Demand analysis of mental health service use among ethnic subpopulations.

R M Scheffler · Arden Miller

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Mental Health Treatment and Access Healthcare Policy and Management Migration, Health and Trauma

Abstract

This paper estimates demand for mental health services by blacks, Hispanics, and whites, as well as males and females, using a three-part regression model. It examines the probability of mental health use and the level of outpatient and inpatient use. The data base is the high option Blue Cross/Blue Shield Federal Employee Health Benefits Plan for the 1979 to 1981 period. All user subpopulations sharing this plan have the same coverage, so differences in demand and utilization are related to ethnic and racial background, age, salary, outpatient visit copayment and market area characteristics, including the supply of psychiatrists. Results show vast differences in demand for care by ethnic, racial, and gender groups with identical insurance coverage. Alternative explanations for the differences are suggested.

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References

1977The Pathways into Psychiatric Treatment: Some Differences Between Men and Women 1967Differential effects of therapist race and social class upon patient depth of self-exploration in the initial clinical interview.1979Marital Status and Mental Disorder: Evidence in Favor of a Behavioral Model

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