Using Massachusetts as an example of a state which is burdened with high health care costs, Social Network Theory is used as a basis for examining some factors which contribute to these high costs. Vignettes are described to indicate that some hospitalization may be a consequence of inappropriate social service intervention prior to onset of symptoms requiring medical attention.
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References
1.
Health Plan For Massachusetts 1983–1990, Statewide Health Coordinating Council and Office of State Health Planning, Executive Office of Human Services, Commonwealth of Massachusetts, p. 35, May 1983.
2.
GibsonR. M. and WaldoD. R., National Health Expenditures, 1981, Health Care Financing Review, 4: 1, p. 23 (Table 4), September, 1982.
3.
Massachusetts Health Data Consortium, Community Based Small Area Analysis, Use Rates, and Discharge Rates per 1000 Residents by Service, Age, and Patient Residence—FY 1980.
4.
CasselJ., The Contribution of the Social Environment to Host Resistence, American Journal of Epidemiology, 104: 2, p. 107, 1976.
5.
MuellerD., Social Networks: A Promising Direction for Research on the Relationship of the Social Environment to Psychiatric Disorder, Social Science and Medicine, 14A, pp, 146–161, 1980.
6.
CobbS., Social Support as a Moderator of Life Stress, Psychosomatic Medicine, 38, p. 300, 1976.
7.
DeanA. and LinN., The Stress-Suffering Role of Social Support, Journal of Nervous and Mental Diseases, 165, p. 403, 1977.
8.
RabkinJ. and StrueningE., Life Events, Stress, and Illness, Science, 194, p. 1013, 1976.
9.
KaplanB.CasselJ., and GoreS., Social Support and Health, Medical Care, 15, p. 47, 1977.
10.
HammerM., Influence of Small Social Networks as Factors on Mental Hospital Admission, Human Organization, 22, p. 243, 1963.
11.
PilisukM. and FrolandC., Kinship, Social Networks, Social Support and Health, Social Science and Medicine, 12B, pp. 273–280, 1978.
12.
CasselJ., An Epidemiological Perspective of Psychosocial Factors in Disease Etiology, American Journal of Epidemiology, 109: 2, pp. 186–204, 1979.
13.
BerkmanL., and SymeL., Social Networks, Host Resistance, and Mortality: A Nine-Year Follow-Up Study of Alameda County Residents, American Journal of Epidemiology, 109: 2, pp. 186–204, 1979.
14.
MinklerM., Applications of Social Support Theory to Health Education: Implications for Work with the Elderly, Health Education Quarterly, 8: 2, pp. 149–165, Summer 1981.
15.
RaskinA., Signs and Symptoms of Psychopathology in the Elderly, in Psychiatric Symptoms and Cognitive Loss in the Elderly, RaskinA. and JarvikL. (eds.), Hemisphere Publishing Co., New York, 1979.
16.
SalzmanC. and ShaderR., Depression in the Elderly: II Possible Drug Etiologies: Differential Diagnostic Criteria, Journal of the American Geriatrics Society, 26, p. 303, 1978.
17.
BlazerD., Impact of Late-Life Depression on the Social Network, American Journal of Psychiatry, 140: 2, pp. 162–166, February 1983.
18.
OuslanderJ., Physical Illness and Depression in the Elderly, Journal of the American Geriatrics Society, 30: 9, pp. 593–599, September 1982.
19.
MurrellS., Prevalence of Depression and Its Correlates in Older Adults, American Journal of Epidemiology, 117: 2, pp. 173–185, 1983.
20.
SadavoyJ. and Reiman-SheldonE., General Hospital Geriatric Psychiatric Treatment: A Follow-Up Study, Journal of the American Geriatrics Society, 31: 4, April 1983.