The formal mental health care burden among recently deinstitutionalized patients.
This article examines the extent to which the costs of formal health care are shifted from third-party payers to the patient and his or her family, especially during the transition to the community after discharge from a state hospital. Findings indicate that patients residing in the community are as likely to receive some care as their counterparts in institutions, but are at higher risk for uncovered care. Uncovered care is more likely to manifest as an unmet need for patients who have been recently discharged, especially for racial minorities, and as an out-of-pocket expense for patients who are established in the community.
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Department of Economics, Indiana University-Purdue University at Indianapolis, USA.
Holmes
A M
AM
D017281:Cost of Illness; D003688:Deinstitutionalization / Q000191:economics*; D005260:Female; D005382:Financing, Personal / Q000191:economics*; D006301:Health Services Needs and Demand / Q000191:economics; D006302:Health Services Research; D006801:Humans; D007196:Indiana; D008297:Male; D017057:Medically Uninsured / Q000706:statistics & numerical data; D001523:Mental Disorders / Q000191:economics* / Q000628:therapy; D008913:Minority Groups / Q000706:statistics & numerical data; D010351:Patient Discharge / Q000706:statistics & numerical data; D011446:Prospective Studies; D011795:Surveys and Questionnaires