Children's access to mental health care: Does insurance matter?

Children's access to mental health care: Does insurance matter?
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DOI:
10.1377/hlthaff.16.1.167
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发表时间:
1997-01-01
期刊:
影响因子:
9.7
通讯作者:
Regier, DA
Regier, DA
中科院分区:
医学1区
文献类型:
--
作者:
Glied, S;Hoven, CW;Regier, DA

文献摘要

被引文献

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利用1992年对儿童及其父母(或监护人)的社区调查数据,我们发现精神健康保险覆盖面存在重大差距。有趣的是,私人保险对心理健康服务的使用没有统计学上的显著影响。没有保险的年轻人和那些有公共保险的年轻人比那些有私人保险的年轻人有更高的严重情绪障碍率。该分析基于美国国家精神卫生研究所的儿童和青少年精神疾病流行病学方法(MECA)研究,该研究在美国大陆的三个地点和波多黎各进行。
Using data from a 1992 community survey of children and their parents (or guardians), we found major gaps in mental health insurance coverage. Interestingly, private insurance had no statistically significant effect on use of mental health services. Youth without insurance coverage and those with public insurance had higher rates of serious emotional disorder than did those with private insurance. The analysis is based on the National Institute of Mental Health's Methods for the Epidemiology of Child and Adolescent Mental Disorders (MECA) study, conducted in three mainland U.S. sites and in Puerto Rico.