The impact of psychological interventions on medical cost offset: A meta-analytic review.
Abstract
The impact of psychological interventions on the use of medical services was evaluated by examining the outcome of 91 studies published between 1967 and 1997 using meta-analytic techniques and percentage estimates. Psychological treatments included various forms of psychotherapy, behavioral medicine, and psychiatric consultation. Patients included those undergoing medical procedures such as surgery, patients with a history of ovemtilization, and patients being treated only for psychological disorders including substance abuse. Results provided evidence for a medical cost-offset effect, specifically in the domain of behavioral medicine. Average savings resulting from implementing psychological interventions was estimated to be about 20%. About one third of the articles demonstrated that dollar savings continued to be substantial even when the cost of providing the psychological intervention was subtracted from the savings. The role of moderating variables such as patient age and type of problem was analyzed and discussed.
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People with mental health issues make more use of medical provisions and use more medication, even after controlling for physical health status.
“It is generally known that people with mental health issues make more use of medical provisions and use more medication [8,9], even after controlling for physical health status [10].”
From Healthcare utilization in general practice before and after psychological treatment: A follow-up data linkage study in primary care (2014) · cites this paper as [9]
A meta-analytical review showed that 90% of 91 studies reported a decrease in medical utilization following some form of psychological intervention.
“A meta-analytical review [9] showed that 90% of the 91 studies analysed reported a decrease in medical utilization following some form of psychological intervention.”
From Healthcare utilization in general practice before and after psychological treatment: A follow-up data linkage study in primary care (2014) · cites this paper as [9]
Psychological interventions decrease medical care utilization by people with serious mental health problems.
“Psychological interventions decrease medical care utilization by people with serious mental health problems.”
From Healthcare utilization in general practice before and after psychological treatment: A follow-up data linkage study in primary care (2014) · cites this paper as [9]
The most dramatic effects of psychological intervention on medical utilization were seen in patients with more severe forms of psychological and physical symptomatology.
“The most dramatic effects were seen in patients with more severe forms of psychological and physical symptomatology.”
From Healthcare utilization in general practice before and after psychological treatment: A follow-up data linkage study in primary care (2014) · cites this paper as [9]
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References 117 · Cited by 301
- Authors
- Chiles, J. A., Lambert, M. J., & Hatch, A. L.
- Affiliations
- Brigham Young University (US)
- ORCID
- Lambert, Michael J.
- Venue
- Clinical Psychology: Science and Practice
- Published
- 1999
- Volume
- 6
- Issue
- 2
- Pages
- 204-220
- ISSN
- 0969-5893 (ISSN-L)
- 1468-2850
- OpenAlex
- W2044902803
- Cited by
- 301
- References
- 117
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 4 · 2023: 7 · 2022: 11 · 2021: 6 · 2020: 9 · 2019: 14 · 2018: 16 · 2017: 11 · 2016: 9 · 2015: 22 · 2014: 16 · 2013: 19 · 2012: 18
- FWCI
- 8.59
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Psychology Science and Practice (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- psychological intervention, cost reduction, psychotherapy, behavioral medicine, psychiatric consultation, health care utilization, addiction treatment, overutilization, patient age, cost-effectiveness
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