Compton Michael T, Weiss Paul S, Phillips V L, West Joyce C, Kaslow Nadine J
Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA.
Community Ment Health J. 2006 Apr;42(2):197-204. doi: 10.1007/s10597-005-9016-5.
This study utilized a large clinical dataset of patients representative of those in routine U.S. psychiatric practice to assess the influence of sociodemographic variables and diagnostic class on health plan membership (public or private). Data on patients with schizophrenia or other psychotic disorders (n=288) and patients with mood or anxiety disorders (n=1304) were obtained from a cross-sectional practice-based survey conducted by the American Psychiatric Institute for Research and Education. The likelihood of health plan membership was lower among males and among those from a minority race/ethnicity. Health plan membership was also affected by educational attainment and employment status. Even after controlling for these sociodemographic determinants of health plan membership, individuals with schizophrenia/other psychotic disorders were significantly less likely to belong to a health plan than those with mood/anxiety disorders.
本研究利用了一个大型临床数据集，该数据集的患者代表了美国常规精神病学实践中的患者，以评估社会人口统计学变量和诊断类别对健康保险计划参保情况（公共或私人）的影响。精神分裂症或其他精神障碍患者（n = 288）以及情绪或焦虑障碍患者（n = 1304）的数据来自美国精神病学研究与教育学会进行的一项基于实践的横断面调查。男性以及少数种族/族裔人群参加健康保险计划的可能性较低。健康保险计划参保情况还受到教育程度和就业状况的影响。即使在控制了这些健康保险计划参保情况的社会人口统计学决定因素之后，精神分裂症/其他精神障碍患者参加健康保险计划的可能性仍显著低于情绪/焦虑障碍患者。
