Mental health services utilization and expenditures associated with cancer survivorship in the United States

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• 作者：Chunyu Li ; Chenghui Li ; Laura Forsythe ; Catherine Lerro…
• 关键词：Cancer ; Mental health ; Utilization ; Expenditures ; Prescription drug
• 刊名：Journal of Cancer Survivorship
• 出版年：2015
• 出版时间：March 2015
• 年：2015
• 卷：9
• 期：1
• 页码：50-58
• 全文大小：188 KB
• 参考文献：1. Adler N, Page A, eds. Cancer Care for the Whole Patient: meeting Psychosocial Healthcare Needs. Washington DC: Institute of Medicine (IOM). 2008.
  Hewitt, M, Greenfield, S, Stovell, E eds. (2006) From cancer patient to cancer survivor: lost in transition. National Academies Press, Washington DC
  2. Holland, J, Weiss, T (2008) The new standard of quality cancer care: integrating the psychosocial aspects in routine cancer from diagnosis through survivorship. Cancer J 14: pp. 425-8 CrossRef
  3. Findley, PA, Sambamoorthi, U (2009) Preventive health services and lifestyle practices in cancer survivors: a population health investigation. J Cancer Surviv 3: pp. 43-58 CrossRef
  4. Butler, L, Downe-Wamboldt, B, Melanson, P (2006) Prevalence, correlates, and costs of patients with poor adjustment to mixed cancers. Cancer Nurs 29: pp. 9-16 CrossRef
  5. Lutgendorf SK, Sood AK, Antoni MH. Host factors and cancer progression: biobehavioral signaling pathways and interventions. J Clin Oncol. 2010. doi:10.1200/JCO.2009.26.9357 .
  6. Satin, JR, Linden, W, Phillips, MJ (2009) Depression as a predictor of disease progression and mortality in cancer patients: a meta-analysis. Cancer 115: pp. 5349-61 CrossRef
  7. Mols, F, Husson, O, Roukema, JA, Poll-Franse, LV (2013) Depressive symptoms are a risk factor for all-cause mortality: results from a prospective population-based study among 3,080 cancer survivors from the PROFILES registry. J Cancer Surviv 7: pp. 484-92 CrossRef
  8. Massie, MJ (2004) Prevalence of depression in patients with cancer. J Natl Cancer Inst Monogr 32: pp. 57-71 CrossRef
  9. Mitchell, AJ, Chan, M, Bhatti, H (2011) Prevalence of depression, anxiety, and adjustment disorder in oncological, haematological, and palliative-care settings: a meta-analysis of 94 interview-based studies. Lancet Oncol 12: pp. 160-74 CrossRef
  10. Earle, CC, Neville, BA, Fletcher, R (2007) Mental health service utilization among long-term cancer survivors. J Cancer Surviv 1: pp. 156-60 CrossRef
  11. Kaiser, NC, Hartoonian, N, Owen, JE (2010) Toward a cancer-specific model of psychological distress: population data from the 2003-005 National Health Interview Surveys. J Cancer Surviv-Res Pract 4: pp. 291-302 CrossRef
  12. Siegel, R, DeSantis, C, Virgo, K (2012) Cancer treatment and survivorship statistics, 2012. CA Cancer J Clin 62: pp. 220-41 CrossRef
  13. Parry, C, Kent, EE, Mariotto, AB (2011) Cancer survivors: a booming population. Cancer Epidemiol Biomarkers Prev 20: pp. 1996-2005 CrossRef
  14. Pincus, HA, Tanielian, TL, Marcus, SC (1998) Prescribing trends in psychotropic medications: primary care, psychiatry, and other medical specialties. JAMA 279: pp. 526-31 CrossRef
  15. Zuvekas, SH (2001) Trends in mental health services use and spending, 1987-996. Health Aff (Millwood) 20: pp. 214-24 CrossRef
  16. Carlson, LE, Bultz, BD (2003) Benefits of psychosocial oncology care: improved quality of life and medical cost offset. Health Qual Life Outcomes 1: pp. 8 CrossRef
  17. Carlson, LE, Bultz, BD (2004) Efficacy and medical cost offset of psychosocial interventions in cancer care: making the case for economic analyses. Psychooncol
• 刊物主题：Public Health; Oncology; Health Promotion and Disease Prevention; Health Informatics; Quality of Life Research; Primary Care Medicine;
• 出版者：Springer US
• ISSN：1932-2267

文摘

Purpose The aim of this study is to assess mental health services utilization and expenditures associated with cancer history using a nationally representative sample in the US. Methods We used data from the 2008-011 Medical Expenditure Panel Survey and multivariate regression models to assess mental health services use and expenditures among cancer survivors compared to individuals without a cancer history, stratified by age (18-4 and ?5?years) and time since diagnosis (? vs. >1?year). Results Among adults aged 18-4, compared with individuals without a cancer history, cancer survivors were more likely to screen positive for current psychological distress and depression regardless of time since diagnosis; survivors diagnosed >1?year ago were more likely to use mental health prescription drugs; those diagnosed within 1?year reported significantly lower annual per capita mental health drug expenditure and out-of-pocket mental health expenditure, while those diagnosed >1?year presented significantly higher annual per capita mental health expenditure. No significant differences in mental health expenditures were found among adults aged 65 or older. Conclusions Mental health problems presented higher health and economic burden among younger and longer-term survivors than individuals without a cancer history. This study provides data for monitoring the impact of initiatives to enhance coverage and access for mental health services at the national level. Implications for cancer survivors Early detection and appropriate treatment of mental health problems may help improve quality of cancer survivorship.