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Tytuł:
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Healthcare use in commercially insured youth with mental health disorders.
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Autorzy:
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Hugunin J; Clinical and Population Health Research PhD Program, Morningside Graduate School of Biomedical Sciences, University of Massachusetts Chan Medical School, Worcester, USA. .; Department of Population and Quantitative Health Sciences, Albert Sherman Center, University of Massachusetts Chan Medical School, 368 Plantation Street, MB, 01605, Worcester, USA. .
Davis M; Clinical and Population Health Research PhD Program, Morningside Graduate School of Biomedical Sciences, University of Massachusetts Chan Medical School, Worcester, USA.; Department of Psychiatry, University of Massachusetts Chan Medical School, Worcester, USA.
Larkin C; Clinical and Population Health Research PhD Program, Morningside Graduate School of Biomedical Sciences, University of Massachusetts Chan Medical School, Worcester, USA.; Department of Psychiatry, University of Massachusetts Chan Medical School, Worcester, USA.; Department of Emergency Medicine, University of Massachusetts Chan Medical School, Worcester, USA.
Baek J; Clinical and Population Health Research PhD Program, Morningside Graduate School of Biomedical Sciences, University of Massachusetts Chan Medical School, Worcester, USA.; Department of Population and Quantitative Health Sciences, Albert Sherman Center, University of Massachusetts Chan Medical School, 368 Plantation Street, MB, 01605, Worcester, USA.
Skehan B; Department of Psychiatry, University of Massachusetts Chan Medical School, Worcester, USA.; Department of Pediatrics, University of Massachusetts Chan Medical School, Worcester, USA.
Lapane KL; Clinical and Population Health Research PhD Program, Morningside Graduate School of Biomedical Sciences, University of Massachusetts Chan Medical School, Worcester, USA.; Department of Population and Quantitative Health Sciences, Albert Sherman Center, University of Massachusetts Chan Medical School, 368 Plantation Street, MB, 01605, Worcester, USA.
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Źródło:
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BMC health services research [BMC Health Serv Res] 2022 Jul 26; Vol. 22 (1), pp. 952. Date of Electronic Publication: 2022 Jul 26.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Original Publication: London : BioMed Central, [2001-
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MeSH Terms:
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Insurance, Health*/statistics & numerical data
Mental Disorders*/therapy
Patient Acceptance of Health Care*/statistics & numerical data
Adolescent ; Adult ; Age Factors ; Ambulatory Care ; Child ; Humans ; Young Adult
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References:
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Psychiatr Clin North Am. 2009 Mar;32(1):135-51. (PMID: 19248921)
Lancet Psychiatry. 2017 May;4(5):351-352. (PMID: 28330588)
Lancet. 2016 Mar 12;387(10023):1123-1132. (PMID: 26410341)
JAMA Pediatr. 2022 Apr 01;176(4):400-409. (PMID: 35040870)
Child Adolesc Psychiatr Clin N Am. 2018 Jan;27(1):125-132. (PMID: 29157498)
J Psychiatr Pract. 2013 Nov;19(6):464-76. (PMID: 24241500)
JAMA Netw Open. 2019 Aug 2;2(8):e198415. (PMID: 31373654)
Psychiatr Serv. 2016 Jul 1;67(7):787-9. (PMID: 27032654)
Acad Pediatr. 2018 Jul;18(5):577-580. (PMID: 29496546)
MMWR Morb Mortal Wkly Rep. 2020 Aug 28;69(34):1156-1160. (PMID: 32853187)
J Adolesc Health. 2013 Jan;52(1):42-9. (PMID: 23260833)
J Pediatr Nurs. 2019 Sep - Oct;48:18-34. (PMID: 31220801)
Eur Child Adolesc Psychiatry. 2020 Feb;29(2):107-121. (PMID: 30294756)
J Pediatr Nurs. 2020 Nov - Dec;55:201-210. (PMID: 32966960)
J Psychopharmacol. 2010 Nov;24(4 Suppl):61-8. (PMID: 20923921)
Acad Pediatr. 2017 Jan - Feb;17(1):45-52. (PMID: 27289033)
JAMA Psychiatry. 2021 May 1;78(5):530-539. (PMID: 33595619)
Arch Dis Child. 2011 Jun;96(6):548-53. (PMID: 21388969)
N Engl J Med. 2005 Jun 16;352(24):2515-23. (PMID: 15958807)
Eur Child Adolesc Psychiatry. 2019 Nov;28(11):1431-1446. (PMID: 30850925)
Arch Gen Psychiatry. 2005 Jun;62(6):593-602. (PMID: 15939837)
Pediatrics. 2018 Nov;142(5):. (PMID: 30348754)
Curr Psychiatry Rep. 2014 Aug;16(8):458. (PMID: 25007733)
Psychiatr Serv. 2015 Apr 1;66(4):397-403. (PMID: 25554854)
J Behav Health Serv Res. 2008 Oct;35(4):373-89. (PMID: 18026842)
Proc Natl Acad Sci U S A. 2020 Sep 29;117(39):24039-24046. (PMID: 32958646)
Child Adolesc Psychiatr Clin N Am. 2017 Apr;26(2):177-190. (PMID: 28314449)
J Asthma. 2020 Oct;57(10):1119-1127. (PMID: 31328590)
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Grant Information:
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TL1 TR001454 United States TR NCATS NIH HHS; TR001454 United States NH NIH HHS; T32GM107000 United States NH NIH HHS
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Contributed Indexing:
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Keywords: Mental health services; Primary care; Transition to adulthood
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Entry Date(s):
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Date Created: 20220726 Date Completed: 20220728 Latest Revision: 20230314
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Update Code:
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20240105
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PubMed Central ID:
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PMC9323879
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DOI:
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10.1186/s12913-022-08353-z
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PMID:
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35883138
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Background: The objective of this study is to describe age-related patterns of outpatient healthcare utilization in youth and young adults with mental health disorders.
Method: We used the IBM ® MarketScan ® Commercial Database to identify 359,413 youth and young adults (12-27 years) with a mental health disorder continuously enrolled in private health insurance in 2018. Exploratory analysis was used to describe patterns of outpatient healthcare use (e.g., primary, reproductive, mental health care) and therapeutic management (e.g., medication prescriptions, psychotherapy) by age. Period prevalence and median number of visits are reported. Additional analysis explored utilization patterns by mental health disorder.
Results: The prevalence of outpatient mental health care and primary care decreased with age, with a larger drop in primary care utilization. While 74.0-78.4% of those aged 12-17 years used both outpatient mental health care and primary care, 53.1-59.7% of those aged 18-27 years did. Most 18-19-year-olds had a visit with an internal medicine or family medicine specialist, a minority had a pediatrician visit. The prevalence of medication management increased with age, while the prevalence of psychotherapy decreased.
Conclusions: Taken together, this descriptive study illustrates age-related differences in outpatient healthcare utilization among those with mental health disorders. Additionally, those with the most severe mental health disorders seem to be least connected to outpatient care. This knowledge can inform efforts to improve utilization of healthcare across the transition to adulthood.
(© 2022. The Author(s).)
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