Gender Differences in Health Care Expenditures, Resource Utilization, and Quality of Care

Owens, Gary K.

doi:10.18553/jmcp.2008.14.s3-a.2

Cited by 217 publications

(165 citation statements)

References 21 publications

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“…Although previous studies have suggested that medical costs are higher for women than men (Owens 2008;Woolhandler and Himmelstein, 2007), this study found a different result: for patients with depressive disorders, and taking into account other influences on costs, male gender was shown to be associated with higher costs for both non-psychiatric and psychiatric healthcare services.…”

Section: Demographic Characteristicscontrasting

confidence: 84%

Treatment costs for depression with pain and cardiovascular comorbidities

Pan

Knapp

Yeh

et al. 2013

Journal of Psychiatric Research

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Objective: As depressive disorders are highly heterogeneous, and as patients exhibit wide differences in clinical characteristics and comorbidities, we aim to examine whether and how demographic and clinical correlates affect healthcare costs for patients with depression in a real-world setting. Method: A national cohort of adult patients (n=216,557) who received treatment for depression was identified from the National Health Insurance Research Database in Taiwan. Factors associated with service use and healthcare costs over a 12-month period were explored, with a particular focus on past treatment history, comorbid physical illnesses, painful physical symptoms, and choice of initial antidepressants. Results: Depression severity, past treatment history, comorbid mental/physical illnesses, painful physical symptoms, and choice of initial antidepressants were found to be associated with healthcare costs in the following year, although the nature of the associations differed across cost categories. The presence of comorbid cardiovascular disease or certain painful physical symptoms at baseline was associated not only with higher non-psychiatric but also with higher psychiatric costs; moreover, patients with these comorbidities were shown to have increased use of psychiatric emergency and inpatient services. Conclusion: Healthcare costs for depression are affected by a number of clinical characteristics and comorbidities of patients. The importance of comorbid pain and cardiovascular conditions warrants further research.

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Section: Demographic Characteristicscontrasting

confidence: 84%

Treatment costs for depression with pain and cardiovascular comorbidities

Pan

Knapp

Yeh

et al. 2013

Journal of Psychiatric Research

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“…In general, women tend to use more health care services than men. 8,9 Further studies need to validate these findings in other clinic populations and examine the content of electronic communications.…”

Section: Discussionmentioning

confidence: 98%

Disparities in Enrollment and Use of an Electronic Patient Portal

et al. 2011

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“…The most likely diagnosis in these patients is renal stones and the given work up for these patients typically involves minimally invasive testing which include a urine test, and a non-contrast CT. We hypothesize that young females with similar complaints wait longer as their workup involves ruling out a more broad differential diagnosis that includes ovarian and pelvic pathology and hence a more invasive and comprehensive physical exam. It is interesting to note that elder males do wait longer than younger males with flank pain even though there are more life-threatening diagnoses to consider such as a ruptured aortic aneurysm [3]. We also noted that patients with the chief complaint of dizziness and weakness, which are often vague complaints that are difficult to qualify, were noted to wait the longest in our study overall.…”

Section: Discussionmentioning

confidence: 61%

Does the Nature of Chief Complaint, Gender, or Age Affect Time to Be Seen in the Emergency Room

Sattar¹,

Sable²,

Likourezos³

et al. 2014

OJEM

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Objectives: EM physicians may be biased in seeing patients presenting with nonspecific complaints or requiring more extensive work-ups. The goal of our study was to ascertain if chief complaint affected time to be seen (TTBS) in the ED. Methods: A retrospective report was generated from the EMR for all moderate acuity patients who visited the ED from January 2005 to December 2010 at a large urban teaching hospital. Abdominal pain, alcohol intoxication, back pain, chest pain, cough, dyspnea, dizziness, fall, fever, flank pain, headache, infection, pain (nonspecific), psychiatric evaluation, "sent by MD", vaginal bleeding, vomiting, and weakness were the most common complaints. Non-Parametric Independent Sample Tests assessed median TTBS between complaints, gender, and age. Chi-square testing assessed for differences in the distribution of arrival times. Results: We obtained data from 116,194 patients. Patients presenting with weakness and dizziness waited the longest time of 35 minutes and patients with flank pain waited the shortest with 24 minutes. Males waited 30 minutes and females waited 32 minutes. Younger females between the ages of 18 -50 waited significantly longer when presenting with a chief complaint of abdominal pain, chest pain, or flank pain. There was no difference in the distribution of arrival times for these complaints. Conclusion: There is a significant bias toward seeing young male patients more quickly than women or older males. Patients might benefit from efforts to educate EM physicians on the delays and potential quality issues associated with this bias in an attempt to move toward more egalitarian patient selection.

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Gender Differences in Health Care Expenditures, Resource Utilization, and Quality of Care

Cited by 217 publications

References 21 publications

Treatment costs for depression with pain and cardiovascular comorbidities

Treatment costs for depression with pain and cardiovascular comorbidities

Disparities in Enrollment and Use of an Electronic Patient Portal

Does the Nature of Chief Complaint, Gender, or Age Affect Time to Be Seen in the Emergency Room

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