A Comparison of the Effects of Sociodemographic Factors and Health Status on Use of Outpatient Mental Health Services in HMO and Fee-for-service Plans
作者:
Kenneth Wells,
Willard Manning,
Bernadette Benjamin,
期刊:
Medical Care
(OVID Available online 1986)
卷期:
Volume 24,
issue 10
页码: 949-960
ISSN:0025-7079
年代: 1986
出版商: OVID
关键词: age;sex;socioeconomic status;health status;HMOs;fee-for-service;HIS
数据来源: OVID
摘要:
The authors compared the effects of age, sex, socioeconomic status, and mental and physical health status on the use of outpatient mental health services in one well-established health maintenance organization (HMO) and in fee-for-service plans. In the Seattle site of the Rand Health Insurance Study (HIS), families were randomly assigned to HMO or fee-for-service coverage. Adults incur much greater expense for outpatient mental health services than children in both an HMO and a fee-for-service plan with identical coverage (i.e., free care). However, the difference in use between adults and children is significantly greater for the fee-for-service plan than the HMO (P< 0.01). Similarly, education has significantly greater effects on use for the fee-for-service than the HMO plan. Increased income has a significant negative effect on use in both the HMO and fee-for-service plans. Mental and physical health status have similar large effects on use in both fee-for-service and HMO plans.
点击下载:
PDF
(776KB)
返 回