Abstract
In this article, the treatment of transfer payments, such as welfare and disability payments, is considered. A review of cost studies reveals little uniformity of approach to treatment of transfer payments. The authors propose a framework for treatment of transfer payments, which depends on the selection of study perspective. From the perspective of society (economic efficiency), only the administrative costs of transfer payments are correctly included in cost-benefit studies. Strategies for estimating the administrative costs of transfers are also discussed.
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Adams, M. E., McCall, N. T., Gray, D. T., Orza, M. J., & Chalmers, T. C. (1992). Economic analysis in randomized control trials.Medical Care, 30, 231–243.
Bond, G. R. (1984). An economic analysis of psychosocial rehabilitation.Hospital & Community Psychiatry, 35, 356–362.
Bound, J. (1989). The health and earnings of rejected disability applicants.American Economic Review, 79, 482–503.
Cummings, J. E., Hughes, S. L., Weaver, F. M., Manheim, L. M., Conrad, K. J., Nash, K., Braun, B., & Adelman, J. (1990). Cost-effectiveness of Veterans Administration Hospital-based Home Care: A randomized clinical trial.Archives of Internal Medicine, 150, 1274–1280.
Dickey, B., Cannon, N. L. McGuire, T. G., & Gudeman, J. E. (1986). The quarterway house: A two-year cost study of an experimental residential program.Hospital & Community Psychiatry, 37, 1136–1143.
Drummond, M. F. (1980).Principles of economic appraisal in health care. New York: Oxford University Press.
Fenton, F. R., Tessier, L., Contandriopoulos, A-P., Nguyen, H., & Struening, E. L. (1982). A comparative trial of home and hospital psychiatric treatment: Financial costs.Canadian Journal of Psychiatry, 27, 177–87.
Hargreaves, W. A., Shumway, M., Hu, T. W., Essock, S., & Juarez-Reyes, M. (1993).The cost effectiveness of treatments for schizophrenia: Research methods. San Francisco: University of California. Unpublished monograph.
Hodgson, T. A., & Meiners, M. (1979).Guidelines for cost of illness studies in the Public Health Service. Washington, DC: Task Force on Cost of Illness Studies, US Public Health Service.
Hu, T., & JerrelI, J. (1991). Cost-effectiveness of alternative approaches in treating the severely mentally ill in California.Schizophrenia Bulletin, 17, 461–468.
Jerrell, J., & Hu, T. (1989). Cost-effectiveness of intensive clinical and case management compared with an existing system of care.Inquiry, 26, 224–234.
McKaffree, K. (1966). The cost of mental health care under changing treatment methods.American Journal of Public Health, 56, 1013–1025.
Melzer, H. Y., Cola, P., Way, L., Thompson, P. A., Bastani, B., Davies, M., & Snitz, B. (1993). Cost effectiveness of clozapine in neuroleptic-resistant schizophrenia.American Journal of Psychiatry, 150, 1630–1638.
Rice, D. P., Kelman, S., Miller, L. S., & Dunmeyer, S. (1990).The economic costs of alcohol and drug abuse and mental illness: 1985. San Francisco: The Institute for Health and Aging.
Rosenheck, R., Frisman, L., & Sindelar, J. (1995 [a]) Disability compensation and work among veterans with psychiatric and non-psychiatric impairments.Psychiatric Services, 46, 359–366.
Rosenheck, R., Neale, M., Leaf, P., Milstein, R., & Frisman, L. (1995 [b]). Multi-site experimental cost study of intensive psychiatric community care.Schizophrenia Bulletin, 21, 129–140.
Rossi, P., & Freeman, H. (1993).Evaluation: A systematic approach, 5th ed. Newbury Park, CA: Sage Publications.
Schobel, B. D. (1981). Administrative expenses under OASDI.Social Security Bulletin, 44, 21–28.
Shern, D. L., Bartsch, D. A., Coen, A. S., Ellis, R. H., & Wilson, N. Z. (1985).A model for estimating optimal residential/service settings for types of chronically mentally ill individuals: Project summary. The Colorado Division of Mental Health.
Social Security Administration, Office of Finance, Assessment and Management, Office of Financial Operations. (1992).Selected workload unit costs, FY 1992 Baltimore: Author.
Ways and Means Committee, U.S. House of Representatives (1992).Overview of entitlement programs: 1992 Green Book. Washington, DC: U.S. Government Printing Office.
Weisbrod, B., Test, M. A., & Stein, L. I. (1980). Alternative to mental hospital treatment: II. Economic benefit-cost analysis.Archives of General Psychiatry, 37, 400–405.
Weisbrod, B. A. (1983). A guide to benefit-cost analysis, as seen through a controlled experiment in treating the mentally ill.Journal of Health Politics, Policy and Law, 7, 808–845.
Weisbrod, B. A. Income redistribution effects and benefit-cost analysis. (1966). In S. B. Chase (Ed.),Problems in public expenditure analysis. Washington: The Brookings Institute.
Wolff, N., & Helminiak, T. W. (1993). The anatomy of cost estimates—the “other” outcome.Advances in Health Economics and Health Services Research. Greenwich, CT: Jai Press.
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The authors are grateful to Thomas McGuire, Jose Escarce, and the other participants of the North-east Regional Research Symposium's 1994 annual meeting for their comments on an earlier draft of this paper.
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Frisman, L., Rosenheck, R. How transfer payments are treated in cost-effectiveness and cost-benefit analyses. Adm Policy Ment Health 23, 533–546 (1996). https://doi.org/10.1007/BF02108689
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DOI: https://doi.org/10.1007/BF02108689