Provider Specialty Choice Among Medicare Beneficiaries Treated for Psychiatric Disorders

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...

Full description

Bibliographic Details
Main Authors: Ettner, Susan L., Hermann, Richard C.
Format: Online
Language:English
Published: CENTERS for MEDICARE & MEDICAID SERVICES 1997
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4194498/
id pubmed-4194498
recordtype oai_dc
spelling pubmed-41944982014-11-04 Provider Specialty Choice Among Medicare Beneficiaries Treated for Psychiatric Disorders Ettner, Susan L. Hermann, Richard C. Mental Health Services and Vulnerable Populations 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. CENTERS for MEDICARE & MEDICAID SERVICES 1997 /pmc/articles/PMC4194498/ /pubmed/10173123 Text en
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author Ettner, Susan L.
Hermann, Richard C.
spellingShingle Ettner, Susan L.
Hermann, Richard C.
Provider Specialty Choice Among Medicare Beneficiaries Treated for Psychiatric Disorders
author_facet Ettner, Susan L.
Hermann, Richard C.
author_sort Ettner, Susan L.
title Provider Specialty Choice Among Medicare Beneficiaries Treated for Psychiatric Disorders
title_short Provider Specialty Choice Among Medicare Beneficiaries Treated for Psychiatric Disorders
title_full Provider Specialty Choice Among Medicare Beneficiaries Treated for Psychiatric Disorders
title_fullStr Provider Specialty Choice Among Medicare Beneficiaries Treated for Psychiatric Disorders
title_full_unstemmed Provider Specialty Choice Among Medicare Beneficiaries Treated for Psychiatric Disorders
title_sort provider specialty choice among medicare beneficiaries treated for psychiatric disorders
description 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.
publisher CENTERS for MEDICARE & MEDICAID SERVICES
publishDate 1997
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4194498/
_version_ 1613143730284396544