Mental health care use, morbidity, and socioeconomic status in the United States and Ontario

Article Abstract:

The relationship of demographic and sociodemographic factors in the use of mental health specialty care and general medical care in the US and Ontario, Canada was examined. The research used a cross-sectional study module using the 1990 US National Comorbidity Survey and the 1990 Mental Health Supplement to the Ontario Health Survey. It was reported that 8.8% of Americans asked for advice on mental health problems compared to 6.9% for Canadians. Americans with the highest incomes but without mental morbidity tended to receive mental health services than their Canadian counterparts.

Mentally ill persons, Demographic aspects, Mental health, Mentally ill

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Case study: Colorado Medicaid HMO risk adjustment

Article Abstract:

The Colorado Medicaid program is one of US' first Medicaid programs to extensively implement diagnosis-based risk adjustment for its disabled and Aid to Families with Dependent Children customers under managed care. The beginning of the program marked the culmination of some years of deliberation and analysis by staff, external consultants, and managed care representatives. The program's first-year implementation has been a learning experience for the HMOs and the Medicaid program. The lessons learned will be used to improve the program for future implementation.

Medicaid, Social policy, Colorado

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The demand for childhood immunizations: results from the Baltimore immunization study

Article Abstract:

A test model of demand for immunizations for preschool children has been developed to examine the factors that contribute to the timely receipt of immunizations among children. The model was developed based on the data collected in the Baltimore immunization study. Results showed that adult resources in the household including time and money, type of care received by the child at home and other 'convenience factors' significantly influence the successful completion of up-to-date immunizations for preschool children.

HEALTH SERVICES, All Other Miscellaneous Ambulatory Health Care Services, Vaccination & Immunization, Health Problems Prevention Programs, Health aspects, Analysis, Children, Vaccination, Medical care utilization, Preschool children, Preventive health services, Preventive medicine, Immunization of children, Immunization

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