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The impact of depression on health i...

Masaquel, Anthony Stephen.

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The impact of depression on health insurance coverage.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	The impact of depression on health insurance coverage./
作者:	Masaquel, Anthony Stephen.
面頁冊數:	198 p.
附註:	Source: Dissertation Abstracts International, Volume: 66-07, Section: B, page: 3665.
Contained By:	Dissertation Abstracts International66-07B.
標題:	Health Sciences, Public Health. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3181714
ISBN:	0542221713

The impact of depression on health insurance coverage.
Masaquel, Anthony Stephen.

The impact of depression on health insurance coverage. - 198 p.

Source: Dissertation Abstracts International, Volume: 66-07, Section: B, page: 3665.

Thesis (Ph.D.)--University of California, Los Angeles, 2005.

Objective. To determine the effect of depression burden days on various health insurance outcomes, including general health insurance, private health insurance, public health insurance, and more generous mental health insurance using instrumental variables (IV) analyses to address the potential problem of endogeneity bias associated with depression burden days. If such relationships exist, to determine whether employment is a mediator.

ISBN: 0542221713Subjects--Topical Terms:

1017659
Health Sciences, Public Health.

The impact of depression on health insurance coverage.
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245 1 4 $a The impact of depression on health insurance coverage.
300 $a 198 p.
500 $a Source: Dissertation Abstracts International, Volume: 66-07, Section: B, page: 3665.
500 $a Chair: Susan Ettner.
502 $a Thesis (Ph.D.)--University of California, Los Angeles, 2005.
520 $a Objective. To determine the effect of depression burden days on various health insurance outcomes, including general health insurance, private health insurance, public health insurance, and more generous mental health insurance using instrumental variables (IV) analyses to address the potential problem of endogeneity bias associated with depression burden days. If such relationships exist, to determine whether employment is a mediator.
520 $a Study source. Secondary analysis was performed on the Partners in Care Study (PIC), a randomized controlled trial examining the effect of quality improvement (QI) programs involving medication or psychotherapy on depression outcomes. The PIC study was a longitudinal study and 24 months of data was analyzed in the present study.
520 $a Study population. Approximately 1,221 patients under the age of 63 years and who screened positively for depression at baseline were examined. Older adults were excluded because of the different dynamics of health insurance coverage for the elderly.
520 $a Analyses. Multivariate analyses, including logistic, IV, random effects logit, and random effects IV regressions were performed to determine the effect of depression burden days on various health insurance outcomes. Some of the IV assumptions were formally tested, including determining the strengths of three potential identifying instruments, which included the randomization procedure to intervention and control groups in the PIC study, baseline depression types, and baseline SF-12 mental health summary score, and excluding the potential instruments from the second stage.
520 $a Findings. Depression burden days 6--24 months post-baseline increased the probability of having any public health insurance coverage during the same period and decreased the probability of having more generous mental health coverage at 24 months post-baseline. Employment was not a mediator in the relationships of depression burden days and public insurance or more generous mental health coverage.
520 $a Conclusion. Depressed patients were more likely to have some public health insurance during a substantial follow-up time period, supporting the historical role of the government in financing and providing mental health services. Insurers may be more likely to control access at the level of the benefits structure than at the coverage level.
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