Health Care Utilization and Expenditures of Patients with Diabetes Comorbid with Depression Disorder: A National Population-Based Cohort Study.

Abstract:

Objective:The study investigated to compare health care utilization and expenditures between diabetic patients with and without depression in Taiwan. Methods:Health care utilization and expenditure among diabetic patients with and without depression disorder during 2000 and 2004 were examined using Taiwan's population-based National Health Insurance claims database. Health care utilization included outpatient visits and the use of inpatient services, and health expenditures were outpatient, inpatient, and total medical expenditures. Moreover, general estimation equation models were used for analyzing the factors associated with outpatient visits and expenditures. Multiple logistic regression analysis was applied for identifying the factors associated with hospitalization. Results:The average annual outpatient visits and annual total medical expenditures in the study period were 44.23-52.20; NT$87,496-133,077 and 30.75-32.92; NT$64,411-80,955 for diabetic patients with and without depression. After adjustment for covariates, our results revealed that gender and complication were associated with out-patient visits. Moreover, the time factor was associated with the total medical expenditure, and residential urbanization and complication factors were associated with hospitalization. Conclusion:Health care utilization and expenditures for diabetic patients with depression were significantly higher than those without depression. Sex, complications, time, and urbanization are the factors associated with health care utilization and expenditures.

journal_name

Psychiatry Investig

journal_title

Psychiatry investigation

authors

Huang CJ,Hsieh HM,Chiu HC,Wang PW,Lee MH,Li CY,Lin CH

doi

10.4306/pi.2017.14.6.770

subject

Has Abstract

pub_date

2017-11-01 00:00:00

pages

770-778

issue

6

eissn

1738-3684

issn

1976-3026

journal_volume

14

pub_type

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