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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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Mean Mental Component Summary (MCS) Scores, by Number of Chronic Conditions and Sex: 1999-2000Mean MCS scores for both males and females decrease with increased numbers of reported chronic physical conditions.Among enrollees with equivalent numbers of chronic conditions males and females have similar mean MCS scores.Mean MCS scores for males and females with up to three chronic conditions are higher than those for the general U.S. population.Males and females reporting four or more chronic conditions have mean MCS scores that are 7.2 and 6.9 points lower, respectively, than males and females reporting no chronic conditions.
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f8-hcfr-27-4-123: Mean Mental Component Summary (MCS) Scores, by Number of Chronic Conditions and Sex: 1999-2000Mean MCS scores for both males and females decrease with increased numbers of reported chronic physical conditions.Among enrollees with equivalent numbers of chronic conditions males and females have similar mean MCS scores.Mean MCS scores for males and females with up to three chronic conditions are higher than those for the general U.S. population.Males and females reporting four or more chronic conditions have mean MCS scores that are 7.2 and 6.9 points lower, respectively, than males and females reporting no chronic conditions.


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

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

Mean Mental Component Summary (MCS) Scores, by Number of Chronic Conditions and Sex: 1999-2000Mean MCS scores for both males and females decrease with increased numbers of reported chronic physical conditions.Among enrollees with equivalent numbers of chronic conditions males and females have similar mean MCS scores.Mean MCS scores for males and females with up to three chronic conditions are higher than those for the general U.S. population.Males and females reporting four or more chronic conditions have mean MCS scores that are 7.2 and 6.9 points lower, respectively, than males and females reporting no chronic conditions.
© Copyright Policy
Related In: Results  -  Collection

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

f8-hcfr-27-4-123: Mean Mental Component Summary (MCS) Scores, by Number of Chronic Conditions and Sex: 1999-2000Mean MCS scores for both males and females decrease with increased numbers of reported chronic physical conditions.Among enrollees with equivalent numbers of chronic conditions males and females have similar mean MCS scores.Mean MCS scores for males and females with up to three chronic conditions are higher than those for the general U.S. population.Males and females reporting four or more chronic conditions have mean MCS scores that are 7.2 and 6.9 points lower, respectively, than males and females reporting no chronic conditions.

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