The outpatient service utilization and estimated expenditures for the treatment of panic disorder for patients prior to their enrollment in a large clinical trial were examined.
Data were drawn from the Cross-National Collaborative Panic Study.
The sample consists of 391 patients who met DSM-III criteria for panic disorder and were enrolled at one of the US sites of the trial.
The rate and frequency of outpatient mental health visits to primary care and specialty mental health providers for the current episode of panic disorder are examined.
Estimates of direct expenditures for these services are presented (in 1993 US dollars).
Over 70% of the patients used primary care for mental health services whereas about 47% of the patients used specialty mental health services.
Nearly half of the patients (46.8%) saw a nonpsychiatrist medical specialist, most often a cardiologist (20.6%). Among all patients, those with more frequent panic attacks were more likely to use some form of outpatient mental health services for panic disorder.
Among users of any services, those with more severe impairment were more likely to use specialized mental health services.
The mean estimated expenditure for the panic episode was $3339, about half of which was accounted for by specialty mental health expenditures.
Among users, the median estimated expenditures was $518 for primary care physicians and $2122 for specialty mental health services. (...)
Mots-clés Pascal : Panique, Trouble anxieux, Utilisation, Service santé, Ambulatoire, Analyse coût, Economie santé, Etats Unis, Amérique du Nord, Amérique, Santé mentale, Homme
Mots-clés Pascal anglais : Panic, Anxiety disorder, Use, Health service, Ambulatory, Cost analysis, Health economy, United States, North America, America, Mental health, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0346452
Code Inist : 002B18H05B. Création : 12/09/1997.