Witkin M J, Atay J E, Manderscheid R W
Ment Health Stat Note. 1994 Jun(212):1-6. doi: 10.1037/e477332004-001.
At first glance, the rise in current dollar expenditures for all mental health organizations from $3.3 billion in 1969 to $28.4 billion in 1990 seems enormous. However, if the annual expenditures are adjusted for inflation and expressed in constant dollars, the rise in expenditures is only from $3.3 billion in 1969 to $5.6 billion in 1990. Thus, most of the increase in expenditures by mental health organizations over the past two decades is due to inflation, with less than 10 percent due to increases in real purchasing power. Since both the number of private psychiatric hospitals and the expenditures they incurred increased dramatically between 1969 and 1990, these hospitals showed gains in absolute dollar amounts and in dollar amounts per capita, even if the expenditures are expressed in constant dollars. To a lesser extent, the same was true of RTCs. Although both VA medical centers and State mental hospitals showed increases in expenditures as measured in current dollars, if expenditures are expressed in constant dollars, these organizations showed net decreases. Their inpatient populations also decreased during this period. However, if expenditures per inpatient under care are examined, the reverse is true. The per patient expenditures for State mental hospitals increased between 1969 and 1990, even if the results are stated in constant dollars.(ABSTRACT TRUNCATED AT 250 WORDS)
乍一看，所有心理健康组织以现行美元计算的支出从1969年的33亿美元增至1990年的284亿美元，增幅似乎巨大。然而，如果对年度支出进行通胀调整并以不变美元表示，支出仅从1969年的33亿美元增至1990年的56亿美元。因此，心理健康组织在过去二十年支出的增加大部分是由于通胀，实际购买力增加导致的增幅不到10%。由于1969年至1990年间私立精神病医院的数量及其支出均大幅增加，这些医院即使以不变美元计算，绝对美元金额和人均美元金额也都有所增加。RTCs在较小程度上也是如此。虽然退伍军人医疗中心和州立精神病医院以现行美元计算的支出均有所增加，但如果以不变美元计算，这些组织的支出呈净下降。在此期间，它们的住院人数也减少了。然而，如果考察每名接受治疗的住院患者的支出情况，则情况相反。1969年至1990年间，州立精神病医院的人均支出有所增加——即使结果以不变美元表示也是如此。（摘要截选于250词）
