Predicting the use of outpatient mental health services: do modeling approaches make a difference?
- PMID: 12371570
- DOI: 10.5034/inquiryjrnl_39.2.168
Predicting the use of outpatient mental health services: do modeling approaches make a difference?
Abstract
Studies attempting to project the impact of providing health coverage to the uninsured population have demonstrated considerable variation in the estimated costs of mental health care. Different modeling approaches to project health care use and costs have been shown to address some data characteristics well, but not all of them. Using data from Health Care for Communities, a recent national household survey, this paper attempts to estimate and predict the use of mental health outpatient services if insurance coverage were extended to the uninsured. The study employs two-part models, with the second part based on an ordinary least squares (OLS) approach and a generalized linear model (GLM), and a zero-inflated negative binomial model (ZINB). Estimates and predictions are not sensitive to the modeling approaches chosen, although the ZINB model out performs the two-part models in terms of out-of-sample prediction.
Similar articles
-
The relationship between insurance coverage and psychiatric disorder in predicting use of mental health services.Am J Psychiatry. 1994 Dec;151(12):1785-90. doi: 10.1176/ajp.151.12.1785. Am J Psychiatry. 1994. PMID: 7977886
-
The utility of prediction models to oversample the long-term uninsured.Med Care. 2009 Jan;47(1):80-7. doi: 10.1097/MLR.0b013e3181844e2e. Med Care. 2009. PMID: 19106735
-
What accounts for differences in the use of hospital emergency departments across U.S. communities?Health Aff (Millwood). 2006 Sep-Oct;25(5):w324-36. doi: 10.1377/hlthaff.25.w324. Epub 2006 Jul 18. Health Aff (Millwood). 2006. PMID: 16849363
-
Statistical procedures for analyzing mental health services data.Psychiatry Res. 2008 Aug 15;160(2):129-36. doi: 10.1016/j.psychres.2007.07.003. Epub 2008 Jun 30. Psychiatry Res. 2008. PMID: 18585790 Review.
-
Is it really an emergency?Am J Nurs. 2006 Jan;106(1):69-72. doi: 10.1097/00000446-200601000-00034. Am J Nurs. 2006. PMID: 16481785 Review. No abstract available.
Cited by
-
Recent treatment history vs clinical characteristics in the prediction of use of outpatient psychiatric services.Soc Psychiatry Psychiatr Epidemiol. 2006 Feb;41(2):130-9. doi: 10.1007/s00127-005-0999-6. Epub 2006 Jan 1. Soc Psychiatry Psychiatr Epidemiol. 2006. PMID: 16374531
-
ESTIMATING TREATMENT EFFECTS ON HEALTHCARE COSTS UNDER EXOGENEITY: IS THERE A 'MAGIC BULLET'?Health Serv Outcomes Res Methodol. 2011 Jul 1;11(1-2):1-26. doi: 10.1007/s10742-011-0072-8. Health Serv Outcomes Res Methodol. 2011. PMID: 22199462 Free PMC article.
-
The Impact of State Medical Malpractice Reform on Individual-Level Health Care Expenditures.Health Serv Res. 2017 Dec;52(6):2018-2037. doi: 10.1111/1475-6773.12789. Health Serv Res. 2017. PMID: 29130271 Free PMC article.
-
HOW DO CHANGES IN INCOME, EMPLOYMENT AND HEALTH INSURANCE AFFECT FAMILY MENTAL HEALTH SPENDING?Rev Econ Househ. 2020 Mar;18(1):239-263. doi: 10.1007/s11150-018-9436-y. Epub 2018 Nov 7. Rev Econ Househ. 2020. PMID: 32051683 Free PMC article.
-
Racial and ethnic differences in diabetes care and health care use and costs.Prev Chronic Dis. 2006 Jul;3(3):A85. Epub 2006 Jun 15. Prev Chronic Dis. 2006. PMID: 16776886 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources