Race, Psychiatric Diagnosis, and Mental Health Care Utilization in Older Patients
To evaluate the impact of race on mental health care utilization among older patients within given clinical psychiatric diagnoses, the authors examined a retrospective sample of 23,718 elderly veterans treated in Department of Veterans Affairs inpatient facilities in 1994. Significant racial differe...
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| Veröffentlicht in: | The American journal of geriatric psychiatry 2000, Vol.8 (4), p.301-309 |
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| container_title | The American journal of geriatric psychiatry |
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| creator | Kales, Helen C. Blow, Frederic C. Bingham, C. Raymond Roberts, Jeffrey Scott Copeland, Laurel A. Mellow, Alan M. |
| description | To evaluate the impact of race on mental health care utilization among older patients within given clinical psychiatric diagnoses, the authors examined a retrospective sample of 23,718 elderly veterans treated in Department of Veterans Affairs inpatient facilities in 1994. Significant racial differences in mental health care utilization found over a subsequent 2-year period were related to outpatient (but not inpatient) care; for instance: 1) African American patients with psychotic disorders had significantly fewer outpatient psychiatric visits; and 2) African American patients with substance abuse disorders had significantly more psychiatric visits than Caucasian patients in their respective groups. Although inpatient utilization appeared to be similar among races, findings related to outpatient utilization may be associated with such factors as compliance, treatment efficacy, access to health care, or possible clinician bias. |
| doi_str_mv | 10.1097/00019442-200011000-00006 |
| format | Article |
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| subjects | African Americans - psychology Aged Analysis of Variance Comorbidity Diagnosis, Dual (Psychiatry) European Continental Ancestry Group - psychology Female Hispanic Americans - psychology Hospitals, Veterans - utilization Humans Inpatients - statistics & numerical data Male Mental Disorders - diagnosis Mental Disorders - ethnology Mental Health Services - utilization Middle Aged Patient Discharge - statistics & numerical data Retrospective Studies United States - epidemiology |
| title | Race, Psychiatric Diagnosis, and Mental Health Care Utilization in Older Patients |
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