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来源类型Working Paper
规范类型报告
DOI10.3386/w7816
来源IDWorking Paper 7816
The Medical Treatment of Depression, 1991-1996: Productive Inefficiency, Expected Outcome Variations, and Price Indexes
Ernst R. Berndt; Anupa Bir; Susan H. Busch; Richard G. Frank; Sharon-Lise T. Normand
发表日期2000-07-01
出版年2000
语种英语
摘要We examine the price of treating episodes of acute phase major depression over the 1991-1996 time period. We combine data from a large retrospective medical claims data base (MarketScanTM, from the MedStat Group) with clinical literature and expert clinical opinion elicited from a two-state Delphi procedure. This enables us to construct a variety of treatment price indexes that include variations over time in the proportion of off-frontier' production, as well as the corresponding variations in expected treatment outcomes. We also incorporate the fact that the no treatment option ( waiting list') frequently results in spontaneous remission of depressive symptoms. We find that in general the incremental cost of successfully treating an episode of acute phase major depression has generally fallen over the 1991-96 time period. Based on hedonic regression equations that account for the effects of changing patient mix, we find price reductions that range from about -1.66% to -2.13% per year. An implication of this is that, since expenditures on depression are thought to be increasing since at least 1991, the source of the spending increases is volume (quantity) increases, and not price increases.
主题Health, Education, and Welfare ; Health ; Development and Growth ; Innovation and R& ; D
URLhttps://www.nber.org/papers/w7816
来源智库National Bureau of Economic Research (United States)
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条目标识符http://119.78.100.153/handle/2XGU8XDN/565388
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Ernst R. Berndt,Anupa Bir,Susan H. Busch,et al. The Medical Treatment of Depression, 1991-1996: Productive Inefficiency, Expected Outcome Variations, and Price Indexes. 2000.
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