TY - VIDEO
KW - Back pain
KW - Clinical Psychology
KW - Health care expenditures
KW - Mental Disorders
KW - Mental Health
KW - Physical therapy
KW - Public Health
AU - T. Hoeft
A1 - 
AB - Back pain and mental health issues are common in primary care, and health care expenditures associated with either are among the most costly in the U.S. The treatment of these sometimes comorbid health concerns is of particular importance given the risk of disability associated with fear-avoidance behaviors and the difficulty in treating patients with multiple conditions. This dissertation addresses the interaction of back pain with common mental disorders (mood and anxiety disorders) on their subsequent predicted level of health care expenditures. Predicted expenditures are based on a generalized gamma model of total health care expenditures within the Medical Expenditure Panel Survey (MEPS) data. The level of expenditures within subgroups defined by back pain and mood and anxiety disorders are compared to disentangle the presence of a positive additive interaction between these conditions amidst model findings of a possible negative multiplicative interaction. These findings are not in agreement, but both address important policy questions in the study of health care expenditures for these individuals. If health plans and physicians are to be fairly paid to cover and care for individuals with these conditions, the model should accurately predict their expenditures. This dissertation assesses the levels of health expenditures among these groups and finds higher use in the group with both conditions than would be expected from an additive evaluation of expenditures associated with either condition alone. Further research into the reasons for this higher level of health care expenditures is recommended.
C4 - This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.
C5 - Financing & Sustainability; Financing & Sustainability; Grey Literature
CY - United States -- Wisconsin
N2 - Back pain and mental health issues are common in primary care, and health care expenditures associated with either are among the most costly in the U.S. The treatment of these sometimes comorbid health concerns is of particular importance given the risk of disability associated with fear-avoidance behaviors and the difficulty in treating patients with multiple conditions. This dissertation addresses the interaction of back pain with common mental disorders (mood and anxiety disorders) on their subsequent predicted level of health care expenditures. Predicted expenditures are based on a generalized gamma model of total health care expenditures within the Medical Expenditure Panel Survey (MEPS) data. The level of expenditures within subgroups defined by back pain and mood and anxiety disorders are compared to disentangle the presence of a positive additive interaction between these conditions amidst model findings of a possible negative multiplicative interaction. These findings are not in agreement, but both address important policy questions in the study of health care expenditures for these individuals. If health plans and physicians are to be fairly paid to cover and care for individuals with these conditions, the model should accurately predict their expenditures. This dissertation assesses the levels of health expenditures among these groups and finds higher use in the group with both conditions than would be expected from an additive evaluation of expenditures associated with either condition alone. Further research into the reasons for this higher level of health care expenditures is recommended.
PB - The University of Wisconsin - Madison
PP - United States -- Wisconsin
PY - 2008
SP - 165
EP - 165
EP - 
T1 - Interaction of back pain and common mental disorders on health care expenditures
TI - Interaction of back pain and common mental disorders on health care expenditures
U1 - Financing & Sustainability; Financing & Sustainability; Grey Literature
U4 - This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.
VL - Ph.D.
Y1 - 2008
ER -