Racial/ethnic disparities in admissions to public and private psychiatric inpatient settings: the effect of managed care
UMass Chan Affiliations
Department of PsychiatryDocument Type
Journal ArticlePublication Date
1999-04-17Keywords
AdultAged
Aged, 80 and over
*Continental Population Groups
Ethnic Groups
Female
Health Services Accessibility
Health Services Research
Hospitals, Private
Hospitals, Psychiatric
Hospitals, Public
Humans
Male
Managed Care Programs
Massachusetts
Medicaid
Middle Aged
Patient Admission
United States
Health Services Research
Mental and Social Health
Psychiatric and Mental Health
Psychiatry
Psychiatry and Psychology
Metadata
Show full item recordAbstract
This study investigates the effect of managed care on access patterns among people of color who are severely and persistently mentally ill. The distribution of admissions to public and private psychiatric hospitals was compared for African-American, Asian, Latino, and white case managed clients of the Massachusetts Department of Mental Health before and after implementation of Medicaid managed mental health care in October 1997. Managed care appears to have increased access to private services across all racial and ethnic groups, although admissions of non-white patients were still more likely to take place in publicly operated settings. These data suggest that equalizing access to putatively better inpatient treatment settings may be an externality of managed care.Source
Adm Policy Ment Health. 1998 Nov;26(2):101-9.Permanent Link to this Item
http://hdl.handle.net/20.500.14038/45163PubMed ID
10205942Related Resources
Link to Article in PubMedCollections
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