CONSEQUENCES OF COST CONTAINMENT POLICIES--MENTAL HEALTH

这一补充资金申请建议延长 心理健康成本控制政策的后果 服务 新的研究将建立在迄今为止所取得的成果之上 表明精神病住院患者的贫困 比内科手术患者的传播范围更广。 我们将研究导致一般愿意 医院为贫困的精神病患者提供护理。 关键 要研究的因素包括：医院的财务状况，希尔- 伯顿义务，医疗补助福利结构，可获得性 公立精神病院护理，贫困护理融资计划， 成本控制政策。 这将通过 医院经济模型设定与估计 为贫困的精神病患者提供护理。 数据从 将使用四个州（纽约、马里兰州、佛罗里达、加州） 1980-1985年。 此外，1985年的一组国家数据 将进行分析，以利用变化， 医疗补助计划和国家贫困护理融资政策。

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.