FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W314293859> ?p ?o ?g. }

• W314293859 startingPage "10" @default.
• W314293859 abstract "Richard G. Frank [*] Interpreting growth trends in mental health spending can be puzzling. When mental health spending grows more rapidly than other health expenditures, is it because of provider price inflation? When mental health spending grows less rapidly than other health expenditures, is it because the mental health needs of our population increasingly are not being met? A first step toward interpreting changes in mental health spending properly involves decomposing these expenditures into Ps and Qs: prices and quantities. But measuring the quantity of real output in the health care sector, particularly in mental health services, is complicated for a number of reasons. For example, questions about the effectiveness of treatments and the welfare losses from moral hazard in insurance have long created concern that the value of spending on mental health may be low relative to spending on other health services. Mental disorders frequently are chronic and recurring conditions, and mortality is not typically an appropriate measure of treatment outcome. Defining outcomes from various mental health treatments often relies on more subjective and difficult-to-measure constructs. Therefore, creating price indexes that account for the changing quality and effectiveness of mental health treatments poses significant measurement issues. Initial Methodology and Data For some time, health economists have suggested that an appropriate treatment price index would be one based on defined episodes of treatment of selected illnesses and conditions. It would incorporate technological and institutional innovations that change the mix of inputs to treat the condition and would include any effects on changed medical outcomes. Anne A. Scitovsky was the first to implement this type of approach in 1967. She examined changes in the costs of treating episodes for six specific medical conditions at the Palo Alto Medical Research Foundation between 1951 and 1965. [1] In the health-related producer price indexes (PPIs) constructed and published by the Bureau of Labor Statistics (BLS), by contrast, variations in treatment outcomes are not taken into account, nor are major treatment substitutions, for example between pharmacotherapy and psychotherapy. Over the last four years, we have undertaken a research program at the NBER that builds on the treatment episode tradition begun by Scitovsky and extends it to the most prevalent and costly of the mental disorders, major depression. We report here on how this research has progressed and how findings have evolved as we developed more refined measures of treatment episodes and outcomes. In the past two decades, new treatment technologies have been introduced, indicating the potential for changes in outcomes in treatment for depression. Treatment input patterns have shifted within treatment classes (for example, from older to more recently developed pharmacotherapies, particularly the selective serotonin reuptake inhibitors, or SSRIs) and between treatment classes (for example, to less intensive psychotherapy and more intensive pharmacotherapy). Fundamental organizational changes, such as the growth of managed care and specialty mental health and pharmacy carve-outs, also may have affected prices of and treatment choices for depression. In our work, we use quantities and prices of outpatient treatment for depression that are based on retrospective medical claims data from MedStat's publicly available MarketScan [TM] database. These data consist of 1991-6 enrollment records and medical claims from four large self-insured employers offering more than 25 health plans to their 400,000 plus employees and their dependents. These data include inpatient, outpatient, and pharmaceutical claims. The health benefits offered to enrollees in this database are quite generous relative to the general market for private health insurance in the United States. …" @default.
• W314293859 created "2016-06-24" @default.
• W314293859 creator A5003148701 @default.
• W314293859 creator A5018486913 @default.
• W314293859 creator A5063125344 @default.
• W314293859 date "2000-12-22" @default.
• W314293859 modified "2023-09-26" @default.
• W314293859 title "Interpreting Changes in Mental Health Expenditures: Minding Our PS and Qs" @default.
• W314293859 hasPublicationYear "2000" @default.
• W314293859 type Work @default.
• W314293859 sameAs 314293859 @default.
• W314293859 citedByCount "0" @default.
• W314293859 crossrefType "journal-article" @default.
• W314293859 hasAuthorship W314293859A5003148701 @default.
• W314293859 hasAuthorship W314293859A5018486913 @default.
• W314293859 hasAuthorship W314293859A5063125344 @default.
• W314293859 hasConcept C100001284 @default.
• W314293859 hasConcept C100243477 @default.
• W314293859 hasConcept C118552586 @default.
• W314293859 hasConcept C119857082 @default.
• W314293859 hasConcept C134362201 @default.
• W314293859 hasConcept C144133560 @default.
• W314293859 hasConcept C160735492 @default.
• W314293859 hasConcept C162118730 @default.
• W314293859 hasConcept C162324750 @default.
• W314293859 hasConcept C2776291640 @default.
• W314293859 hasConcept C2908647359 @default.
• W314293859 hasConcept C34447519 @default.
• W314293859 hasConcept C41008148 @default.
• W314293859 hasConcept C4249254 @default.
• W314293859 hasConcept C50522688 @default.
• W314293859 hasConcept C71924100 @default.
• W314293859 hasConcept C99454951 @default.
• W314293859 hasConceptScore W314293859C100001284 @default.
• W314293859 hasConceptScore W314293859C100243477 @default.
• W314293859 hasConceptScore W314293859C118552586 @default.
• W314293859 hasConceptScore W314293859C119857082 @default.
• W314293859 hasConceptScore W314293859C134362201 @default.
• W314293859 hasConceptScore W314293859C144133560 @default.
• W314293859 hasConceptScore W314293859C160735492 @default.
• W314293859 hasConceptScore W314293859C162118730 @default.
• W314293859 hasConceptScore W314293859C162324750 @default.
• W314293859 hasConceptScore W314293859C2776291640 @default.
• W314293859 hasConceptScore W314293859C2908647359 @default.
• W314293859 hasConceptScore W314293859C34447519 @default.
• W314293859 hasConceptScore W314293859C41008148 @default.
• W314293859 hasConceptScore W314293859C4249254 @default.
• W314293859 hasConceptScore W314293859C50522688 @default.
• W314293859 hasConceptScore W314293859C71924100 @default.
• W314293859 hasConceptScore W314293859C99454951 @default.
• W314293859 hasLocation W3142938591 @default.
• W314293859 hasOpenAccess W314293859 @default.
• W314293859 hasPrimaryLocation W3142938591 @default.
• W314293859 hasRelatedWork W1498550647 @default.
• W314293859 hasRelatedWork W1591593808 @default.
• W314293859 hasRelatedWork W1876878142 @default.
• W314293859 hasRelatedWork W190276113 @default.
• W314293859 hasRelatedWork W1975829766 @default.
• W314293859 hasRelatedWork W1982290679 @default.
• W314293859 hasRelatedWork W1995349242 @default.
• W314293859 hasRelatedWork W2012185711 @default.
• W314293859 hasRelatedWork W2021138327 @default.
• W314293859 hasRelatedWork W2082486618 @default.
• W314293859 hasRelatedWork W2082580064 @default.
• W314293859 hasRelatedWork W2083158342 @default.
• W314293859 hasRelatedWork W2097308092 @default.
• W314293859 hasRelatedWork W2397473188 @default.
• W314293859 hasRelatedWork W2419531705 @default.
• W314293859 hasRelatedWork W2890565079 @default.
• W314293859 hasRelatedWork W3121730528 @default.
• W314293859 hasRelatedWork W3163168537 @default.
• W314293859 hasRelatedWork W204375148 @default.
• W314293859 hasRelatedWork W2528411266 @default.
• W314293859 isParatext "false" @default.
• W314293859 isRetracted "false" @default.
• W314293859 magId "314293859" @default.
• W314293859 workType "article" @default.