Titre : | The effect of parity-induced copayment reductions on adolescent utilization of substance use services |
Titre traduit : | (Les effets de l'instauration d'une parité par la réduction des co-paiements sur l'utilisation des services de traitement par les adolescents usagers de drogues.) |
Auteurs : | CIEMINS E. L. |
Type de document : | Périodique |
Année de publication : | 2004 |
Format : | 731-735 / graph. |
Note générale : |
Journal of Studies on Alcohol, 2004, 65, (6), 731-735 |
Langues: | Anglais |
Discipline : | TRA (Traitement et prise en charge / Treatment and care) |
Mots-clés : |
Thésaurus mots-clés ADOLESCENT ; ACCES AUX SOINS ; COUT ; ASSURANCE MALADIE ; FINANCEMENTThésaurus géographique ETATS-UNIS |
Résumé : |
ENGLISH : Objective : The purpose of this study was to determine if the reduction in copayment amount by a large self insured state employer increased utilization of adolescent services. Specifically, the study sought to discover if the number of unique adolescent users of substance use outpatient services increased as a result of reductions in cost-sharing arrangements. Method : The data utilized in this study were 31,585 records from administrative claims data on utilization of mental health and substance abuse services from members of a state indemnity plan from July 1998 through December 2001, translating to 36 months of pre-intervention data and 6 months of postintervention data. Monthly longitudinal data before and after benefit design change were analyzed using a quasi-experimental time series design, using Box and Jenkins' autoregressive, integrated, moving-average time-series modeling methods. The primary outcome measure was the number of unique users of services. Results : The hypothesis that service utilization would increase following the implementation of a reduction in copayment amount (the intervention) was supported in these analyses for adolescents' substance use service utilization. A significant increase in the number of unique adolescent users of substance use services was detected in the month following the intervention (p |
Note de contenu : | graph. |
Domaine : | Plusieurs produits / Several products |
Refs biblio. : | 20 |
Affiliation : |
United Behav. Health, Behav. Health Sc., 425 Market St., 27th fl., San Francisco, CA 94105 ; elc28@uclink.berkeley.edu Etats-Unis. United States. |
Numéro Toxibase : | 208152 |
Centre Emetteur : | 02 Coordonnateur |
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