We have located links that may give you full text access.
Healthcare utilization patterns before and after contact with psychiatrist care for panic disorder.
Journal of Affective Disorders 2009 December
BACKGROUND: This study aimed to examine healthcare utilization and expenditures in the six months before and after a patient contacted with psychiatrist care for panic disorder (PD), using a nationwide population-based database in Taiwan.
METHODS: We used data from Taiwan's National Health Insurance Research Database covering the years 2002 to 2005. Our study sample included 15,374 patients with PD. We compare changes in the number of ER and outpatient visits and associated six months before and after a patient received psychiatric treatment for PD, by performing paired t-tests.
RESULTS: Results indicate that despite increased mean numbers and costs for total and psychiatric outpatient visits after patients contacted with psychiatrist care for PD, there was a significantly lower number of emergency visits (0.86 vs. 0.62, p<0.001) and non-psychiatric outpatient visits (16.1 vs. 15.6, p<0.001) after psychiatric treatment, saving NT$452.8 and NT$312.9 dollars, respectively. Furthermore, we found that the mean monthly ER use and costs demonstrated a steadily upward trend peaking in the month prior to contacting with psychiatrist care for PD, followed by a sharp decrease in the month after.
LIMITATION: We identified patients diagnosed with PD by ICD-9-CM codes from administrative claims data, the validity of diagnoses could be compromised.
CONCLUSION: The treatment of PD might cause an increase in healthcare expenditures for psychiatric visits; nevertheless, it would also reduce utilization of medical resources for symptoms associated with PD. Our study highlights the need to target PD for early identification and treatment.
METHODS: We used data from Taiwan's National Health Insurance Research Database covering the years 2002 to 2005. Our study sample included 15,374 patients with PD. We compare changes in the number of ER and outpatient visits and associated six months before and after a patient received psychiatric treatment for PD, by performing paired t-tests.
RESULTS: Results indicate that despite increased mean numbers and costs for total and psychiatric outpatient visits after patients contacted with psychiatrist care for PD, there was a significantly lower number of emergency visits (0.86 vs. 0.62, p<0.001) and non-psychiatric outpatient visits (16.1 vs. 15.6, p<0.001) after psychiatric treatment, saving NT$452.8 and NT$312.9 dollars, respectively. Furthermore, we found that the mean monthly ER use and costs demonstrated a steadily upward trend peaking in the month prior to contacting with psychiatrist care for PD, followed by a sharp decrease in the month after.
LIMITATION: We identified patients diagnosed with PD by ICD-9-CM codes from administrative claims data, the validity of diagnoses could be compromised.
CONCLUSION: The treatment of PD might cause an increase in healthcare expenditures for psychiatric visits; nevertheless, it would also reduce utilization of medical resources for symptoms associated with PD. Our study highlights the need to target PD for early identification and treatment.
Full text links
Related Resources
Trending Papers
Heart failure with preserved ejection fraction: diagnosis, risk assessment, and treatment.Clinical Research in Cardiology : Official Journal of the German Cardiac Society 2024 April 12
Proximal versus distal diuretics in congestive heart failure.Nephrology, Dialysis, Transplantation 2024 Februrary 30
Efficacy and safety of pharmacotherapy in chronic insomnia: A review of clinical guidelines and case reports.Mental Health Clinician 2023 October
World Health Organization and International Consensus Classification of eosinophilic disorders: 2024 update on diagnosis, risk stratification, and management.American Journal of Hematology 2024 March 30
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app