McGuire T G
J Hum Resour. 1981 Fall;16(4):501-22.
This paper surveys the emerging literature on financing and demand for mental health services. Most studies at present simply report the cost experience of members of an insurance pool, and research on demand behavior has been very limited. Nevertheless, some conclusion are possible. First, the responsiveness of demand for outpatient mental health care is greater than the responsiveness of demand for general medical services. Second, demand for mental health services grows over time among members of an insurance pool, even as coverage remains stable. Third, demand of lower income groups is more responsive to insurance than is demand of upper income groups. New research should focus on the effect of financing policy on the choice of setting for care.
本文综述了有关心理健康服务融资与需求的新兴文献。目前大多数研究只是简单报告了保险池成员的成本经历,而对需求行为的研究非常有限。然而,仍有可能得出一些结论。首先,门诊心理健康护理需求的反应性大于一般医疗服务需求的反应性。其次,即使保险覆盖范围保持稳定,保险池成员对心理健康服务的需求也会随着时间的推移而增长。第三,低收入群体的需求比高收入群体的需求对保险更敏感。新的研究应关注融资政策对护理机构选择的影响。