Snowden Lonnie R, Wallace Neal T, Kang Soo Hyang, Cheng Jur-Shan, Bloom Joan R
School of Social Welfare, University of California, Berkeley, 120 Haviland Hall, Berkeley, CA 94720-7400, USA.
Adm Policy Ment Health. 2007 Sep;34(5):456-64. doi: 10.1007/s10488-007-0126-y. Epub 2007 May 19.
This study investigated racial and ethnic differences in the probability of mental health service use and costs of treatment before and after the implementation of capitated financing. Models were created to test effects on utilization and costs of African American, Latinos, and white mental health consumers. As service use and costs declined under capitation, Latino, and white levels of use and cost tended to converge. African American utilization patterns in the capitated areas tended to parallel their white counterparts. Differential rejection by, or exclusion of, African American and Latino consumers did not appear to occur in response to capitation.
本研究调查了在实施按人头付费融资前后，心理健康服务使用概率和治疗费用方面的种族和族裔差异。建立了模型来测试对非裔美国人、拉丁裔和白人心理健康消费者的利用率和成本的影响。随着按人头付费制度下服务使用和成本的下降，拉丁裔和白人的使用水平和成本趋于趋同。在实行按人头付费的地区，非裔美国人的使用模式往往与其白人对应者相似。非裔美国人和拉丁裔消费者似乎没有因按人头付费而出现差别拒绝或被排除的情况。
