Use of Health Care for the Treatment of Mental Problems among Racial/Ethnic Subpopulations

Use of Health Care for the Treatment of Mental Problems among Racial/Ethnic Subpopulations
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利用医疗保健治疗种族/族裔亚群的精神问题

DOI:
--
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发表时间:
1997
影响因子:
2.5
通讯作者:
P. Cunningham
P. Cunningham
中科院分区:
医学3区
文献类型:
--
作者:
M. Freiman;P. Cunningham

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本文分析了一个人及其所在地区的种族/民族和其他特征之间的相互作用在多大程度上对决定使用任何精神卫生保健的可能性具有重要意义。对于“黑人和西班牙裔”和“白人和其他群体”,估计了不同的方程式。然后执行模拟,其中使用为另一个种族/民族组估计的系数来估计一个种族/民族组中的个人的使用概率。这些模拟表明,如果黑人和西班牙裔受到与白人相同的行为模式(回归系数)的影响,他们使用的概率将与白人相似,反之亦然。结果表明,简单地使用虚拟变量来表示种族/族裔的局限性,以及更多地了解卫生保健系统如何与不同种族/民族背景的人互动的价值。直接影响医疗保健提供者的位置、特征和行为以及消费者行为的政策可能与医疗保险的增量变化一样与实现使用或获取的平等有关。
This article analyzes the degree to which interactions between race/ethnicity and other characteristics of a person and their local area are important in determining the probability of any mental health care use. Separate equations are estimated for "Blacks and Hispanics" and "Whites and other groups." Simulations are then performed where the probabilities of use are estimated for individuals in one racial/ethnic group, using coefficients estimated for another racial/ethnic group. These simulations show that the probability of use for Blacks and Hispanics would be similar to Whites if they were subject to the same behavioral patterns (regression coefficients) as Whites, and vice versa. The results indicate the limitations of simply using dummy variables to represent race/ethnicity and the value of learning more about how the health care system interacts with persons of different racial/ethnic backgrounds. Policies that directly affect the location, characteristics, and behavior of health care providers, as well as the behavior of consumers, may be as relevant to achieving equality of use or access as incremental changes in health coverage.
墨西哥裔美国人的文化适应和使用医疗服务的可能性。
DOI: --
发表时间: 1989
影响因子: 3.4
作者:
Wells,KB;Golding,JM;Hough,RL;Burnam,MA;Karno,M
通讯作者: Karno,M