Psychiatric need and demand in a prepaid group practice program.

Locke, Ben Z.; Krantz, Goldie; Kramer, Martin

doi:10.2105/ajph.56.6.895

Cited by 51 publications

(11 citation statements)

References 6 publications

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“…The incidence rates represent the amount of illness as estimated by the province's private physicians. In general, the rates are within the range reported within the literature (5,6,7,10,12,13). Many of these findings are not new, such as the fact that rates are higher in females than in males or in urban as contrasted with rural areas (2,4,9).…”

Section: Discussionsupporting

confidence: 86%

Psychiatric Services in Saskatchewan under Medicare*

Cassell¹,

Smith

Rankin

1970

Canadian Psychiatric Association Journal

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This study has examined the nature and extent of services provided to psychiatric patients under ‘Medicare’. An analysis of the records of 864,128 residents of Saskatchewan revealed that in 1965, 13,950 males and 27,009 females received a psychiatric diagnosis from physicians in private practice. Psychoneurotic conditions were frequent. General practitioners provided the majority of treatment services for this group. Physicians practising in urban areas were found to complete more psychiatric treatment than their rural counterparts. Female patients were found to receive relatively more psychiatric care than males. The latter obtained more consultations, hospital visits and somatic investigations. Lastly, the rate of service was infrequent, averaging less than one treatment session per patient.

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Section: Discussionsupporting

confidence: 86%

Psychiatric Services in Saskatchewan under Medicare*

Cassell¹,

Smith

Rankin

1970

Canadian Psychiatric Association Journal

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“…This proportion is consistent with other reports that 1% to 1.8% of general medical patients receive psychiatric treatment in a 1-year period. 88,89 Previous work 87 has shown a dose-response relationship for psychotherapy and medical care utilization, with a cost-offset effect becoming clear after about six psychotherapy visits. In the present study, therefore, we examined the medical utilization of a group of persons who had at least seven outpatient mental health treatment visits beginning in 1975 but no psychiatric inpatient claims at any time.…”

Section: E T H O D 2 : a N A L Y S I S O F H E A L T H I N S U R A mentioning

confidence: 99%

A new look at evidence about reduced cost of medical utilization following mental health treatment

Mumford¹,

Hj²,

Gv³

et al. 1984

AJP

345

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“…The length of time patients were bothered by psychiatric problems and the duration of care provided by the physicians are correlated in table 6. Although there is a positive association between the proportion of patients designated as having a psychiatric problem and the length of time the reporting physician provided medical care, the time alone cannot account for the concentration of patients with psychiatric problems for 5 years or more.…”

Section: Psychiatric Problem Patientsmentioning

confidence: 99%

Psychiatric Disorders among the Patients of General Practitioners and Internists

Locke¹,

Gardner²

1969

Public Health Reports (1896-1970)

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ABOUT 10 to 60 percent of the people receiving care from a general practitioner or interniist during a year have a significant emotional or psychiatric problem-as perceived by the physician. But how perceptive is the average family physician in detecting mental illness, and what factors influence his perceptiveness? If the family physician is to function as a resource for early detection of mental illness, how must his training be altered? And how would the caseload for all the psychiatric services in a community be affected if the family physician referred all patients in whom he perceived a significant psychiatric problem to a psychiatric service? If we look toward the family physician for psychiatric care, we must know the kind of care he offers and how he must be educated to serve more effectively (1-16). Monroe County, N.Y. (including metropolitan Rochester), population 630,000 in 1964, afforded a unique opportunity for a study to obtain at least a partial answer to many of these questions. A centralized case register of all psychiatric services has been maintained there since January 1960. Almost all psychiatric services, Mr. Locke is acting chief of the center for epidemiologic studies,

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Psychiatric need and demand in a prepaid group practice program.

Cited by 51 publications

References 6 publications

Psychiatric Services in Saskatchewan under Medicare*

Psychiatric Services in Saskatchewan under Medicare*

A new look at evidence about reduced cost of medical utilization following mental health treatment

Psychiatric Disorders among the Patients of General Practitioners and Internists

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