Measuring use and cost of care for patients with mood disorders: The utilization and cost inventory

Medical Care

Volumn 47, Issue 2, 2009, Pages 184-190

  Kashner, T Michael ^a,b,f   Stensland, Michael D ^c   Lind, Lisa ^d   Wicker, Annie ^d   Rush, A John ^a   Golden, Richard M ^a   Henley, Steven S ^e  

^a UNIVERSITY OF TEXAS AT DALLAS   (United States)

^b DEPARTMENT OF VETERANS AFFAIRS   (United States)

^c ELI LILLY AND COMPANY   (United States)

^d VETERANS AFFAIRS MEDICAL CENTER   (United States)

^e Martingale Research Corporation   (United States)

^f UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER   (United States)

Author keywords

Costs; Hybrid databases; Measuring utilization

Indexed keywords

ADJUSTMENT DISORDER; ADULT; AGED; ANXIETY DISORDER; ARTICLE; BIPOLAR DISORDER; COMPARATIVE STUDY; CONTROLLED STUDY; CORRELATION COEFFICIENT; FEASIBILITY STUDY; FEMALE; HEALTH CARE COST; HEALTH CARE PERSONNEL; HEALTH CENTER; HOSPITAL PATIENT; HUMAN; MAJOR CLINICAL STUDY; MAJOR DEPRESSION; MALE; MEDICAL RECORD; MOOD DISORDER; OUTCOME ASSESSMENT; OUTPATIENT; QUESTIONNAIRE; RATING SCALE; STRUCTURED INTERVIEW; SUBSTANCE ABUSE; UTILIZATION AND COST INVENTORY; VETERAN; AMBULATORY CARE; COST BENEFIT ANALYSIS; ECONOMICS; HEALTH CARE DELIVERY; HEALTH SERVICES RESEARCH; HEALTH SURVEY; HOSPITAL ADMISSION; LENGTH OF STAY; MENTAL HEALTH SERVICE; MIDDLE AGED; PATIENT CARE; PSYCHOLOGICAL ASPECT; STATISTICAL MODEL; STATISTICS; UNITED STATES; UTILIZATION REVIEW;

ADULT; AMBULATORY CARE; COST-BENEFIT ANALYSIS; DELIVERY OF HEALTH CARE; FEASIBILITY STUDIES; FEMALE; HEALTH CARE COSTS; HEALTH SERVICES RESEARCH; HEALTH SURVEYS; HUMANS; LENGTH OF STAY; MALE; MENTAL HEALTH SERVICES; MIDDLE AGED; MODELS, ECONOMETRIC; MOOD DISORDERS; OUTCOME ASSESSMENT (HEALTH CARE); PATIENT ADMISSION; PATIENT CARE TEAM; QUESTIONNAIRES; UNITED STATES; UTILIZATION REVIEW; VETERANS;

EID: 59049107160     PISSN: 00257079     EISSN: None     Source Type: Journal    
DOI: 10.1097/MLR.0b013e31818457b8     Document Type: Article

References (46)

