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
Bibliographic Data
| ID | 9103362 |
|---|---|
| Authors | Kenneth B Wells (0000-0002-7454-6589, RAND Corporation, corresponding author), Willard G Manning (RAND Corporation), Willard Manning, Bernadette Benjamin (RAND Corporation) |
| Year | 1986 |
| Volume | 24 |
| Issue | 10 |
| Pages | 949-960 |
| Publication date | 1986-10-01 |
| 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 | 10.1097/00005650-198610000-00008 |
| PMID | 3762243 |
| OpenAlex | W2011269506 |
| Language | EN |
| Citations received | 2 |
| References cited | 6 |
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 less than 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
Business · Environmental health · Family medicine · Fee-for-service · Health care · Health maintenance · Health plan · Mental health · Population · Psychiatry · Service (business) · Socioeconomic status · Healthcare Policy and Management · Marketing · Medicine · Patient Satisfaction in Healthcare · Primary Care and Health Outcomes · Gerontology
Health status and the use of outpatient mental health services
Sociodemographic Factors and the Use of Outpatient Mental Health Services
Mental Health Services
Advances in the Measurement of Functional Status
Ambulatory Mental Health Services Utilization in Three Provider Plans
Sex Differences in Psychiatric Help-Seeking
| Unique citing works | 2 |
|---|---|
| Citations per year | 0,05 |
| Citation span | 1988 - 2001 (14) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 2 |