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Provider Type and Depression Treatment Adequacy

Thomas Kniesner, Regina H. Powers and Thomas W. Croghan

No 43, Center for Policy Research Working Papers from Center for Policy Research, Maxwell School, Syracuse University

Abstract: June 2005 (Revised from May 2002 and February 2003). We investigate the effect of initial provider (primary care physician, psychiatrist, or non-physician mental health specialist) on the adequacy of subsequent treatment for persons with depression. Our data are from MarketScan®, a medical and pharmacy insurance claims database, which we use to estimate models of the likelihood of treatment for depression and the likelihood that any treatment received is adequate. Patients initially seeing psychiatrists are most likely to receive adequate treatment. Provider type has a statistically and medically significant effect on whether any treatment occurs but a smaller effect on treatment adequacy among treated patients. The results show the importance of provider type in treatment patterns, but the effects on patient outcomes are yet to be determined definitively.

JEL-codes: I10 (search for similar items in EconPapers)
Pages: 60 pages
Date: 2005-06
References: Add references at CitEc
Citations: View citations in EconPapers (1)

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