The DOI matches its Crossref record; 52 of the 52 references it cites were found in a registry or an index.
The Effects of Psychological Distress and Psychological Well-Being on Use of Medical Services
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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“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 [10]
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“High levels of medical resource utilization also accompany depression (Johnson, Weissman, & Klerman, 1992; Levenson, Hamer, & Rossiter, 1990; Manning & Wells, 1992; Simon, Ormel, VonKorff, & Barlow, 1995).”
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“…include perceived stigma and attitudinal barriers towards mental health care (Barney et al., 2006; Bayer & Peay, 1997; Bristow & Patten, 2002; Manning & Wells, 1992), social isolation/support, and mental health literacy (Jorm et al., 2006a; Meadows, Fossey, Harvey, & Burgess, 2000; Osborne…”
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Metadata
- Authors
- Manning, W. G., & Wells, K. B.
- Affiliations
- University of Minnesota (US)
- RAND Corporation (US)
- Corresponding author
- Manning, Willard G.
- ORCID
- Wells, Kenneth B.
- 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
- Health Sciences › Medicine › Psychiatry and Mental health › 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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