title: Communities of color? Client-to-client racial concordance in the selection of mental health programs for Caucasians and African Americans.
abstract: A discrete-choice logit model was applied to study the determinants of mental health provider choice using data from a large urban county in the Northeast US. The study subjects were 9,544 adult Medicaid recipients who received outpatient treatment from the 20 Community Mental Health Center (CMHC) programs in 2001. In addition to a conventional set of variables representing client and provider characteristics, the regression model included several interaction terms to examine whether racial concordance level among patients influences the choice of an outpatient program. The results revealed that racial concordance among the clients seems to be a factor in choosing a program. In particular, Caucasian clients are much more likely to select a program with a higher percentage of Caucasian clients, even though they have to travel further. More generally, our results suggest that program choice may be driven more by the racial composition of the clients served than by spatial proximity to the program.
authors: School of Public Policy, George Mason University, 3401 North Fairfax Drive, Arlington, VA 22201, USA. nkoizumi@gmu.edu
authors: Naoru
authors: N
authors: Koizumi
authors: Aileen B
authors: AB
authors: Rothbard
authors: Tony E
authors: TE
authors: Smith
authors: Jeremy D
authors: JD
authors: Mayer
references: Health Serv Res. 2009 Jun;44(3):862-79
references: 19674428
references: Adm Policy Ment Health. 2009 Nov;36(6):424-31
references: 19653093
references: Schizophr Bull. 2002;28(1):95-104
references: 12047026
references: Appl Health Econ Health Policy. 2010;8(2):89-97
references: 20175588
references: Ethn Health. 2009 Feb;14(1):107-30
references: 19012091
references: Ment Health Serv Res. 2000 Jun;2(2):115-20
references: 11256718
references: Schizophr Bull. 2003;29(3):531-40
references: 14609246
references: J Health Care Poor Underserved. 2009 Feb;20(1):165-76
references: 19202255
references: Ethn Dis. 2009 Summer;19(3):345-51
references: 19769019
references: Health Serv Res. 2007 Apr;42(2):706-26
references: 17362214
references: Health Serv Res. 2010 Jun;45(3):792-805
references: 20337734
references: Am J Psychiatry. 2002 Apr;159(4):567-72
references: 11925294
references: Community Ment Health J. 2005 Oct;41(5):613-22
references: 16142542
references: Schizophr Bull. 2000;26(2):451-7
references: 10885643
references: J Natl Med Assoc. 2009 Aug;101(8):800-7
references: 19715044
references: Health Econ. 2010 Oct;19(10):1142-65
references: 19653329
references: Health Serv Res. 2007 Aug;42(4):1651-71
references: 17610442
references: Psychiatr Serv. 2003 Apr;54(4):529-34
references: 12663841
references: Am J Public Health. 2003 Oct;93(10):1713-9
references: 14534227
references: Afr J Reprod Health. 2004 Aug;8(2):164-79
references: 15623130
references: J Gen Intern Med. 2004 Nov;19(11):1146-53
references: 15566445
references: Psychol Bull. 1991 Nov;110(3):557-70
references: 1758923
references: AIDS Behav. 2007 Nov;11(6):884-96
references: 17351738
references: J Ment Health Adm. 1992 Fall;19(3):278-87
references: 10123307
references: Arch Gen Psychiatry. 2003 Feb;60(2):121-8
references: 12578429
references: Ann Intern Med. 2003 Dec 2;139(11):907-15
references: 14644893
references: Am J Public Health. 2005 Dec;95(12):2186-90
references: 16257949
references: J Gen Intern Med. 2007 Aug;22(8):1184-9
references: 17486386
references: Med Care Res Rev. 2001 Mar;58(1):60-75
references: 11236233
references: Ann Fam Med. 2003 Jul-Aug;1(2):105-12
references: 15040440
references: Emerg Med J. 2011 Dec;28(12):1051-4
references: 21220386
references: Transplantation. 1997 Jan 27;63(2):255-62
references: 9020327
references: Med Care Res Rev. 1995 Nov;52(4):532-42
references: 10153313
references: J Behav Health Serv Res. 2002 Feb;29(1):15-29
references: 11840902
references: Schizophr Bull. 2002;28(1):17-29
references: 12047017
references: Psychiatr Serv. 1997 Jan;48(1):71-5
references: 9117504