The Effect of Medicaid on Access to Ambulatory Mental Health Care for the Poor and Near-Poor Under 65
The Effect of Medicaid on Access to Ambulatory Mental Health Care for the Poor and Near-Poor Under 65
复制标题
医疗补助对 65 岁以下贫困人口和准贫困人口获得流动心理保健的影响
DOI：
10.1097/00005650-198608000-00003
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发表时间：
1986
期刊：
影响因子：
3
通讯作者：
A. Rupp
中科院分区：
文献类型：
--
作者：
C. Taube;A. Rupp
对全国医疗服务利用和支出调查的分析表明，与没有参加医疗补助的穷人/准穷人相比，有持续医疗补助覆盖的穷人/准穷人使用非卧床精神卫生保健的可能性几乎是前者的两倍。更高的使用概率反映了获得所需精神卫生服务的财政可及性增加的影响，也可能受到除临床服务之外，对有组织的精神卫生机构提供的社会服务的相关需求的影响。在接受医疗补助和未参加医疗补助的穷人/接近穷人之间，每个用户的使用强度没有显著差异，但持续参加医疗补助的人自掏腰包支付的百分比要低得多。
Analysis of the National Medical Care Utilization and Expenditure Survey indicates that the poor/near-poor with continuous Medicaid coverage had almost double the probability of use of ambulatory mental health care compared with the poor/near-poor not enrolled in Medicaid. The higher probability of use reflects the impact of increased financial accessibility to needed mental health services and may also be influenced by an associated demand for social services provided by organized mental health settings in addition to clinical services. Intensity of use per user was not significantly different between Medicaid- and non-Medicaid-enrolled poor/near-poor, but the percent paid out of pocket was substantially lower for those continuously in Medicaid.