|
| | |
|
Am J Psychiatry 1994; 151:1785-1790
Copyright © 1994 by American Psychiatric Association
The relationship between insurance coverage and psychiatric disorder in predicting use of mental health services
LR Landerman, BJ Burns, MS Swartz, HR Wagner and LK George
Department of Psychiatry, Duke University Medical Center, Durham, NC 27710.
OBJECTIVE: This study investigated how insurance coverage for mental health
services affects outpatient mental health service utilization among those
with and among those without a DSM-III psychiatric diagnosis. The authors
used a representative community sample to compare the regression effects of
insurance coverage on utilization of mental health services among these
subjects. METHOD: Data are from the second wave of the Piedmont, North
Carolina, site of the Epidemiologic Catchment Area project. These data
contain DSM-III diagnostic measures derived from the National Institute of
Mental Health Diagnostic Interview Schedule as well as measures of
insurance coverage and utilization. Responses from 2,889 community
residents were analyzed using both ordinary least squares and logistic
regression. RESULTS: In both models, insurance coverage was strongly
associated with care among those with as well as among those without a
psychiatric disorder. The association between coverage and the probability
of care was strongest among those with a disorder. CONCLUSIONS: The
findings are not consistent with the claim that failing to provide
insurance coverage will reduce discretionary but not necessary mental
health care utilization. They provide evidence that failing to provide
insurance coverage will reduce utilization as much or more among those with
a psychiatric disorder as among those without. This result has important
implications for health care reform.
This article has been cited by other articles:
|
|
|
|
 
L.-T. Wu and C. Ringwalt
Use of Substance Abuse Services by Young Uninsured American Adults
Psychiatr Serv,
August 1, 2005;
56(8):
946 - 953.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
I. M. Lesser, A. F. Leuchter, M. H. Trivedi, L. L. Davis, S. R. Wisniewski, G. K. Balasubramani, T. Petersen, D. Stegman, and A. J. Rush
Characteristics of Insured and Noninsured Outpatients With Depression in STAR*D
Psychiatr Serv,
August 1, 2005;
56(8):
995 - 1004.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
W. Wei, U. Sambamoorthi, M. Olfson, J. T. Walkup, and S. Crystal
Use of Psychotherapy for Depression in Older Adults
Am J Psychiatry,
April 1, 2005;
162(4):
711 - 717.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
G. E. Simon, M. Fleck, R. Lucas, D. M. Bushnell, and LIDO Group
Prevalence and Predictors of Depression Treatment in an International Primary Care Study
Am J Psychiatry,
September 1, 2004;
161(9):
1626 - 1634.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
P. T. Yanos, W. Lu, S. Minsky, and G. L. Kiely
Correlates of Health Insurance Among Persons With Schizophrenia in a Statewide Behavioral Health Care System
Psychiatr Serv,
January 1, 2004;
55(1):
79 - 82.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
A. Angold, A. Erkanli, E. M. Z. Farmer, J. A. Fairbank, B. J. Burns, G. Keeler, and E. J. Costello
Psychiatric Disorder, Impairment, and Service Use in Rural African American and White Youth
Arch Gen Psychiatry,
October 1, 2002;
59(10):
893 - 901.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. Rabinowitz, E. J. Bromet, J. Lavelle, K. J. Hornak, and B. Rosen
Changes in Insurance Coverage and Extent of Care During the Two Years After First Hospitalization for a Psychotic Disorder
Psychiatr Serv,
January 1, 2001;
52(1):
87 - 91.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
A. Zhang, R. Scheffler, and L. Snowden
State Health Care Reform: The Effects of Program Realignment on Severely Mentally Ill Persons in California's Community-Based Mental Health System
Psychiatr Serv,
September 1, 2000;
51(9):
1103 - 1106.
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. Rabinowitz, E. J. Bromet, J. Lavelle, K. J. Severance, S. L. Zariello, and B. Rosen
Relationship Between Type of Insurance and Care During the Early Course of Psychosis
Am J Psychiatry,
October 1, 1998;
155(10):
1392 - 1397.
[Abstract]
[Full Text]
|
|
|
Get information about faster international access.
Privacy Policy
Copyright © 1994
American Psychiatric Association.
All rights reserved.
Home
| Search
| Current Issue
| Past Issues
| Subscribe
| All APPI Journals
| Help
| Contact Us
|
