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Utilization of mental health care services in the United States and Canada: Findings from the Joint Canada/United States Survey of Health

Debra Blackwell, PhD, Michael E. Martinez, MPH MHSA, and Jane F. Gentleman, PhD. Division of Health Interview Statistics, National Center for Health Statistics, 3311 Toledo Road, Hyattsville, MD 20782, 301-458-4103, ZDF1@CDC.GOV

Canada and the United States employ strikingly different approaches to financing medical care for their residents. Canada has a single payer plan in which all residents have government-sponsored health insurance coverage for health care, including most mental health care services. In contrast, in the U.S., limited funding for mental health care services comes from insurance providers.

The Joint Canada/U.S. Survey of Health (JCUSH) will be used to examine differences in the utilization of mental health care services between the two countries, with particular focus on the effects of health insurance coverage. In order to properly control for selection effects, we first predict the probability of being depressed among all respondents. Then utilization of mental health care services among depressed respondents is predicted, while controlling for various demographic, socio-economic (including health insurance coverage), and health status factors.

Learning Objectives:

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Quantitative Methods for Health Care Services and Research

The 132nd Annual Meeting (November 6-10, 2004) of APHA