Wallen J, Roddy P, Meyers S M
Health Serv Res. 1986 Jun;21(2 Pt 2):341-50.
This article, which was prepared as part of a larger study of the impact of the copayment requirement on United Mine Workers of America (UMWA) beneficiaries carried out at the National Center for Health Services Research (NCHSR), compares male to female changes in ambulatory care visits for mental disorders and discusses the implications of these changes for the use of other services and for the quality of care. Figures were derived from aggregate claims data provided by the UMWA for the time periods immediately preceding the introduction of copayment (full coverage for all health care) and the first year following the introduction of copayment. Our findings suggest that, at least as far as visits for mental disorders are concerned, copayment may reduce necessary visits. The men in our population, who sought care for mental disorders more sparingly than women and for more severe complaints, were most affected by copayment.
本文是美国国家卫生服务研究中心（NCHSR）开展的一项关于自付费用要求对美国矿工联合会（UMWA）受益人影响的大型研究的一部分，比较了男性和女性门诊精神障碍就诊情况的变化，并讨论了这些变化对其他服务使用情况和护理质量的影响。数据来源于UMWA提供的自付费用引入前（所有医疗保健全 coverage）和引入自付费用后第一年的汇总索赔数据。我们的研究结果表明，至少就精神障碍就诊而言，自付费用可能会减少必要的就诊次数。我们研究中的男性比女性更少寻求精神障碍护理，且所患疾病更严重，他们受自付费用的影响最大。
