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首页> 外文期刊>Medicine. >The Association Between Self-Rated Mental Health Status and Total Health Care Expenditure A Cross-Sectional Analysis of a Nationally Representative Sample
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The Association Between Self-Rated Mental Health Status and Total Health Care Expenditure A Cross-Sectional Analysis of a Nationally Representative Sample

机译：自我评估的心理健康状况与总体医疗保健支出之间的关联性：全国代表性样本的横断面分析

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Both clinical diagnoses and self-rated measures of mental illness are associated with a variety of outcomes, including physical well-being, health utilization, and expenditure. However, much of current literature primarily utilizes clinically diagnosed data.This cross-sectional study explores the impact of mental illness and health care expenditure using 2 self-rated measures: self-rated measured of perceived mental health status (SRMH) and Kessler Screening Scale for Psychological Distress (K6).Data from the 2011 Medical Expenditure Panel Survey Household Component, a nationally representative sample of noninstitutionalized individuals (n=18,295), were analyzed using bivariate (2) tests and a 2-part model (logistics regression and generalized linear model regression for the first and second stages, respectively).Although predictive of any health expenditure, SRMH alone was not highly predictive of the dollar value of that health expenditure conditional on any spending. By comparison, the K6 measure was significantly and positively associated with the probability of any health expenditure as well as the dollar value of that spending. Taken together, both the K6 and SRMH measures suggest a positive relationship between poor mental health and the probability of any health expenditure and total expenditure conditional on any spending, even when adjusting for other confounding factors such as race/ethnicity, sex, age, educational attainment, insurance status, and some regional characteristics.Our results suggest that psychological distress and SRMH may represent potential pathways linking poor mental health to increased health care expenditure. Further research exploring the nuances of these relationships may aid researchers, practitioners, and policy makers in addressing issues of inflated health care expenditure in populations at risk for poor mental health.
机译：精神疾病的临床诊断和自我评估都与多种结果相关，包括身体健康，健康利用和支出。然而，目前的许多文献主要利用临床诊断的数据，这项横断面研究使用两种自我评估的方法来探讨精神疾病和医疗保健支出的影响：自我评估的感知精神健康状况（SRMH）和凯斯勒筛查量表心理压力（K6）。使用双变量（2）检验和两部分模型（逻辑回归和广义分析）分析了2011年医疗支出小组调查的家庭组成部分的数据，该数据是全国范围内非机构化个体的代表样本（n = 18,295）虽然可以预测任何医疗保健支出，但仅SRMH不能高度预测以任何支出为条件的医疗保健支出的美元价值。相比之下，K6度量与任何健康支出的可能性以及该支出的美元价值显着正相关。两者合计，K6和SRMH指标都表明心理健康状况差与任何健康支出和总支出的可能性之间存在正相关关系，即使以种族/民族，性​​别，年龄，教育程度等其他混杂因素进行调整，该支出也取决于任何支出我们的研究结果表明，心理困扰和SRMH可能是潜在的途径，将不良的心理健康与增加的医疗保健支出联系起来。进一步研究这些关系的细微差别可能有助于研究人员，从业人员和政策制定者解决精神健康不良风险人群中医疗保健支出膨胀的问题。

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