Rosenheck R A, Druss B, Stolar M, Leslie D, Sledge W
Yale University School of Medicine, USA.
Health Aff (Millwood). 1999 Sep-Oct;18(5):193-203. doi: 10.1377/hlthaff.18.5.193.
This study examines concurrent changes in use of mental and general health services and in annual sick days among 20,814 employees of a large corporation. From 1993 to 1995 mental health service use and costs declined by more than one-third, more than three times as much as the decline in non-mental health service use. However, employees who used mental health services showed a 37 percent increase in use of non-mental health services and significantly increased sick days, whereas other employees showed no such increases. Savings in mental health services were fully offset by increased use of other services and lost workdays.
本研究调查了一家大公司20814名员工在使用精神健康和一般健康服务方面的同步变化情况以及年度病假天数。从1993年到1995年，精神健康服务的使用量和成本下降了三分之一以上，降幅是非精神健康服务使用量下降幅度的三倍多。然而，使用精神健康服务的员工非精神健康服务使用量增加了37%，病假天数也显著增加，而其他员工则没有此类增加。精神健康服务方面的节省被其他服务使用量的增加和工作日的损失完全抵消。
