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Racial/ethnic disparities in admissions to public and private psychiatric inpatient settings: the effect of managed care

Kermit Crawford, Boston University School of Medicine
William H. Fisher, University of Massachusetts Medical School
Melissa McDermeit, Lighthouse Institute of Chestnut Health Systems

Abstract

This study investigates the effect of managed care on access patterns among people of color who are severely and persistently mentally ill. The distribution of admissions to public and private psychiatric hospitals was compared for African-American, Asian, Latino, and white case managed clients of the Massachusetts Department of Mental Health before and after implementation of Medicaid managed mental health care in October 1997. Managed care appears to have increased access to private services across all racial and ethnic groups, although admissions of non-white patients were still more likely to take place in publicly operated settings. These data suggest that equalizing access to putatively better inpatient treatment settings may be an externality of managed care.

Suggested Citation

Kermit Crawford, William H. Fisher, and Melissa McDermeit. "Racial/ethnic disparities in admissions to public and private psychiatric inpatient settings: the effect of managed care" Administration and policy in mental health 26.2 (1999).
Available at: http://works.bepress.com/william_h_fisher/57