Treatment use and costs among privately insured youths with diagnoses of bipolar disorder.
Treatment use and costs among privately insured youths with diagnoses of bipolar disorder.
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DOI：
10.1176/appi.ps.201100516
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发表时间：
2012-10
期刊：
影响因子：
--
通讯作者：
Hansen RA
中科院分区：
文献类型：
--
作者：
Dusetzina SB;Farley JF;Weinberger M;Gaynes BN;Sleath B;Hansen RA
Recent evidence suggests that children are increasingly diagnosed with bipolar disorder, yet no studies have quantified treatment costs for pediatric patients. The objectives are to identify one-year health services utilization and treatment costs among youth with new bipolar diagnoses. MarketScan administrative claims from 2005–2007 were used to construct a retrospective person-level cohort of children ages 0–17 to identify one-year health services utilization and costs among privately insured youth with bipolar diagnoses. Inpatient and outpatient services were categorized as mental health related and non-mental health related. Pharmacy costs were classified as psychotropic or non-psychotropic. In the sample (N=4,973), one-year mean reimbursements for health services were $10,372, and patient out-of-pocket spending $1,429 per child. Mental health services comprised 71% of all health care spending, with psychotropic medications and inpatient care contributing the largest proportions of total spending (24% and 27%, respectively). The costs of care among privately insured children with bipolar disorder are similar to that of adults. However, spending on children is concentrated on mental health related services. Because private insurance plans have historically limited mental health service benefits, the concentration of spending on mental health services may place a greater burden on families for out of pocket payments. As mental health parity is adopted by private insurers it will be important to monitor the impact on patient utilization and costs of health services, particularly for children with severe mental illness.
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影响因子：
3.8
作者：
Baldessarini, Ross J.;Leahy, Leslie;Hennen, John
通讯作者：
Hennen, John
影响因子：
3.8
作者：
Baldessarini, Ross;Henk, Henry;Leahy, Leslie
通讯作者：
Leahy, Leslie
影响因子：
6.6
作者：
Goldstein, Tina R.;Birmaher, Boris;Keller, Martin
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Keller, Martin
影响因子：
3.8
作者：
Busch, Alisa B.;Huskamp, Haiden A.;Landrum, Mary Beth
通讯作者：
Landrum, Mary Beth
DOI：
10.1097/00004583-200012000-00018
发表时间：
2000-12-01
影响因子：
13.3
作者：
Geller, B;Bolhofner, K;Gundersen, K
通讯作者：
Gundersen, K