Provider specialty choice among Medicare beneficiaries treated for psychiatric disorders.
Ettner, Susan L
Date of Pub
Hermann, Richard C
This study estimates the probability of mental health specialist use among elderly and disabled Medicare beneficiaries treated
for a primary psychiatric diagnosis, based on the 1991 Medicare Current Beneficiary Survey (MCBS) and physician claims. Beneficiaries
with psychotic and affective disorders or multiple psychiatric diagnoses had a higher probability of specialty use, as did
beneficiaries in counties with greater psychiatrist density. Elderly in counties with greater general practitioner density
and disabled in counties with greater psychologist density were less likely to see a specialist, suggesting possible provider
substitution. Government programs to recruit and retain mental health professionals in underserved areas may change provider
specialty choices among Medicare beneficiaries treated for psychiatric disorders.
Aged : Ambulatory Care/utilization : Disabled Persons : Family Practice : Female : Health Care Surveys : Human : Male : Medicare
Part B/statistics & numerical data/utilization : Mental Disorders/therapy : Mental Health Services/utilization : Outcome Assessment
(Health Care) : Patient Acceptance of Health Care/statistics & numerical data : Psychiatry : Psychotherapy : Regression Analysis
: Socioeconomic Factors : Support, U.S. Gov't, P.H.S. : United States