicine, 59, 339-349.
23. Kessler, L. G., Steinwachs, D. M., & Hankin, J. R. (1982). Episodes of psychiatric care and medical utilization. Medical Care, 20, 1209-1221.
24. Koopmans, G. T., Meeuwesen, L., Huyse, F. J., Meiland, F. J. M., & Donker, A. J. M. (1995). Effects of psychiatric consultation on medical consumption in medical outpatients with abdominal pain. Psychosomatics, 36(4), 387-399.
25. Law, D. D., & Crane, D. R. (2000). The influence of marital and family therapy on health care utilization in a Health-Maintenance Organization. Journal of Marital and Family Therapy, 26(3), 281-291.
26. Law, D. D., Crane, D. R., & Berge, J. M. (2003). The influence of individual, marital, and family therapy on high utilizers of health care. Journal of Marital and Family Therapy, 29(3), 353-363.
27. Miranda, J., Pérez-Stable, E. J., Muñoz, R. F., Hargreaves, W., & Henke, C. J. (1991). Somatization, psychiatric disorder, and stress in utilization of ambulatory medical services. Health Psychology, 10(1), 46-51.
28. Nichols, L. (2003). Health care cost growth: Trends, sources, strategies, and feedback loops. In B. Friese, E. Gross, K. Bogenschneider, & C. Johnson (Eds.), Rising health care costs: Employer purchasing pools and other policy options (Wisconsin Family Impact Seminar Briefing Report No. 18). Madison, WI: University of Wisconsin Center for Excellence in Family Studies.
29. Pearlin, L. I., & Turner, H. A. (1987). The family as a context of the stress process. In S. V. Kasl & C. L. Cooper (Eds.) Research methods in stress and health psychology (pp. 143-165). New York: Wiley.
30. Searight, H. R. (1997). Family of origin therapy and diversity. Washington DC: Taylor & Francis.
31. Shemo, J. D. P. (1985-86). Cost-effectiveness of providing mental health services: The offset effect. International Journal of Psychiatry in Medicine, 15(1), 19-30.
32. Stanton M. W., & Rutherford, M. K. (2005) The high concentration of U.S. health care expenditures. Rockville (MD): Agency for Healthcare Research and Quality; 2005. Research in Action Issue 19. AHRQ Pub. No. 06-0060.
33. Turner, R. J., & Avison, W. R. (1992). Innovations in the measurement of life stress: Crisis theory and the significance of event resolution. Journal of Health and Social Behavior, 33, 36-50.
34. Wayne, D. B., Greenberg, S. B., Pavlik, V. N., Helmer, D. A., & Hyman, D. J. (2003). Ambulatory internal medicine education: Use of an urgent care center. Southern Medical Journal, 96, 876-879.
35. Wertlieb, D., Budman, S., Demby, A., & Randall, M. (1982). The stress of marital separation: Intervention in a health maintenance organization. Psychosomatic Medicine, 44, 437-447.