Increased medical cost metrics for patients 50 years of age and older in the collaborate care model of treatment for depression

Angstman, Kurt B.; Doğaner, Yusuf Çetin; DeJesus, Ramona S.; Rohrer, James E.

doi:10.1111/psyg.12129

Cited by 7 publications

(6 citation statements)

References 20 publications

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“…The implementation strategies mentioned above were used alone or in combination for managing specific MHP in the elderly population such as major depression, minor or sub‐threshold depression, depression and anxiety in residential care homes, suicidal ideation, alcohol abuse, behavioural symptoms in Alzheimer, and mental problems in specific patient groups …”

Section: Resultsmentioning

confidence: 99%

“…The implementation strategies mentioned above were used alone or in combination for managing specific MHP in the elderly population such as major depression, [21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38] minor or sub-threshold depression, [39][40][41][42] depression and anxiety in residential care homes, [43][44][45][46][47] suicidal ideation, 48 alcohol abuse, 49,50 behavioural symptoms in Alzheimer, 51 and mental problems in specific patient groups. 15,[52][53][54][55][56] Evidence showed that the collaborative care strategy is best adapted for the organisation of MHCE, often combined with one of the other operational strategies (see Table 1).…”

Section: Operational Strategiesmentioning

confidence: 99%

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Improving mental healthcare for the elderly in Belgium

Adriaenssens

Benahmed

Ricour

2019

Health Planning & Management

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Summary Introduction The organisation of mental healthcare for the elderly (MHCE) remains suboptimal. Objective To identify specific organisational models that could address the mental healthcare needs of the elderly in community and primary care. Method A multi‐modal approach, consisting of a literature review, an online survey of Belgian professional stakeholders, and an international comparison. The outcomes of this three‐step study process were aggregated. Results Two general and four operational strategies for organising MHCE were identified as well as barriers and incentives to MHCE in the community and primary care. About half of survey respondents perceived the current MHCE in Belgium not to meet quality criteria as described in the literature and proposed points of improvement. The transversal international comparison revealed interesting approaches for MHCE. Recommendations for the future were formulated. Conclusion MHCE requires a specific, low‐threshold, holistic, and transdisciplinary approach. Specific strategies with emphasis on collaborative care should be applied to meet the needs of older adults with mental problems. General practitioners (GPs) can play a central role in community‐oriented MHCE but should be supported by specialised healthcare providers (including old‐age psychiatrists and geriatricians). Stigma and wrong beliefs, regarding the elderly population, should be tackled by means of campaigns.

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Section: Resultsmentioning

confidence: 99%

Section: Operational Strategiesmentioning

confidence: 99%

Improving mental healthcare for the elderly in Belgium

Adriaenssens

Benahmed

Ricour

2019

Health Planning & Management

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“…The prevalence of unmet medical needs has been found to be higher among those with worse mobility or with chronic pain due to the resultant difficulties with mobility [43]. Past studies have also found unmet medical needs to be associated with worse self-rated health status [44] and depression [45,46] because of the costs related to depression [47,48].…”

Section: Discussionmentioning

confidence: 99%

Factors Underlying Unmet Medical Needs: A Cross-Sectional Study

Yoon

Jung

Dongsu

et al. 2019

IJERPH

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Unmet medical needs refer to the state where a patient’s medical care or service is insufficient, inadequate, or lacking. Numerous factors influence unmet medical needs. We used a multi-pronged approach to explore the factors influencing unmet medical needs in the Korean health care system according to Anderson’s Behavioral Model of Health Services Use. To this end, we used data from 11,378 adults over 19 years old in the 2016 Korea Health Panel Survey and performed multiple logistic regression analyses. The odds of experiencing unmet medical needs were significantly greater among older participants (odds ratio (OR) = 2.51, 95% confidence interval (CI) = 1.78–3.56); low-income participants (OR = 1.41, 95% CI = 1.14–1.75); non-workers (OR = 1.24, 95% CI = 1.06–1.46); those who had received non-covered treatment (OR = 1.24, 95% CI = 1.08–1.42); those who did not regularly exercise (OR = 1.23, 95% CI = 1.02–1.48); and those experiencing pain (OR = 2.29, 95% CI = 1.97–2.66), worse self-rated health status (OR = 2.29, 95% CI = 1.89–2.79), and severe depression (OR = 2.46, 95% CI = 1.39–4.35). About one in ten Korean citizens (11.60%) have unmet medical service needs. Policies that strengthen coverage for physically and economically vulnerable groups are needed.

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“…Therefore, acceptability-related reasons for unmet medical needs may have a strong in uence on such individuals accessing medical services [21]. Moreover, severe depression may have a signi cant impact on access-related reasons for unmet medical needs, as depression can lead to poor health behavior [60] and nancial burdens [61,62]. Further, we found that obesity causes low access, which we considered to be related to the physical restrictions owing to obesity-associated pain and physical discomfort.…”

Section: Discussionmentioning

confidence: 99%

Determining the reasons for unmet medical needs in Korea: A secondary data analysis

Ha¹,

Jung

2020

Preprint

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Background: Unmet medical need which are indicators used globally to assess healthcare accessibility is a condition in which no satisfactory method of prevention, diagnosis, and treatment exists. The purpose of this study is to analyze factors related to unmet medical needs among Korean adults. Methods: We used a retrospective cross-sectional study design. This nationwide-based study included the data of 26,598 participants aged 19 years and older, obtained from the Korea National Health and Nutrition Examination Survey for 2013–2017. Using multiple logistic regression models, we analyzed the associations between factors that influence unmet medical needs and participants’ subgroups.Results: Despite Korea’s universal health-insurance system, we found that in 2017, 9.5% of Koreans experienced unmet needs. In the young adult group, men had a higher odds ratio of experiencing unmet medical needs compared to women (Males: OR = 1.83, 95% CI = 1.35-2.48; Females: OR = 1.42, 95% CI = 1.12-1.81). ). In particular, unlike men, women’s unmet medical needs increased as their incomes decreased (1Q OR = 1.55, 2Q OR =1.29, 3Q OR=1.26). Men and women showed a tendency to have more unmet medical needs with less exercise, worse subjective health state, worse pain, and a higher degree of depression.Conclusions: In conclusion, unmet medical needs contributing factors included having a low socioeconomic status, high stress, severe pain, or severe depression. Considering our findings, we suggest improving health-care access with low socioeconomic status.

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Increased medical cost metrics for patients 50 years of age and older in the collaborate care model of treatment for depression

Abstract: Medical cost utilization in the 6 months after diagnosis of depression was significantly higher in patients in the upper age quartile (≥ 50 years) enrolled in CCM than those in the lower quartiles (age < 50).

Cited by 7 publications

References 20 publications

Improving mental healthcare for the elderly in Belgium

Improving mental healthcare for the elderly in Belgium

Factors Underlying Unmet Medical Needs: A Cross-Sectional Study

Determining the reasons for unmet medical needs in Korea: A secondary data analysis

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