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来源类型 | Working Paper |
规范类型 | 报告 |
DOI | 10.3386/w7816 |
来源ID | Working 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 |
URL | https://www.nber.org/papers/w7816 |
来源智库 | National Bureau of Economic Research (United States) |
引用统计 | |
资源类型 | 智库出版物 |
条目标识符 | http://119.78.100.153/handle/2XGU8XDN/565388 |
推荐引用方式 GB/T 7714 | 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. |
条目包含的文件 | ||||||
文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
w7816.pdf(112KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 |
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