1. Gold MR, Siegel JE, Russell LB, et al. Cost-Effectiveness in Health and Medicine. New York, NY: Oxford University Press; 1996.
2. la. Kashner TM, Trivedi MH, Wicker A, et al. Release bias in accessing medical records in clinical trials: STAR*D report. Int J Methods Psy-chiatr Res. In press.
3. Justice AC, Erdos J, Brandt C, et al. The Veterans Affairs Healthcare System: a unique laboratory for observational and interventional research. Med Care. 2006;44(Suppl 2):S7-S12.
4. Hannan EL, Racz MJ, Jollis JG, et al. Using Medicare claims data to assess provider quality for CABG surgery: does it work well enough? Health Serv Res. 1997;31:659-678.
5. Sing M. Using encounter data from Medicaid HMOs for research and monitoring. Inquiry. 2004;41:336-346.
6. Weeks WB, Bott DM, Bazos DA, et al. Veterans Health Administration patients' use of the private sector for coronary revascularization in New York: opportunities to improve outcomes by directing care to high-performance hospitals. Med Care. 2006;44:519-526.
7. Padgett D, Struening EL, Andrews H. Factors affecting the use of medical, mental health, alcohol, and drug treatment services by homeless adults. Med Care. 1990;28:805-821.
8. Fowles JB, Lawthers AG, Weiner JP, et al. Agreement between physicians' office records and Medicare Part B claims data. Health Care Financ Rev. 1995;16:189-199.
9. MacLean CH, Louie R, Shekelle PG, et al. Comparison of administrative data and medical records to measure the quality of medical care provided to vulnerable older patients. Med Care. 2006;44:141-148.
10. Steele LS, Glazier RH, Lin E, et al. Using administrative data to measure ambulatory mental health service provision in primary care. Med Care. 2004;42:960-965.
11. Kashner TM. Agreement between administrative files and written medical records: a case of the Department of Veterans Affairs. Med Care. 1998;36:1324-1336.
12. Stange KC, Zyzanski SJ, Smith TF, et al. How valid are medical records and patient questionnaires for physician profiling and health services research? A comparison with direct observation of patients visits. Med Care. 1998;36:851-867.
13. Kashner TM, Rost K, Smith GR, et al. An analysis of panel data. The impact of a psychiatric consultation letter on the expenditures and outcomes of care for patients with somatization disorder. Med Care. 1992;30:811-821.
14. Taube CA, Schlenger WE, Rupp A, et al. Validity of Medicaid household respondent reporting of ambulatory visits for mental disorders. J Econ Soc Meas. 1986;14:243-256.
15. Clark RE, Ricketts SK, McHugo GJ. Measuring hospital use without claims: a comparison of patient and provider reports. Health Serv Res.1996;31:153-169.
16. Greenberg PE, Leong SA, Birnbaum HG. Cost of depression: current assessment and future directions. Expert Rev Pharmacoecon Outcomes Res. 2001;1:69-76.
17. Simon GE, Unutzer J. Health care utilization and costs among patients treated for bipolar disorder in an insured population. Psychiatr Serv. 1999;50:1303-1308.
18. Kashner TM, Suppes T, Rush AJ, et al. Measuring use of outpatient care among mentally ill individuals: a comparison of self-reports and provider records. Eval Program Plann. 1999;22:31-39.
19. Kashner TM, Rush AJ, Altshuler KZ. Measuring costs of guideline-driven mental health care: the Texas Medication Algorithm Project. J Ment Health Policy Econ. 1999;2:111-121.
20. Kashner TM, Rush AJ, Crismon ML, et al. An empirical analysis of cost outcomes of the Texas medication algorithm project. Psychiatr Serv. 2006;57:648-659.
21. Suris A, Lind L, Kashner TM, et al. Sexual assault in women veterans: an examination of PTSD risk, health care utilization, and cost of care. Psychosom Med. 2004;66:749-756.
22. 20a.Kashner TM, Trivedi MH, Wicker A, et al. Interactive voice response system to measure health care costs: STAR*D report. Am J Manag Care. In press.
23. Williams JB, Gibbon M, First MB, et al. The Structured Clinical Interview for DSM-III-R (SCID). II. Multisite test-retest reliability. Arch Gen Psychiatry. 1992;49:630-636.
24. American Medical Association. Current Procedural Terminology. Re-ston, VA: St. Anthony; 2004.
25. St. Anthony. DRG Guidebook. Reston, VA: St. Anthony; 2004.
26. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th ed (DSM-IV). Washington, DC: American Psychiatric Association Press, Inc; 1994.
27. Reasonable Charges for Medical Care or Services; 2006 Calendar YearUpdate. 71(4) Federal Register (01/06/2006) at 982-1345, 38 CFR 17.101.2007.
28. Reasonable Charges for Inpatient DRG and SNF Medical Services; 2006 Fiscal year Update. 70(187) Federal Register (09/28/2005) at 56772-56803, 38 CFR 17.101. 2007.
29. Edgell ET, Andersen SW, Johnstone BM, et al. Olanzapine versus risperidone. A prospective comparison of clinical and economic outcomes in schizophrenia. Pharmacoeconomics. 2000;18:567-579.
30. Namjoshi MA, Rajamannar G, Jacobs T, et al. Economic, clinical, and quality-of-life outcomes associated with olanzapine treatment in mania: results from a randomized controlled trial. J Affect Disord. 2002;69:109-118.
31. Mullahy J. Much ado about two: reconsidering retransformation and the two-part model in health econometrics. J Health Econ. 1998;17:247-281.
32. Cohen J. A coefficient of agreement for nominal scales. Edu Psychol Meas. 1960;20:37-46.
33. Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33:159-174.
34. Shrout PE, Fleiss JL. Intraclass correlations: uses in assessing rater reliability. Psychol Bull. 1979;86:420-427.
35. van den Brink M, van den Hout WB, Stiggelbout AM, et al. Cost measurement in economic evaluations of health care: whom to ask? Med Care. 2004;42:740-746.
36. Ritter PL, Stewart AL, Kaymaz H, et al. Self-reports of health care utilization compared to provider records. J Clin Epidemiol. 2001;54: 136-141.
37. Tisnado DM, Adams JL, Liu H, et al. What is the concordance between the medical record and patient self-report as data sources for ambulatory care? Med Care. 2006;44:132-140.
38. Kwon A, Bungay KM, Pei Y, et al. Antidepressant use: concordance between self-report and claims records. Med Care. 2003;41:368-374.
39. Ungar WJ, Coyte PC. Health services utilization reporting in respiratory patients. Pharmacy Medication Monitoring Program Advisory Board. J Clin Epidemiol. 1998;51:1335-1342.
40. Raina P, Torrance-Rynard V, Wong M, et al. Agreement between self-reported and routinely collected health-care utilization data among seniors. Health Serv Res. 2002;37:751-774.
41. Wallihan DB, Stump TE, Callahan CM. Accuracy of self-reported health services use and patterns of care among urban older adults. Med Care. 1999;37:662-670.
42. Dendukuri N, McCusker J, Bellavance F, et al. Comparing the validity of different sources of information on emergency department visits: a latent class analysis. Med Care. 2005;43:266-275.
43. Bowlin SJ, Morrill BD, Nafziger AN, et al. Reliability and changes in validity of self-reported cardiovascular disease risk factors using dual response: the behavioral risk factor survey. J Clin Epidemiol. 1996;49:511-517.
44. Pollicino C, Viney R, Haas M. Measuring health system resource use for economic evaluation: a comparison of data sources. Aust Health Rev. 2002;25:171-178.
45. Rohrbaugh M, Rogers JC. What did the doctor do? When physicians and patients disagree. Arch Earn Med. 1994;3:125-128.
46. Rozario PA, Morrow-Howell N, Proctor E. Comparing the congruency of self-report and provider records of depressed elders' service use by provider type. Med Care. 2004;42:952-959.