This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on Web of Science (4)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Lorrin M. Koran, MD

Arch Gen Psychiatry. 1981;38(10):1155-1159.

Abstract
• In 1978, both psychiatrists and a nonmedical professional group (lawyers) were more abundant in more populous, urbanized states. Lawyer-population ratios, however, correlated more strongly with the population's wealth; psychiatrist-population ratios correlated more strongly with the percentage of state population with college education and with state-mandated private insurance coverage of psychiatric services (both probable indexes of market demand). Even after controlling for population size and education, state-mandated insurance coverage was significantly related to the abundance of psychiatrists. Moreover, mandating states increased their psychiatrist-population ratios 100% faster after mandating coverage, whereas nonmandating states increased their ratios only 25% faster in comparable periods. While we investigate psychiatrists' geographic distribution, public policy formation can be aided if we also seek better measures of access and barriers to psychiatric care.

Author Affiliations
From the Department of Psychiatry and Behavioral Sciences, Stanford Medical Center, Stanford, Calif.

Footnotes
Accepted for publication May 18, 1981.

Reprint requests to Department of Psychiatry and Behavioral Sciences, Stanford Medical Center, Room TD114, Stanford, CA 94305 (Dr Koran).

References 9 (pp12,15,19,147,215,228,445,453,465), 29,30.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?