Förlagets beskrivning
One of the major concerns about the changing US healthcare systems is
whether they will improve or diminish the quality and cost-effectiveness of
medical care. The shift from a fee-for-service to a prepaid method of
reimbursement has greatly changed the incentives of patients to seek care as
well as those of providers to supply it. This change poses a particular
challenge for care of depressed patients, a vulnerable population that often
does not advocate for its own care. This book documents the inefficiencies of
our national systems - prepaid as well as fee-for-service - for treating
depression and explores how they can be improved. Although depression is a major illness affecting millions of people, it is
seriously undertreated in the United States. The ongoing shift of mental-health
care away from specialists and toward primary medical-care providers is causing
fewer depressed patients to be appropriately diagnozed and treated. Depression
is frequently more devastating than other major illnesses, such as arthritis
and heart disease, because it often begins at a younger age, when people are at
their productive peak and thus at risk of permanently damaging their careers.
It also differs from many medical conditions in that it its indirect costs are
usually much higher than direct treatment costs. The authors urge the integration of both medical and economic
considerations in designing policies for the treatment of depression. They show
that by spending more money efficiently on care, the nation will gain greater
health improvements per dollar invested and a more productive population. This work looks at the challenge posed for the changing American
health-care system by the care of depressed patients. It examines the
undertreatment of depression in the US and the shift of mental-health care away
from specialists to primary medical care and the subsequent problems
incurred.
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Caring for Depression
Bokrecensioner » Caring for Depression (A RAND Corporation Study)
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