CONSEQUENCES OF COST CONTAINMENT POLICIES--MENTAL HEALTH

这份追加拨款申请书建议延长 研究成本控制政策对心理健康的影响 服务。这项新的研究将建立在迄今取得的成果的基础上。 这表明精神科住院患者的贫困程度是 传播范围比内科手术患者大得多。 我们将研究促成通用汽车公司愿意 医院为贫困的精神病患者提供护理。钥匙 需要研究的因素包括：医院财务状况，希尔- 伯顿义务、医疗补助福利结构、可用性 公立精神病院护理、贫困护理融资计划和 成本控制政策。这将通过以下方式实现 医院经济模型的描述与估计 为贫困的精神病患者提供护理。数据来自 将使用四个州(纽约州、马里兰州、佛罗里达州、加利福尼亚州) 1980-1985年。此外，1985年的国家数据集 将被分析，以便利用 医疗补助计划和州贫困护理融资政策。

This application for supplemental funding proposes to extend the work on Consequences of Cost Containment Policies for Mental health Services. The new research will build on results thus far obtained indicating that indigency among psychiatric inpatients is considerable more wide spread than among medical-surgical patients. We will examine factors contributing to the willingness of general hospitals to provide care to indigent psychiatric patients. Key factors to be studied include: hospital financial status, Hill- Burton obligations, medicaid benefit structure, the availability of public mental hospital care, indigent care financing program and cost containment policies. This will be accomplished by specification and estimation of econometic models of hospital provisions of care to indigent psychiatric patients. Data from four states (New York, maryland, Florida, California) will be used for the years 1980-1985. In addition, a national data set for 1985 will be analyzed in order to take advantage of variation in the medicaid program and state indigent care financing policies.