Impacts of the Dependent Care Expansion on the Allocation of Mental Health Care

被引：2

作者：

Breslau, Joshua ^{[1
]}

Stein, Bradley D. ^{[1
]}

Yu, Hao ^{[1
]}

Burns, Rachel M. ^{[1
]}

Han, Bing ^{[2
]}

机构：

[1] RAND Corp, 4570 Fifth Ave, Pittsburgh, PA 15217 USA

[2] RAND Corp, 1776 Main St, Santa Monica, CA 90401 USA

来源：

ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH | 2019年 / 46卷 / 01期

关键词：

Health insurance; Mental health service use; Racial; ethnic disparities; NATIONAL-SURVEY; UNITED-STATES; YOUNG-ADULTS; DRUG-USE; INSURANCE; DISORDERS; SURVEILLANCE; CALIBRATION; COVERAGE; TRENDS;

D O I：

10.1007/s10488-018-0895-5

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

We examine the impact of insurance expansion under the Affordable Care Act's Dependent Care Expansion (DCE) on allocation of mental health care across illness severity, types of care and racial/ethnic groups. Evidence suggests that the increase in mental health care utilization resulting from the DCE was restricted to individuals with clinically significant mental health conditions. There is no evidence suggesting that the increase occurred disproportionately in medication-only treatment or that it increased racial/ethnic disparities. The DCE appears to have been successful in increasing utilization of mental health care among a high need group without lowering quality or increasing disparities.

引用

页码：82 / 90

页数：9

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