In Reply: Mr Lee and Dr Xiong raise the important issue of the association of race with follow-up care after a psychiatric hospitalization. In our sample of Medicare managed care enrollees hospitalized for a mental illness from 2002 to 2006, black enrollees were significantly less likely than white enrollees to receive timely follow-up mental health care after discharge. Thirty-day follow-up rates were 57% for white enrollees compared with 45% for black enrollees (P < .001). This result is consistent with other studies of racial disparities in the quality of care for Medicare managed care enrollees.1,2
Trivedi AN, Swaminathan S, Mor V. Insurance Parity and Outpatient Care Following a Psychiatric Hospitalization—Reply. JAMA. 2009;301(18):1880–1881. doi:10.1001/jama.2009.634
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