Distress Syndromes, Illness Behavior, Access to Care and Medical Utilization in a Defined Population

Mechanic, David; Cleary, Paul D.; Greenley, James R.

doi:10.1097/00005650-198204000-00002

Cited by 70 publications

(19 citation statements)

References 5 publications

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“…In previous studies, it has been shown that depression was associated with high utilization of health services in family practice settings. 23,24 Our study emphasizes that these observations also appear to be applicable to dermatological settings.…”

Section: Discussionsupporting

confidence: 59%

Depression in dermatological patients identified by the Mini International Neuropsychiatric Interview questionnaire

Cohen¹,

Ofek–Shlomai²,

Vardy³

et al. 2006

Journal of the American Academy of Dermatology

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Section: Discussionsupporting

confidence: 59%

Depression in dermatological patients identified by the Mini International Neuropsychiatric Interview questionnaire

Cohen¹,

Ofek–Shlomai²,

Vardy³

et al. 2006

Journal of the American Academy of Dermatology

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“…While prior health services research has shown that psychologically distressed persons use health care at higher rates than nondistressed persons, multivariate studies have yielded conflicting results on whether this association remains statistically significant after controlling for other health status variables (36)(37)(38)(39)(40). In this sample, psychologically distressed persons were more likely to: have pain in multiple anatomical sites, report pain-related activity limitation, and rate their health status as fair or poor.…”

Section: Discussionmentioning

confidence: 68%

Chronic pain and use of ambulatory health care.

Korff

Wagner

Dworkin

et al. 1991

Psychosomatic Medicine

144

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Chronic pain status and health care utilization were assessed in a probability sample of 1016 adult HMO enrollees, and among 242 HMO enrollees seeking treatment for Temporomandibular Disorder (TMD) pain. Likelihood of health care contact for a painful symptom: Among persons reporting back pain, headache, chest pain, abdominal pain or temporomandibular pain in the prior six months, we evaluated whether (1) pain characteristics (severity, persistence, recency of onset), and (2) psychological distress were associated with the likelihood of recent use of health care for each pain symptom. Severity, persistence, and recency of onset of pain were generally associated with recent health care contact for a pain symptom. Females with a pain symptom were no more likely than males to report recent health care contact for the symptom after controlling for pain characteristics. The presence of psychological distress did not increase the likelihood of health care contact for individual pain symptoms. However, psychologically distressed persons were more likely to report pain at multiple anatomical sites and to report recent health care contact for one or more of the five pain symptoms (as a group). Chronic pain status and total use of ambulatory health care: Total number of health care visits (irrespective of reason for visit) was measured by automated data. Chronic pain status (summarized across all five anatomical sites) showed a modest correlation with the volume of health care use. Persons with recurrent pain and severe-persistent pain with no pain-related disability days used ambulatory care at rates close to population means. Persons with severe-persistent pain and seven or more pain related disability days used health care at rates substantially above population means. There was a statistically significant association between the volume of health care use and chronic pain after controlling for age, sex, self-rated health status, and psychological distress.

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“…These patients tend to have twice as many general medical visits as people who do not seek mental care, have higher rates of specialist visits, and receive a greater number of general ambulatory services [20,21].…”

Section: Discussionmentioning

confidence: 99%

Health services utilization by depressive patients identified by the MINI questionnaire in a primary care setting

Shvartzman

Weiner²,

Vardy

et al. 2005

Scandinavian Journal of Primary Health Care

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Distress Syndromes, Illness Behavior, Access to Care and Medical Utilization in a Defined Population

Cited by 70 publications

References 5 publications

Depression in dermatological patients identified by the Mini International Neuropsychiatric Interview questionnaire

Depression in dermatological patients identified by the Mini International Neuropsychiatric Interview questionnaire

Chronic pain and use of ambulatory health care.

Health services utilization by depressive patients identified by the MINI questionnaire in a primary care setting

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