High Out-of-Pocket Cost Burden of Mental Health Care for Adult Outpatients in the United States.

IF 3.3 3区医学 Q1 HEALTH POLICY & SERVICES

Psychiatric services Pub Date : 2024-09-11 DOI:10.1176/appi.ps.20240136

Y Nina Gao,Mark Olfson

引用次数: 0

Abstract

OBJECTIVE This report describes characteristics of patients who had high out-of-pocket (OOP) spending on mental health care relative to income. METHODS A sample of 8,923 U.S. adults with outpatient mental health visits was drawn from the 2018-2021 Medical Expenditure Panel Survey. Respondents who spent ≥10% of their disposable family incomes on OOP mental health visits were defined as having a high OOP cost burden. RESULTS Using weighted percentages, the authors found that 2.4% of psychiatric outpatients had a high OOP burden; among those below the federal poverty level, 12.8% had a high OOP burden. Patients with a high (vs. low) OOP burden were statistically significantly more likely to be uninsured (7.5% vs. 2.4%) or diagnosed as having a substance use disorder (8.7% vs. 2.8%) or bipolar disorder (14.5% vs. 8.0%). CONCLUSIONS Despite federal policies extending the availability of insurance for mental health care, many low-income psychiatric outpatients experience high OOP cost burden.

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美国成人门诊患者心理健康护理的高额自付费用负担。

目的本报告描述了相对于收入而言在心理健康护理方面自付（OOP）费用较高的患者的特征。方法从2018-2021年医疗支出小组调查中抽取了8923名接受门诊心理健康就诊的美国成年人样本。结果作者使用加权百分比发现，2.4% 的精神科门诊患者有较高的 OOP 负担；在联邦贫困线以下的患者中，12.8% 有较高的 OOP 负担。尽管联邦政策扩大了精神健康护理保险的覆盖范围，但许多低收入精神科门诊患者仍承受着高昂的 OOP 费用负担。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychiatric services 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.80

自引率

7.90%

发文量

295

审稿时长

3-8 weeks

期刊介绍： Psychiatric Services, established in 1950, is published monthly by the American Psychiatric Association. The peer-reviewed journal features research reports on issues related to the delivery of mental health services, especially for people with serious mental illness in community-based treatment programs. Long known as an interdisciplinary journal, Psychiatric Services recognizes that provision of high-quality care involves collaboration among a variety of professionals, frequently working as a team. Authors of research reports published in the journal include psychiatrists, psychologists, pharmacists, nurses, social workers, drug and alcohol treatment counselors, economists, policy analysts, and professionals in related systems such as criminal justice and welfare systems. In the mental health field, the current focus on patient-centered, recovery-oriented care and on dissemination of evidence-based practices is transforming service delivery systems at all levels. Research published in Psychiatric Services contributes to this transformation.

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