Quality of Care for Depressed Elderly Patients Hospitalized in the Specialty Psychiatric Units or General Medical Wards

Published In: Archives of General Psychiatry, v. 52, no. 8, Aug. 1995, p. 695-701

Posted on RAND.org on January 01, 1995

by Grayson Norquist, Kenneth B. Wells, William H. Rogers, Lois M. Davis, Katherine L. Kahn, Robert H. Brook

Read More

Access further information on this document at archpsyc.jamanetwork.com

This article was published outside of RAND. The full text of the article can be found at the link above.

Evaluates quality of care for depression before and after the implementation of Medicare's prospective payment system (PPS) using explicit and implicit reviews of clinical data from the medical records of patients in specialty psychiatric units and general hospital wards. Patients were more likely to receive psychological services in the psychiatric wards but were more likely to receive better traditional general medical services in the medical wards. More general medical complications occurred in the psychiatric wards. The key for caring for patients with depression is thus to find a way to provide high-quality, integrated psychiatric and medical care for patients hospitalized for depression, regardless of where they are hospitalized.

This report is part of the RAND Corporation External publication series. Many RAND studies are published in peer-reviewed scholarly journals, as chapters in commercial books, or as documents published by other organizations.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.