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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 )... Among patients with coronary artery disease, symptom burden and physical limitations are associated with a higher prevalence of depressive symptoms... Among diabetics, instability of blood sugar levels is associated with fluctuations in mood and mental functioning.... Disability is also associated with an increased risk of depression... The data collection protocol includes a combination of multiple mailings and telephone followup (over a period of approximately 4 months)... The complete data collection protocol can be found in the Health Plan Employer Data and Information Set (HEDIS) specifications... 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 Number of Reported Limitations in Activities of Daily Living (ADLs) and Sex: 1999-2000The proportion of enrollees reporting depressed mood increases markedly with increased numbers of reported limitations in ADLs.Females are more likely than males to report depressed mood across all levels of ADL limitation.Among enrollees reporting three or more ADL limitations, 30 percent of females and 26 percent of males report feeling depressed much of the time in the last year.
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f9-hcfr-27-4-123: Percent of Beneficiaries Reporting Depressed Mood, by Number of Reported Limitations in Activities of Daily Living (ADLs) and Sex: 1999-2000The proportion of enrollees reporting depressed mood increases markedly with increased numbers of reported limitations in ADLs.Females are more likely than males to report depressed mood across all levels of ADL limitation.Among enrollees reporting three or more ADL limitations, 30 percent of females and 26 percent of males report feeling depressed much of the time in the last year.


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 Number of Reported Limitations in Activities of Daily Living (ADLs) and Sex: 1999-2000The proportion of enrollees reporting depressed mood increases markedly with increased numbers of reported limitations in ADLs.Females are more likely than males to report depressed mood across all levels of ADL limitation.Among enrollees reporting three or more ADL limitations, 30 percent of females and 26 percent of males report feeling depressed much of the time in the last year.
© Copyright Policy
Related In: Results  -  Collection

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

f9-hcfr-27-4-123: Percent of Beneficiaries Reporting Depressed Mood, by Number of Reported Limitations in Activities of Daily Living (ADLs) and Sex: 1999-2000The proportion of enrollees reporting depressed mood increases markedly with increased numbers of reported limitations in ADLs.Females are more likely than males to report depressed mood across all levels of ADL limitation.Among enrollees reporting three or more ADL limitations, 30 percent of females and 26 percent of males report feeling depressed much of the time in the last year.

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 )... Among patients with coronary artery disease, symptom burden and physical limitations are associated with a higher prevalence of depressive symptoms... Among diabetics, instability of blood sugar levels is associated with fluctuations in mood and mental functioning.... Disability is also associated with an increased risk of depression... The data collection protocol includes a combination of multiple mailings and telephone followup (over a period of approximately 4 months)... The complete data collection protocol can be found in the Health Plan Employer Data and Information Set (HEDIS) specifications... 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