Mumford E, Schlesinger H J, Glass G V, Patrick C, Cuerdon T
Am J Psychiatry. 1984 Oct;141(10):1145-58. doi: 10.1176/ajp.141.10.1145.
Meta-analysis of 58 controlled studies and analysis of the claims files for the Blue Cross and Blue Shield Federal Employees Plan for 1974-1978 provide mutually supporting evidence of the cost-offset effects of outpatient mental health treatment. These two complementary resources provide a powerful tool for investigating the nature of associations between mental health services and subsequent reductions in the use of other medical services. The authors found that the reductions in use of medical services are associated with inpatient rather than with outpatient utilization and tend to be larger for persons over 55 years of age.
对58项对照研究的荟萃分析以及对1974 - 1978年蓝十字蓝盾联邦雇员计划理赔档案的分析，为门诊心理健康治疗的成本抵消效应提供了相互佐证的证据。这两种互补资源为研究心理健康服务与随后其他医疗服务使用减少之间关联的性质提供了有力工具。作者发现，医疗服务使用的减少与住院治疗相关，而非门诊治疗，并且对于55岁以上的人来说往往更大。
