Liptzin B, Regier D A, Goldberg I D
Am J Psychiatry. 1980 May;137(5):553-8. doi: 10.1176/ajp.137.5.553.
The authors analyzed 1975 data on the use of health and mental health services by the 2.3 million people covered by Michigan Blue Cross and Blue Shield. Only 4.6% of the covered population submitted hospital or physician claims for mental disorder; these people accounted for 7.3% of total hospital and physician charges for all health services in the covered population. According to the claims submitted, nonpsychiatric physicians saw almost half of all patients who were given a diagnosis of mental disorder, but psychiatrists accounted for the great bulk of mental health services and charges to these patients. High utilizers comprise a small proportion of all patients but account for a high proportion of charges for mental disorders and for all diagnoses.
作者分析了密歇根蓝十字蓝盾公司所涵盖的230万人使用健康和心理健康服务的1975年数据。在参保人群中，只有4.6%的人提交了针对精神障碍的住院或医生索赔；这些人占参保人群所有健康服务总住院和医生费用的7.3%。根据提交的索赔，非精神科医生诊治了几乎一半被诊断患有精神障碍的患者，但精神科医生提供了大部分心理健康服务，并承担了这些患者的大部分费用。高使用量者在所有患者中占比很小，但在精神障碍费用和所有诊断费用中占比很高。
