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Relationship between utilization of mental health and medical services in a VA hospital
P M Massad1, A N West, M J Friedman
1Psychiatry Service, VA Medical Center, White River Junction, VT 05001.
Abstract:
Previous research has demonstrated a reduction in utilization of medical services following the initiation of psychiatric services for certain patients. The phenomenon has been called the offset effect. The authors investigated the offset effect in a Veterans Administration medical center setting. They found that the offset effect emerged only for patients who had high rates of use of medical services who received mental health services for 1 year or less. They discuss factors related to higher rates of medical care utilization as well as important differences between the present and previous research that require further study.
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