| Communities of color? Client-to-client racial concordance in the selection of mental health programs for Caucasians and African Americans. | |
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MedLine Citation:
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PMID: 21611783 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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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. |
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Authors:
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Naoru Koizumi; Aileen B Rothbard; Tony E Smith; Jeremy D Mayer |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-5-25 |
Journal Detail:
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Title: Health care management science Volume: - ISSN: 1386-9620 ISO Abbreviation: - Publication Date: 2011 May |
Date Detail:
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Created Date: 2011-5-25 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9815649 Medline TA: Health Care Manag Sci Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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School of Public Policy, George Mason University, 3401 North Fairfax Drive, Arlington, VA, 22201, USA, nkoizumi@gmu.edu. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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