Cited by 167Mental Health Treatment and AccessHealthcare Policy and ManagementHealth Systems, Economic Evaluations, Quality of Life

The Effects of Psychological Distress and Psychological Well-Being on Use of Medical Services

Manning, Willard G., Wells, Kenneth B.·1992·Medical Care

Abstract

In this study, the authors determined whether mental health status affects the use of general medical services, with and without adjustment for the correlated effects of general health perceptions and physical health status on such use. Data were used from the RAND Health Insurance Experiment, which has information on up to 5 years of use of medical services by a nonelderly, civilian, general population. Health status and other covariates were assessed by self-administered questionnaires at enrollment. In the absence of statistical control for general and physical health status, worse mental health status-whether assessed by a global self-report measure or its two component parts, psychological well-being and psychological distress-significantly increased the use of both inpatient and outpatient general medical services. After controlling for general health perceptions, physical health status, demographic factors, and insurance plan coverage, the effects of mental health status on use are reduced, but not eliminated. Psychological distress and psychological well-being retained independent effects on total medical expenses.

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Crossref · 10.1097/00005650-199206000-00007

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Authors
Manning, W. G., & Wells, K. B.
Affiliations
  • University of Minnesota (US)
  • RAND Corporation (US)
Corresponding author
Manning, Willard G.
Venue
Medical Care
Published
1992-06
Volume
30
Issue
6
Pages
541-553
ISSN
0025-7079 (ISSN-L)
OpenAlex
W1985125113
Cited by
167
References
52
Citations by year
2025: 2 · 2024: 3 · 2023: 2 · 2022: 3 · 2021: 1 · 2020: 3 · 2018: 3 · 2017: 1 · 2015: 5 · 2014: 4 · 2013: 6 · 2012: 5
FWCI
10.30
Type
journal article
Language
en
Open access
closed
Locations
  • Medical Care (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
  • Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
Keywords
psychological distress, psychological well-being, mental health status, health care utilization, inpatient services, outpatient care, health care costs, RAND Health Insurance Experiment, health perception, physical health status, insurance coverage
MeSH terms
Activities of Daily Living, Attitude to Health, Demography, Health Services, Health Services Research, Health Status, Humans, Insurance, Health, Mental Health, Surveys and Questionnaires, Self Care, Stress, Psychological, United States

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