Health Affairs

Health Affairs, 28, no. 3 (2009): w490-w501 (Published online 14 April 2009) doi: 10.1377/hlthaff.28.3.w490 © 2009 by Project HOPE	New Online   Getting Health Reform Done   After the State of the Union   Incremental Reform   E-Health in Developing World   Most-Read Articles in 2009

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Beyond Parity: Primary Care Physicians’ Perspectives On Access To Mental Health Care

Peter J. Cunningham

About two-thirds of primary care physicians (PCPs) reported in 2004–05 that they could not get outpatient mental health services for patients—a rate that was at least twice as high as that for other services. Shortages of mental health care providers, health plan barriers, and lack of coverage or inadequate coverage were all cited by PCPs as important barriers to mental health care access. The probability of having mental health access problems for patients varied by physician practice, health system, and policy factors. The results suggest that implementing mental health parity nationally will reduce some but not all of the barriers to mental health care.

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