期刊詳細資料 Journal detailed information  
作者(Author)Alegria, M., Lin, J., Chen, C.-N., Duan, N., Cook, B., Meng, X.-L.
篇名(Article title)The impact of insurance coverage in diminishing racial and ethnic disparities in behavioral health services
期刊名(Journal name)Health Servces Research
國際期刊(International Journal)SCIE, SSCI
中文摘要(Abstrct)
ABSTRCTObjective To estimate whether racial/ethnic behavioral health service disparities are likely to be reduced through insurance expansion coverage expected through the Affordable Health Care Act. Data Sources Pooled data from the nationally representative NIMH Collaborative Psychiatric Epidemiological Studies (2001–2003). Study Design We employ a novel reweighting method to estimate service disparities in the presence and absence of insurance coverage. Data Collection Access to care was assessed by whether any behavioral health treatment was received in the past year. Need was determined by presence of prior year psychiatric disorder, psychiatric diagnoses, physical comorbidities, gender, and age. Principal Findings Improving patient education and availability of community clinics, combined with insurance coverage reduces service disparities across racial/ethnic groups.However, even with expanded insurance coverage, approximately 10 percent fewer African Americans with need for behavioral health services are likely to receive services compared to non-Latino whites while Latinos show no measurable disparity. Conclusions Expansion of insurance coverage might have different effects for racial/ethnic groups, requiring additional interventions to reduce disparities for all groups.
中文關鍵字(Keyword)
KEYWORDDisparities;minorities;expanding insurance;behavioral health;mechanisms
卷期(Volume No)Vol. 47 No. 3
頁數(Page number)pp. 1322~1344
年份(Year)2012
語言(Language)英文 English