Racial/ethnic disparities in admissions to public and private psychiatric inpatient settings: The effect of managed care

作     者：Crawford, K Fisher, WH McDermeit, M 

作者机构：Boston Univ Sch Med Div Psychiat Boston MA 02215 USA Univ Massachusetts Sch Med Dept Psychiat Amherst MA 01003 USA 

出 版 物：《ADMINISTRATION AND POLICY IN MENTAL HEALTH》 (精神卫生管理政策)

年 卷 期：1998年第26卷第2期

页      面：101-109页

核心收录：

学科分类：1204[管理学-公共管理] 1004[医学-公共卫生与预防医学(可授医学、理学学位)] 10[医学] 

主　　题：大陆人口群 人种群/统计学和数值数据 卫生服务易得程度/标准 卫生服务研究 医院 私立/利用 医院 精神病/利用 医院 公立/利用 管理医疗规划/组织和管理 马萨诸塞 Medicaid/组织和管理 病人入院/统计学和数值数据 美国 成年人 老年人 老年人 80以上 女(雌)性 人类 男(雄)性 中年人 

摘      要：This study investigates the effect of managed care on access patterns among people of color who are severely and persistently mentally ill. The distribution of admissions to public and private psychiatric hospitals was compared for African-American, Asian, Latino, and white case managed clients of the Massachusetts Department of Mental Health before and after implementation of Medicaid managed mental health care in October 1997. Managed care appears to have increased access to private services across all racial and ethnic groups, although admissions of non-white patients were still more likely to take place in publicly operated settings. These data suggest that equalizing access to putatively better inpatient treatment settings may be an externality of managed care.