Insurance status and length of stay for involuntarily hospitalized patients
Department of Psychiatry
Medical Subject Headings
Adult; Aged; *Commitment of Mentally Ill; Female; Hospitals, Private; Hospitals, Psychiatric; Hospitals, Public; Humans; Insurance Coverage; *Insurance, Health; Length of Stay; Male; Massachusetts; Medicare; Middle Aged
Health Services Research | Mental and Social Health | Psychiatric and Mental Health | Psychiatry | Psychiatry and Psychology
General and private psychiatric hospitals are becoming increasingly common as sites for involuntary hospitalization. Unlike the public facilities that these settings are supplanting, these hospitals must pay strict attention to issues associated with reimbursement, insurance status, and managed care. This article examines the effects of insurance status on length of stay for involuntarily hospitalized patients in general and private hospitals in Massachusetts. Using a two-stage sampling procedure, data on episodes of involuntary hospitalization were gathered and assessed using multiple regression. The primary effect was found between patients with Medicare, who had the longest stays, and individuals who were uninsured, who had the shortest. The data raise concerns that warrant closer scrutiny on the part of administrators and clinicians.
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Citation: J Behav Health Serv Res. 2001 Aug;28(3):334-46.
Fisher, William H.; Barreira, Paul J.; Lincoln, Alisa K.; Simon, Lorna J.; White, Andrew W.; Roy-Bujnowski, Kristen M.; and Sudders, Marylou, "Insurance status and length of stay for involuntarily hospitalized patients" (2001). Systems and Psychosocial Advances Research Center Publications and Presentations. 273.