Women's uptake of Medicare Benefits Schedule mental health items for general practitioners, psychologists and other allied mental health professionals
Open Access
- 21 February 2011
- journal article
- research article
- Published by AMPCo in The Medical Journal of Australia
- Vol. 194 (4), 175-179
- https://doi.org/10.5694/j.1326-5377.2011.tb03765.x
Abstract
Objective: To quantify women's uptake of Medicare Benefits Schedule mental health items, compare characteristics of women by mental health service use, and investigate the impact on Medicare costs. Design, setting and participants: Analysis of linked survey data and Medicare records (November 2006 – December 2007) of 14 911 consenting participants of the Australian Longitudinal Study on Women's Health (ALSWH) across three birth cohorts (1921–1926 [“older cohort”], 1946–1951 [“mid‐age cohort”], and 1973–1978 [“younger cohort”]). Main outcome measures: Uptake of mental health items; 36‐Item Short Form Health Survey (SF‐36) Mental Health Index scores from ALSWH surveys; and patient (out‐of‐pocket) and benefit (government) costs from Medicare data. Results: A large proportion of women who reported mental health problems made no mental health claims (on the most recent survey, 88%, 90% and 99% of the younger, mid‐age and older cohorts, respectively). Socioeconomically disadvantaged women were less likely to use the services. SF‐36 Mental Health Index scores among women in the younger and mid‐age cohorts were lowest for women who had accessed mental health items or self‐reported a recent mental health condition. Mental health items are associated with higher costs to women and government. Conclusion: Although there has been rapid uptake of mental health items, uptake by women with mental health needs is low and there is potential socioeconomic inequity.Keywords
Funding Information
- Australian Rotary Health
This publication has 13 references indexed in Scilit:
- Uptake of Medicare Benefits Schedule items by psychologists and other mental health practitionersClinical Psychologist, 2008
- The ABCs of depression: Integrating affective, biological, and cognitive models to explain the emergence of the gender difference in depression.Psychological Review, 2008
- Short-term psychodynamic psychotherapies for common mental disordersPublished by Wiley ,2006
- Reducing the global burden of depressionThe British Journal of Psychiatry, 2004
- Gender differences in unipolar depression: a general population survey of adults between age 18 to 64 of German nationalityJournal of Affective Disorders, 2003
- Access and equity in the provision of general practitioner services for women in AustraliaAustralian and New Zealand Journal of Public Health, 2000
- Women's Health Australia: recruitment for a national longitudinal cohort study.Women & Health, 1999
- Self-rated health and survival: a 7-year follow-up study of Australian elderly.American Journal of Public Health, 1994
- Screening for Depression in Well Older Adults: Evaluation of a Short Form of the CES-DAmerican Journal of Preventive Medicine, 1994
- Detecting anxiety and depression in general medical settings.BMJ, 1988