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Depressed mood and mental health among elderly Medicare managed care enrollees.

Bierman AS, Ellis BH, Drachman D - Health Care Financ Rev (2006)

View Article: PubMed Central - PubMed

Affiliation: Faculty of Medicine, University of Toronto, Centre for Research on Inner City Health, St. Michael's Hospital, ON, Canada. arlene.bierman@utoronto.ca

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Mental and physical health and functioning are intrinsically linked, and this relationship has distinct implications for the delivery of health care to elderly Medicare beneficiaries... Depressive symptoms are associated with an increased risk of physical decline, disability, and mortality (; ; and )... The association between chronic illness and depression is well documented... Chronic conditions, such as myocardial infarction and stroke, are associated with a higher risk of depression... Disability is also associated with an increased risk of depression... There is a growing evidence base for interventions to improve the quality of depression care in general medical practice... Specific interventions have been shown to result in improved physical and mental health outcomes, and to reduce racial and ethnic disparities in outcomes of care... Our findings illustrate the potential benefit that may be derived from identifying and treating high-risk enrollees for depression... Further research is needed on the impact of improved management of other mental health conditions on physical and mental functioning, as well as the impact of improved management of chronic conditions and associated symptoms on mental functioning... Effective models are needed to better integrate mental health and medical services for elderly Medicare beneficiaries, as well as evaluation of the cost effectiveness of these strategies.

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Percent of Beneficiaries Reporting Depressed Mood, by Education and Sex: 1999-2000The percent of enrollees reporting depressed mood decreases markedly with higher levels of educational attainment.Females are more likely to report depressed mood than males with equivalent levels of educational attainment. However, a similar gradient is seen for both males and females across all levels of education.Males and females with less than an eighth grade education are three times more likely to report depressed mood than males and females who have graduated from college.Mean MCS scores also increase with higher levels of educational attainment (data not shown).
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f4-hcfr-27-4-123: Percent of Beneficiaries Reporting Depressed Mood, by Education and Sex: 1999-2000The percent of enrollees reporting depressed mood decreases markedly with higher levels of educational attainment.Females are more likely to report depressed mood than males with equivalent levels of educational attainment. However, a similar gradient is seen for both males and females across all levels of education.Males and females with less than an eighth grade education are three times more likely to report depressed mood than males and females who have graduated from college.Mean MCS scores also increase with higher levels of educational attainment (data not shown).


Depressed mood and mental health among elderly Medicare managed care enrollees.

Bierman AS, Ellis BH, Drachman D - Health Care Financ Rev (2006)

Percent of Beneficiaries Reporting Depressed Mood, by Education and Sex: 1999-2000The percent of enrollees reporting depressed mood decreases markedly with higher levels of educational attainment.Females are more likely to report depressed mood than males with equivalent levels of educational attainment. However, a similar gradient is seen for both males and females across all levels of education.Males and females with less than an eighth grade education are three times more likely to report depressed mood than males and females who have graduated from college.Mean MCS scores also increase with higher levels of educational attainment (data not shown).
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4194966&req=5

f4-hcfr-27-4-123: Percent of Beneficiaries Reporting Depressed Mood, by Education and Sex: 1999-2000The percent of enrollees reporting depressed mood decreases markedly with higher levels of educational attainment.Females are more likely to report depressed mood than males with equivalent levels of educational attainment. However, a similar gradient is seen for both males and females across all levels of education.Males and females with less than an eighth grade education are three times more likely to report depressed mood than males and females who have graduated from college.Mean MCS scores also increase with higher levels of educational attainment (data not shown).

View Article: PubMed Central - PubMed

Affiliation: Faculty of Medicine, University of Toronto, Centre for Research on Inner City Health, St. Michael's Hospital, ON, Canada. arlene.bierman@utoronto.ca

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

Mental and physical health and functioning are intrinsically linked, and this relationship has distinct implications for the delivery of health care to elderly Medicare beneficiaries... Depressive symptoms are associated with an increased risk of physical decline, disability, and mortality (; ; and )... The association between chronic illness and depression is well documented... Chronic conditions, such as myocardial infarction and stroke, are associated with a higher risk of depression... Disability is also associated with an increased risk of depression... There is a growing evidence base for interventions to improve the quality of depression care in general medical practice... Specific interventions have been shown to result in improved physical and mental health outcomes, and to reduce racial and ethnic disparities in outcomes of care... Our findings illustrate the potential benefit that may be derived from identifying and treating high-risk enrollees for depression... Further research is needed on the impact of improved management of other mental health conditions on physical and mental functioning, as well as the impact of improved management of chronic conditions and associated symptoms on mental functioning... Effective models are needed to better integrate mental health and medical services for elderly Medicare beneficiaries, as well as evaluation of the cost effectiveness of these strategies.

Show MeSH
Related in: MedlinePlus