Medicaid Spending Differences for Child/Youth Community-Based Care in California's Decentralized Public Mental Health System.
Medicaid Spending Differences for Child/Youth Community-Based Care in California's Decentralized Public Mental Health System.
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加州分散的公共心理健康系统中儿童/青少年社区护理的医疗补助支出差异。
DOI：
10.1007/s10488-016-0753-2
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发表时间：
2018
期刊：
影响因子：
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通讯作者：
Dow,WilliamH
中科院分区：
文献类型：
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作者：
Vanneman,MeganE;Snowden,LonnieR;Dow,WilliamH
这项研究评估了加州分散其公共精神卫生系统后的十年间各县之间的支出差异。使用精神卫生服务的0-25岁青少年的医疗补助数据崩溃到县一级(n=1627)。使用具有县固定效应的多变量模型来预测基于社区的精神卫生保健的人均支出。虽然县随着时间的推移增加了支出，但每个用户初始支出相对较低的县继续比历史上支出水平较高的县支出更少。每个用户的支出差异在种族/少数民族人口较多的县最为明显，这些县的支出水平也历来较低。
This study evaluated spending differences across counties during the decade after California decentralized its public mental health system. Medicaid data for 0–25 year olds using mental health services were collapsed to the county-year level (n = 627). Multivariate models with county fixed effects were used to predict per capita spending for community-based mental health care. While counties increased their spending over time, those with relatively low initial expenditures per user continued to spend less than counties with historically higher spending levels. Spending differences per user were most noticeable in counties with larger racial/ethnic minority populations that also had historically lower spending levels.