WOMEN AND OUTPATIENT MENTAL-HEALTH-SERVICES - USE BY BLACK, HISPANIC, AND WHITE WOMEN IN A NATIONAL INSURED POPULATION

被引:41
作者
PADGETT, DK
PATRICK, C
BURNS, BJ
SCHLESINGER, HJ
机构
[1] UNIV COLORADO,HLTH SCI CTR,DEPT PSYCHIAT,DENVER,CO 80262
[2] DUKE UNIV,DEPT PSYCHIAT,DURHAM,NC 27710
[3] NEW SCH SOCIAL RES,DEPT PSYCHOL,NEW YORK,NY 10011
来源
JOURNAL OF MENTAL HEALTH ADMINISTRATION | 1994年 / 21卷 / 04期
关键词
D O I
10.1007/BF02521354
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
Factors affecting ethnic differences in women's use of outpatient mental health services were analyzed to determine whether lower use by black and Hispanic women occurred when socioeconomic and other factors are controlled. Employing the Andersen and Newman model fo health use, insurance claims of 1.2 million federal employees insured by Blue Cross/Blue Shield in 1983 were analyzed to identify significant predictors of use. Results revealed that black and Hispanic women had lower probabilities and amounts of use when compared to white women even after controlling for a number of variables. Further research is needed to examine cultural and gender-related factors that may underlie ethnic differences; attitudinal factors and service system barriers are also implicated. Such findings have policy implications in the current climate of health care reform for which efforts are needed to increase access to care for ethnic minority women and other underserved populations.
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页码:347 / 360
页数:14
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