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Article
The sensitivity of mental health care use and cost estimates to methods effects
Quantitative Health Sciences Publications and Presentations
  • Kenneth B. Wells, Rand Corporation
  • Willard G. Manning, Jr., Rand Corporation
  • Naihua Duan, Rand Corporation
  • Joseph P. Newhouse, Rand Corporation
  • John E. Ware, Jr., University of Massachusetts Medical School
  • Bernadette Benjamin
UMMS Affiliation
Department of Quantitative Health Sciences
Publication Date
9-1-1984
Document Type
Article
Subjects
Community Mental Health Services; Costs and Cost Analysis; Humans; Physicians; Random Allocation; Sampling Studies; United States; Utilization Review
Abstract
The authors determined the sensitivity of estimates of the use and cost of outpatient mental health care to two methods effects: the definition of a mental health visit and strategies for allocating mental health care costs. They use data from the Rand Health Insurance Study, which has a random sample of the nonaged noninstitutionalized civilian population in six United States sites. Estimates of the use of mental health specialists are insensitive to alternative methods. However, estimates of the use and cost of the mental health care delivered by nonpsychiatrist physicians (e.g., internists) are quite sensitive to methods effects. Nevertheless, the cost of care from nonpsychiatrist physicians is so low that the total cost of outpatient mental health care is not meaningfully affected by methods effects.
Rights and Permissions
Citation: Med Care. 1984 Sep;22(9):783-8. Link to article on publisher's site
Related Resources
Link to Article in PubMed
Citation Information
Kenneth B. Wells, Willard G. Manning, Naihua Duan, Joseph P. Newhouse, et al.. "The sensitivity of mental health care use and cost estimates to methods effects" Vol. 22 Iss. 9 (1984) ISSN: 0025-7079 (Linking)
Available at: http://works.bepress.com/john_ware/11/