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.

Our mission to help improve policy and decisionmaking through research and analysis is enabled through our core values of quality and objectivity and our unwavering commitment to the highest level of integrity and ethical behavior. To help ensure our research and analysis are rigorous, objective, and nonpartisan, we subject our research publications to a robust and exacting quality-assurance process; avoid both the appearance and reality of financial and other conflicts of interest through staff training, project screening, and a policy of mandatory disclosure; and pursue transparency in our research engagements through our commitment to the open publication of our research findings and recommendations, disclosure of the source of funding of published research, and policies to ensure intellectual independence. For more information, visit www.rand.org/about/research-integrity.

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.