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Cross-System Service Use Among VA Mental Health Patients Living in Philadelphia

  • Rani A. Desai
  • Robert A. Rosenheck
  • Aileen Rothbard
Article

Abstract

There are few published studies of cross-system use of multiple systems of mental health care. This study examines use of VA and non-VA services in Philadelphia County. Results indicated that rates of cross-system use overall are fairly low (16 to 17% of patients across all years), are generally declining over time, and account for a small proportion of total all-system costs (4%). Veterans who used more VA inpatient services also used more non-VA services, and veterans who used fewer VA outpatient services used more non-VA services, indicating that cross-system use may be a quality indicator for the accessibility or acceptability of outpatient care.

cross-system use health services utilization Medicaid beneficiaries mental health services 

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REFERENCES

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Copyright information

© Human Sciences Press, Inc. 2001

Authors and Affiliations

  • Rani A. Desai
    • 1
    • 2
  • Robert A. Rosenheck
    • 3
  • Aileen Rothbard
    • 4
  1. 1.Northeast Program Evaluation Center, VA ConnecticutWest Haven
  2. 2.Department of PsychiatryYale University School of MedicineUSA
  3. 3.Northeast Program Evaluation Center, VA Connecticut. Department of PsychiatryYale University School of MedicineUSA
  4. 4.Center for Mental Health Policy and Services Research, Department of PsychiatryUniversity of Pennsylvania Health SystemUSA

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