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Article
Racial/ethnic disparities in admissions to public and private psychiatric inpatient settings: the effect of managed care
Systems and Psychosocial Advances Research Center Publications and Presentations
  • Kermit Crawford , Boston University School of Medicine
  • William H. Fisher , University of Massachusetts Medical School
  • Melissa McDermeit , Lighthouse Institute of Chestnut Health Systems
UMMS Affiliation
Department of Psychiatry
Date
4-17-1999
Document Type
Article
Medical Subject Headings
Adult; Aged; Aged, 80 and over; *Continental Population Groups; Ethnic Groups; Female; Health Services Accessibility; Health Services Research; Hospitals, Private; Hospitals, Psychiatric; Hospitals, Public; Humans; Male; Managed Care Programs; Massachusetts; Medicaid; Middle Aged; Patient Admission; United States
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.

Rights and Permissions
Citation: Adm Policy Ment Health. 1998 Nov;26(2):101-9.
Related Resources
Link to Article in PubMed
Citation Information
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" Vol. 26 Iss. 2 (1999) ISSN: 0894-587X (Linking)
Available at: http://works.bepress.com/william_h_fisher/57/