Use of outpatient mental health services by a general population with health insurance coverage.

Use of outpatient mental health services by a general population with health insurance coverage.
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拥有健康保险的普通人群使用门诊心理健康服务。

DOI:
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发表时间:
1986
期刊:
Hospital & community psychiatry
影响因子:
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通讯作者:
J. Ware
J. Ware
中科院分区:
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文献类型:
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作者:
K. Wells;W. Manning;N. Duan;J. Newhouse;J. Ware

文献摘要

被引文献

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对参加兰德医疗保险研究的4254人的心理健康服务使用特征进行了分析,试图预测具有指定保险覆盖范围的普通人群的使用模式。研究中的家庭,其成员年龄从出生到62岁不等,被随机分配到14种保险计划中的一种,这些计划涵盖所有有执照的医疗服务提供者群体提供的各种各样的服务。在一年期间,不到4%的参保人看过心理健康专科医生,只有7.1%的人因心理健康问题看过任何医疗服务提供者。接受门诊心理健康治疗的人中约有一半只看过普通内科医生。每位参保人的年度门诊心理健康费用约为25美元(1983年美元价值)。作者将他们的研究结果与其他研究进行了比较,并讨论了这些结果对心理健康服务保险覆盖范围的影响。
Characteristics of use of mental health services by 4,254 persons enrolled in the Rand Health Insurance Study were analyzed in an attempt to predict patterns of use by a general population with assigned insurance coverage. Families in the study, whose members ranged in age from birth through 62 years, were randomly assigned to one of 14 insurance plans covering a wide variety of services by all licensed provider groups. During a one-year period less than 4 percent of the enrollees visited a mental health specialist, and only 7.1 percent saw any provider for mental health care. About half of those receiving outpatient mental health care visited general medical providers only. Annual outpatient mental health expenses per enrollee were about $25 (1983 dollars). The authors compare their findings with those of other studies and discuss their implications for insurance coverage of mental health services.