Use and costs of ambulatory care services among medicare enrollees with schizophrenia

L. Dixon, A. Lyles, C. Smith, J. S. Hoch, M. Fahey, L. Postrado, A. Lucksted, A. Lehman

Research output: Contribution to journalArticle

Abstract

Objective: The objective of this study was to identify predictors of the use and cost of ambulatory care services among Medicare recipients with schizophrenia. Methods: The design was a cross-sectional analysis of Medicare claims in 1991. The study subjects were a 5 percent random sample of all persons in the United States who had at least one Medicare service claim in 1991 and who were diagnosed as having schizophrenia in any care setting. Outcome measures included use and cost of any ambulatory care service, individual therapy, psychiatric somatotherapy, group therapy, or family therapy. Results: For nearly 25 percent of the total sample of 12,440, no claims were filed for ambulatory care services in 1991. The mean±SD number of ambulatory care visits during the year was 7.9±21. The most frequently used type of therapy was individual therapy (5±14 visits). The mean±SD yearly cost of care for persons who received ambulatory care services was $470±$1,028. Among persons under 65 years of age, Caucasians were about 1.5 times as likely as African Americans to have received an ambulatory care service and 1.3 times as likely to have received individual therapy. Persons who were 65 or older were less likely to have received any service. Among service recipients, costs of care were lower for African Americans and for older people. Conclusions: The use of Medicare-funded ambulatory care services by persons with schizophrenia varied by race and age. Further investigation is required to determine whether subgroups of individuals who do not have additional insurance coverage or access to services are receiving substandard care.

Original languageEnglish (US)
Pages (from-to)786-792
Number of pages7
JournalPsychiatric Services
Volume52
Issue number6
DOIs
StatePublished - 2001
Externally publishedYes

Fingerprint

Ambulatory Care
schizophrenia
Medicare
Schizophrenia
Costs and Cost Analysis
costs
African Americans
human being
Family Therapy
Insurance Coverage
Therapeutics
Group Psychotherapy
recipient
Psychiatry
group therapy
Cross-Sectional Studies
insurance coverage
Outcome Assessment (Health Care)
Caucasian
family therapy

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Public Health, Environmental and Occupational Health
  • Health(social science)
  • Health Professions(all)

Cite this

Dixon, L., Lyles, A., Smith, C., Hoch, J. S., Fahey, M., Postrado, L., ... Lehman, A. (2001). Use and costs of ambulatory care services among medicare enrollees with schizophrenia. Psychiatric Services, 52(6), 786-792. https://doi.org/10.1176/appi.ps.52.6.786

Use and costs of ambulatory care services among medicare enrollees with schizophrenia. / Dixon, L.; Lyles, A.; Smith, C.; Hoch, J. S.; Fahey, M.; Postrado, L.; Lucksted, A.; Lehman, A.

In: Psychiatric Services, Vol. 52, No. 6, 2001, p. 786-792.

Research output: Contribution to journalArticle

Dixon, L, Lyles, A, Smith, C, Hoch, JS, Fahey, M, Postrado, L, Lucksted, A & Lehman, A 2001, 'Use and costs of ambulatory care services among medicare enrollees with schizophrenia', Psychiatric Services, vol. 52, no. 6, pp. 786-792. https://doi.org/10.1176/appi.ps.52.6.786
Dixon, L. ; Lyles, A. ; Smith, C. ; Hoch, J. S. ; Fahey, M. ; Postrado, L. ; Lucksted, A. ; Lehman, A. / Use and costs of ambulatory care services among medicare enrollees with schizophrenia. In: Psychiatric Services. 2001 ; Vol. 52, No. 6. pp. 786-792.
@article{f43ac45ae4f1489fbdac57c667925e2e,
title = "Use and costs of ambulatory care services among medicare enrollees with schizophrenia",
abstract = "Objective: The objective of this study was to identify predictors of the use and cost of ambulatory care services among Medicare recipients with schizophrenia. Methods: The design was a cross-sectional analysis of Medicare claims in 1991. The study subjects were a 5 percent random sample of all persons in the United States who had at least one Medicare service claim in 1991 and who were diagnosed as having schizophrenia in any care setting. Outcome measures included use and cost of any ambulatory care service, individual therapy, psychiatric somatotherapy, group therapy, or family therapy. Results: For nearly 25 percent of the total sample of 12,440, no claims were filed for ambulatory care services in 1991. The mean±SD number of ambulatory care visits during the year was 7.9±21. The most frequently used type of therapy was individual therapy (5±14 visits). The mean±SD yearly cost of care for persons who received ambulatory care services was $470±$1,028. Among persons under 65 years of age, Caucasians were about 1.5 times as likely as African Americans to have received an ambulatory care service and 1.3 times as likely to have received individual therapy. Persons who were 65 or older were less likely to have received any service. Among service recipients, costs of care were lower for African Americans and for older people. Conclusions: The use of Medicare-funded ambulatory care services by persons with schizophrenia varied by race and age. Further investigation is required to determine whether subgroups of individuals who do not have additional insurance coverage or access to services are receiving substandard care.",
author = "L. Dixon and A. Lyles and C. Smith and Hoch, {J. S.} and M. Fahey and L. Postrado and A. Lucksted and A. Lehman",
year = "2001",
doi = "10.1176/appi.ps.52.6.786",
language = "English (US)",
volume = "52",
pages = "786--792",
journal = "Psychiatric Services",
issn = "1075-2730",
publisher = "American Psychiatric Association",
number = "6",

