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Does affordability affect mental health utilization? A United States-Israel comparison of older adults

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  • Feinson, Marjorie Chary
  • Popper, Miriam

Abstract

The affordability of treatment is considered a major influence on the utilization of mental health services, a premise empirically examined in this research. Utilization patterns in the U.S. are compared with Israel, a country where access to treatment is not influenced by costs and their coverage. The focus is primarily on older adults, whose consistently low use of ambulatory services (in U.S.) has been attributed to financial barriers. The findings challenge the affordability-utilization assumption: (1) older Israeli ambulatory use is lower than in the U.S.; (2) Israeli elders have the lowest rates of all adult groups, the same pattern as in the U.S.; (3) older Israelis have a substantially higher inpatient rate than younger Israelis (

Suggested Citation

  • Feinson, Marjorie Chary & Popper, Miriam, 1995. "Does affordability affect mental health utilization? A United States-Israel comparison of older adults," Social Science & Medicine, Elsevier, vol. 40(5), pages 669-678, March.
    • Handle: RePEc:eee:socmed:v:40:y:1995:i:5:p:669-678
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