Jeffrey S. Harman

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'Significant unmet needs' are those needs that patients identify as both important and unsatisfied. In this article we ask whether the overall needs of cancer patients are actually being met. We believe that the range of unmet need, and the kinds of patients who are more likely to claim unmet need, should be carefully identified. The needs responses of a(More)
OBJECTIVE There is evidence of disparities in depression treatment by factors such as age, race or ethnicity, and type of insurance. The purpose of this study was to assess whether observed disparities in treatment are due to differences in rates of treatment initiation or to differences in the quality of treatment once treatment has been initiated. (More)
OBJECTIVE To determine the percentage of children with mental health diagnoses and utilization and expenditures of mental health services among children in foster care compared with other children receiving Medicaid, including those with disabilities. DESIGN Analysis of Medicaid claim and eligibility records in southwestern Pennsylvania for fiscal year(More)
OBJECTIVE Changes in the process of psychiatric care received by Medicaid beneficiaries with schizophrenia were examined after the introduction of capitated payments for enrollees of some community mental health centers (CMHCs) under the Utah Prepaid Mental Health Plan. METHODS Data from the medical records of 200 patients receiving care in CMHCs(More)
OBJECTIVE Childhood obesity is linked with a number of problematic health conditions. While data suggest that children who are obese are at increased risk of psychosocial distress relative to nonobese peers, there are limited data outlining the rates of psychiatric diagnoses in children with obesity-related health conditions such as type 2 diabetes and the(More)
The objective of this study was to estimate mean annual out-of-pocket (OOP) healthcare expenditures of Americans aged 65 and older with self-reported depression and compare these expenditures with the OOP expenditures of older Americans with hypertension, heart disease, diabetes mellitus, and arthritis. Data from the 1999 Medical Expenditure Panel Survey,(More)
OBJECTIVE This study analyzed the impact of length of stay for inpatient treatment of psychiatric disorders on readmission rates. METHODS Hospitalization data were obtained from the MarketScan data set collected by Medstat. The instrumental variable method, an econometric technique, was used to estimate the impact of length of stay on the rate of(More)
OBJECTIVE This study investigated whether the trend of increasing rates of antidepressant use in the 1990s continued into 2000-2004. Antidepressant treatment rates were examined by age group and by the class of antidepressant in order to identify whether any observed trends were being driven by a particular age group of patients or class of medication. (More)
The ethnic and regional differences in primary care visits for children regarding the frequency of attention-deficit hyperactivity disorder (ADHD) diagnoses, stimulant prescriptions, and other mental health diagnoses were examined. The authors analyzed 6 years (1995-2000) of data from the National Ambulatory Medical Care Survey and the National Hospital(More)
OBJECTIVES To examine how nursing home characteristics impacted the number of lawsuits filed against the facilities in the United States during 1997-2001. DATA SOURCES/STUDY SETTING A stratified random sample of 2,378 nursing home in 45 states from 1997-2001. Data were obtained from Westlaw's Adverse Filings: Lawsuits database, the Centers for Medicare(More)