}

TY - JOUR

T1 - Use and costs of ambulatory care services among medicare enrollees with schizophrenia

AU - Dixon, L.

AU - Lyles, A.

AU - Smith, C.

AU - Hoch, J. S.

AU - Fahey, M.

AU - Postrado, L.

AU - Lucksted, A.

AU - Lehman, A.

PY - 2001

Y1 - 2001

N2 - Objective: The objective of this study was to identify predictors of the use and cost of ambulatory care services among Medicare recipients with schizophrenia. Methods: The design was a cross-sectional analysis of Medicare claims in 1991. The study subjects were a 5 percent random sample of all persons in the United States who had at least one Medicare service claim in 1991 and who were diagnosed as having schizophrenia in any care setting. Outcome measures included use and cost of any ambulatory care service, individual therapy, psychiatric somatotherapy, group therapy, or family therapy. Results: For nearly 25 percent of the total sample of 12,440, no claims were filed for ambulatory care services in 1991. The mean±SD number of ambulatory care visits during the year was 7.9±21. The most frequently used type of therapy was individual therapy (5±14 visits). The mean±SD yearly cost of care for persons who received ambulatory care services was $470±$1,028. Among persons under 65 years of age, Caucasians were about 1.5 times as likely as African Americans to have received an ambulatory care service and 1.3 times as likely to have received individual therapy. Persons who were 65 or older were less likely to have received any service. Among service recipients, costs of care were lower for African Americans and for older people. Conclusions: The use of Medicare-funded ambulatory care services by persons with schizophrenia varied by race and age. Further investigation is required to determine whether subgroups of individuals who do not have additional insurance coverage or access to services are receiving substandard care.

AB - Objective: The objective of this study was to identify predictors of the use and cost of ambulatory care services among Medicare recipients with schizophrenia. Methods: The design was a cross-sectional analysis of Medicare claims in 1991. The study subjects were a 5 percent random sample of all persons in the United States who had at least one Medicare service claim in 1991 and who were diagnosed as having schizophrenia in any care setting. Outcome measures included use and cost of any ambulatory care service, individual therapy, psychiatric somatotherapy, group therapy, or family therapy. Results: For nearly 25 percent of the total sample of 12,440, no claims were filed for ambulatory care services in 1991. The mean±SD number of ambulatory care visits during the year was 7.9±21. The most frequently used type of therapy was individual therapy (5±14 visits). The mean±SD yearly cost of care for persons who received ambulatory care services was $470±$1,028. Among persons under 65 years of age, Caucasians were about 1.5 times as likely as African Americans to have received an ambulatory care service and 1.3 times as likely to have received individual therapy. Persons who were 65 or older were less likely to have received any service. Among service recipients, costs of care were lower for African Americans and for older people. Conclusions: The use of Medicare-funded ambulatory care services by persons with schizophrenia varied by race and age. Further investigation is required to determine whether subgroups of individuals who do not have additional insurance coverage or access to services are receiving substandard care.

UR - http://www.scopus.com/inward/record.url?scp=0034971423&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0034971423&partnerID=8YFLogxK

U2 - 10.1176/appi.ps.52.6.786

DO - 10.1176/appi.ps.52.6.786

M3 - Article

C2 - 11376226

AN - SCOPUS:0034971423

VL - 52

SP - 786

EP - 792

JO - Psychiatric Services

JF - Psychiatric Services

SN - 1075-2730

IS - 6

ER -