Erschienen in:
01.11.2008 | Original Paper
Does Consideration of Medicare Use Affect VA Evaluations of Treatment for New Episodes of Depression?
verfasst von:
John F. McCarthy, Kara Zivin, Karen L. Austin, Helen C. Kales, Marcia Valenstein
Erschienen in:
Administration and Policy in Mental Health and Mental Health Services Research
|
Ausgabe 6/2008
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Abstract
This report evaluates whether consideration of out-of-system use affects Veterans Affairs (VA) health system assessments of depression treatment. We measured effective medication management and optimal practitioner contacts among veterans whose VA data indicated a new episode of depression. Among 3,567 VA patients who were Medicare age-eligible, VA data indicated that 69% received recommended antidepressant coverage and 9% received recommended practitioner contacts. After including Medicare data, 295 patients (8%) no longer met inclusion criteria. Among the remainder, 3% received Medicare depression treatment and 0.5% were re-classified as having recommended contacts. Medicare use does not substantially supplement VA depression treatment.