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Patient cost-sharing, mental health care and inequalities: A population-based natural experiment at the transition to adulthood

Francisca Vargas Lopes, Carlos J. Riumallo Herl, Johan P. Mackenbach and Tom Van Ourti

Social Science & Medicine, 2022, vol. 296, issue C

Abstract: Patient cost-sharing has been increasing around the world, despite the evidence that it reduces both unnecessary and necessary health care utilisation. Financial barriers could compound to poor transitional care into adulthood, when forgoing mental health treatment may have long-term consequences on health and development. We evaluate the impact of increasing deductibles on mental health care use by young adults, and the heterogeneous effects for vulnerable groups.

Keywords: Mental health care; Cost-sharing; Youth; Inequalities; Quasi-experimental; Difference-in-discontinuity design (search for similar items in EconPapers)
Date: 2022
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DOI: 10.1016/j.socscimed.2022.114741

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