Sociodemographic Factors and the Use of Outpatient Mental Health Services
Bibliographic Data
| ID | 9102069 |
|---|---|
| Authors | Kenneth B Wells (0000-0002-7454-6589, RAND Corporation), Willard G Manning (RAND Corporation), Naihua Duan (0000-0001-9411-2924, RAND Corporation), Joseph P Newhouse (0000-0001-5837-3203, RAND Corporation), John E Ware (0000-0002-0744-2149, RAND Corporation) |
| Year | 1986 |
| Volume | 24 |
| Issue | 1 |
| Pages | 75-85 |
| Publication date | 1986-01-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00005650-198601000-00008 |
| PMID | 3945131 |
| OpenAlex | W1965186115 |
| Language | EN |
| Citations received | 36 |
| References cited | 10 |
What are the effects of sociodemographic factors on the use of outpatient mental health services when different demographic groups have identical health insurance coverage? The authors answer this question using data from the Rand Health Insurance Experiment. Health insurance was randomly assigned to families representative of the nonaged, noninstitutionalized civilian population in six U.S. sites. Income has no significant total effect on use when all income groups have the same coverage. When the effects of variables correlated with socioeconomic status are removed, users with higher socioeconomic status are significantly more likely to choose a mental health specialist rather than only general medical providers for their mental health care (P less than 0.05); among those who visit mental health specialists, those with higher socioeconomic status incur significantly greater expenses (P less than 0.10). Women use significantly more mental health services than men (P less than 0.05), who in turn use significantly more mental health services than children (P less than 0.05), even after controlling for demographic factors, health status, and insurance coverage. Similarly, there are large differences (roughly sixfold) by site in outpatient mental health expenses even when all sites have identical coverage
MEDLINE · Mental health · Political science · Psychiatry · Healthcare Policy and Management · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Mental Health Treatment and Access · Psychology · Gerontology
Gender and Mental Health
The Effects of Preferred Provider Options in Fee-For-Service Plans on Use of Outpatient Mental Health Services by Three Employee Groups
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
Factors Affecting the Utilization of Specialty and General Medical Mental Health Services
Factors Affecting the Probability of Use of General and Medical Health and Social/Community Services for Mexican Americans and Non-Hispanic Whites
Seeking Help for Psychologic Problems
Gender Bias in Psychotropic Drug Prescribing in Primary Care
The Findings of the Rand Health Insurance Experiment??? A Response to Welch et al
Misgivings of Medicine
Labeling and Stigma
Twelve-Month Use of Mental Health Services in the United States
Failure and Delay in Initial Treatment Contact After First Onset of Mental Disorders in the National Comorbidity Survey Replication
Use of mental health services for anxiety, mood, and substance disorders in 17 countries in the WHO world mental health surveys
Key Determinants of the Health and Well-Being of Men and Boys
Variations in Self-Rated Health Among Patients with HIV Infection
Outpatient Satisfaction with Tertiary Hospitals in China
Measurement of Men's Help Seeking
Behavioral Factors Associated with Disease, Injury, and Death among Men
The Role of Working-Class Women in a Changing Economy
Gender Differences in the Assessment of Specialized Treatments for Substance Abuse among People with Severe Mental Illness
L’effet de l’âge, du genre et du statut socioéconomique sur l’utilisation des services de médecine générale pour des symptômes de détresse psychologique
Comprehensive determinants of health service utilisation for mental health reasons in a canadian catchment area
Chinese Americans’ Help Seeking for Emotional Distress
Epidemiology and preventive interventions
Cultural and practical barriers to seeking mental health treatment for Chinese Americans
Patterns of mental health utilization among island Puerto Rican poor
Initiation of and Adherence to Treatment for Mental Disorders
Cross-Cultural Differences in the Reporting of Global Functional Capacity
Expanded Mental Health Benefits and Outpatient Depression Treatment Intensity
Help Seeking for Mental Health Care Among Poor Puerto Ricans
Health maintenance organizations and persons with severe mental illness
Factors related to the use of ambulatory mental health services in three providers plans
Ethnicity, gender, and utilization of mental health services in a medicaid population
Gender and health services use for a mental health problem
Women's orientation toward help-seeking for mental disorders
Gender and outpatient mental health service use
Does Free Care Improve Adults' Health?
The De Facto US Mental Health Services System
Mental Health Services
Advances in the Measurement of Functional Status
The Sensitivity of Mental Health Care Use and Cost Estimates to Methods Effects
Professional uncertainty and the problem of supplier-induced demand
Social Selection in Seeking Help for Psychological Problems
Sex Differences in Psychiatric Help-Seeking
Sex Differences and Psychiatric Disorders
Adult Sex Roles and Mental Illness
| Unique citing works | 36 |
|---|---|
| Citations per year | 0,9 |
| Citation span | 1986 - 2019 (34) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 27 |