B G Druss

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..This study compares the health and disability costs of depressive illness with those of four other chronic conditions among employees of a large U.S. corporation...

..This study characterized the prevalence, characteristics, and impact of mental and general medical disabilities in the United States...

..The relationship of depressive symptoms, satisfaction with health care, and 2-year work outcomes was examined in a national cohort of employees...

..This study investigated whether differences in quality of medical care might explain a portion of the excess mortality associated with mental disorders in the year after myocardial infarction...

..This randomized trial evaluated an integrated model of primary medical care for a cohort of patients with serious mental disorders...

..This study compares quality of preventive services between persons with and without mental/substance use disorders for a national sample of medical outpatients...

..This study examined the rates and correlates of mental health care performance measures in the Health Employer Data and Information Set (HEDIS)...

..An historical and system-level perspective can provide a crucial step towards improving care on the mental health/primary care interface...

..To our knowledge, this study provides the first national estimates for use of practitioner-based complementary treatments by US residents reporting mental conditions...

..This paper examines delivery of mental health services in psychiatric, primary care, and specialty medical clinics in the Department of Veterans Affairs (VA), the largest integrated public-sector health care system in the United States...

..The associations between self-reported depressive and substance use disorders and estimated health care costs were examined in a representative national sample...

..The authors assessed the association between depressive symptoms and health costs for a national Veterans Administration (VA) sample...

..This study examined the association between these measures at both an individual and a hospital level...

..The terms alternative and complementary medicine suggest 2 contradictory possibilities. Whether individuals use unconventional therapies as a substitute for or as an "add on" to conventional medical treatments is uncertain...

..To better understand this phenomenon, we studied the prevalence and predictors of antidepressant treatment in a national sample of individuals with major depression...

..Similarly, mental disorders might be expected to be associated with lower rates of such procedures on the basis of clinical, socioeconomic, patient, and provider factors...

..This study examines the association between the presence of a general medical illness and suicidality in a representative sample of US young adults...

..The findings highlight the differing challenges involved in understanding needs and improving care across particular chronic conditions...

..This article reviews the evidence that droperidol may serve as the optimal medication for this task...

..8%, that for colon and prostate cancers was 42.1%, and that for bladder cancer was 61.5%. Implications of these findings for prevalence estimation and future epidemiologic studies are discussed...

..The authors examined whether an analogous association exists between the volume of mental health delivery and the quality of mental health care...

..The results of this study suggest that the association between depressive symptoms and medical service use may be more closely related to how patients view their medical illnesses than with how they perceive their need for health care...

..Concerns have been raised that this pattern might represent evidence of misallocation of treatment resources...

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..The literature on the prevalence, etiology, prevention, and treatment of these two risk factors, in the context of serious mental illnesses, are reviewed following a preventive approach...

..This study examined national patterns of outpatient service use by veterans from regions affected by Hurricane Katrina...

..This study provides national data on community mental health centers' (CMHCs') capacity to screen for and address their clients' general medical conditions...

..These parallels suggest the importance of learning from and working with the broader health care system in improving the returns on U.S. mental health spending...

..We examined trends in delivery of mental health and substance abuse services at the nation's community health centers...

..A critical step toward improving performance is to understand where care is provided and then to identify clinicians who are responsible for ensuring that care is delivered appropriately...

..This study examined patterns of psychotropic medication use after the Sept. 11, 2001, terrorist attacks...

..When compared to evidence-based treatment recommendations, these changes seem likely to result in less than optimal care...

..The purpose of this study was to investigate the association between SSRI utilization patterns and the use of health care services in the managed care environment...

..This study examines the relationship between mental disorders and the likelihood of receiving recommended nutrition and exercise counseling...

..The population of persons with mental disorders is potentially vulnerable to poor quality of medical care. This study examined the relationship between mental disorders and quality of diabetes care in a national sample of veterans...

..The findings suggest the need for community mental health centers to better assess and address barriers to primary medical care...

..Qualitative methods can be a useful means of "unpacking" multifaceted mental health services interventions. These methods may make it possible to refine and disseminate these models more widely...

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..Further work should address how health care organizational features might narrow disparities in health care for vulnerable groups...

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..This study investigated the association between diagnosis of major depression, treatment for major depression and receipt of appropriate primary medical care...

..Such investigations may provide insights into service enhancements that can promote early detection and intervention, thus improving illness outcomes...

..While the magnitude of spending on end-of-life care is striking, it is difficult to determine if expenditures are wasteful or simply reflect the inherent uncertainty facing physicians...

..We use the findings to discuss the role for cost-of-illness and burden-of-disease estimates in setting priorities...

..Findings on successes and challenges in implementing the recommendations suggest areas for ongoing efforts to transform mental health care...

..This study examines when and how grants funded by the National Institutes of Health (NIH) lead to publications...

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..To conduct a systematic review of studies of interventions designed to improve general medical care in persons with mental and addictive disorders...