Goldensohn S S, Fink R
Am J Psychiatry. 1979 Feb;136(2):160-4. doi: 10.1176/ajp.136.2.160.
The authors present the patterns of utilization of mental health services of a low-income population in a prepaid group practice setting, the Health Insurance Plan of Greater New York (HIP). Over a 6-year period, utilization rates for psychiatric consultations and mental health services by Medicaid enrollees rose to equal or exceed utilization by employed groups. The authors also provide evidence that psychiatric treatment reduces the use of other physician services, especially X-ray and laboratory services.
作者呈现了纽约大健康保险计划（HIP）这一预付团体医疗模式下低收入人群心理健康服务的使用模式。在6年期间，医疗补助计划参保者的精神科会诊和心理健康服务使用率上升至与就业群体相当或超过就业群体的使用率。作者还提供证据表明，精神科治疗减少了其他医生服务的使用，尤其是X光和实验室检查服务的使用。
