Econ Papers Daily / 期刊论文
医疗服务提供者、场所与儿童心理健康照护
Providers, Places, and Children’s Mental Health Care
摘要
Abstract Children’s mental health is the defining public health crisis of our time. Using the largest repository of private insurance claims in the United States, I provide the first systematic quantification of the variation in children’s mental health prescribing in the U.S. I separate variation due to 1) primary care provider (PCP) prescribing intensities, 2) regional practice environments, and 3) child health and demand. Equalizing PCP intensities would reduce the variance of provider prescribing rates by 50 percent for ADHD and 65 percent for antidepressants. Analyzing geographic variation alone significantly understates the extent of treatment variation and the role of providers.
中文摘要
摘要 儿童心理健康是我们时代决定性的公共卫生危机。利用美国最大的私人保险索赔数据库，我首次系统量化了美国儿童心理健康处方开具的变异情况。我将变异来源区分为：1）初级保健提供者（PCP）的处方强度，2）区域实践环境，以及3）儿童健康与需求。若使PCP处方强度均等化，注意力缺陷多动障碍（ADHD）的提供者处方率方差将减少50%，抗抑郁药则减少65%。仅分析地理变异会显著低估治疗变异程度及提供者的作用。