Racial/ethnic differences in Medicaid expenditures on psychotropic medications among maltreated children

被引:10
作者
Raghavan, Ramesh [1 ]
Brown, Derek S. [1 ]
Allaire, Benjamin T. [2 ]
Garfield, Lauren D. [1 ]
Ross, Raven E. [1 ]
Snowden, Lonnie R. [3 ]
机构
[1] Washington Univ, St Louis, MO 63130 USA
[2] RTI Int, Res Triangle Pk, NC 27709 USA
[3] Univ Calif Berkeley, Sch Publ Hlth, Berkeley, CA 94720 USA
关键词
Psychotropic drugs; Disparities; Medicaid; Expenditures; Race; Ethnicity; MENTAL-HEALTH-SERVICES; NATIONAL PROBABILITY SAMPLE; RISK ADJUSTMENT; HELP-SEEKING; WELFARE; CARE; DISPARITIES; YOUTHS; ADHD; ACCESS;
D O I
10.1016/j.chiabu.2014.02.013
中图分类号
D669 [社会生活与社会问题]; C913 [社会生活与社会问题];
学科分类号
1204 ;
摘要
This study quantifies racial/ethnic differences in Medicaid expenditures on psychotropic drugs among a national sample of children with suspected maltreatment. We linked 4,445 child participants in the National Survey of Child and Adolescent Well-Being (NSCAW) - consisting of children investigated for suspected abuse and neglect - to their Medicaid claims obtained from 36 states. We used propensity score matching to construct a comparison group of children without known child welfare involvement, and estimated two-part generalized linear models to examine differences in annual psychotropic drug expenditures per child between children of different races/ethnicities. When compared to a matched sample of children, African American and Latino children incur $292 and $144 less expenditures on psychotropic drugs, respectively, than white children. Among NSCAW children alone, African American children display $614 less spending on psychotropic drugs when compared to white children. Racial/ethnic differences in expenditures on psychotropic drugs occur among all children on Medicaid, but the differences are especially pronounced among African American children in contact with the child welfare system. These findings demonstrate that policymakers will need to pay special attention to the needs of children of color as Medicaid expansions proceed nationwide. (C) 2014 Elsevier Ltd. All rights reserved.
引用
收藏
页码:1002 / 1010
页数:9
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