Cost analysis of depression using the national insurance system in South Korea: a comparison of depression and treatment-resistant depression
| Autor: | Bo Ram Yang, Yong Min Ahn, Mi Sook Kim, Hyeyoung Kim, MinJung Koh, Gum Jee Choi, Christopher Hyung Keun Park, Min-Ji Kim, Nam Kim, Daun Shin, Sang Jin Rhee |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent National Health Programs Health administration Young Adult 03 medical and health sciences 0302 clinical medicine Clinical Protocols Economic cost Republic of Korea Health care medicine Humans 030212 general & internal medicine Psychiatry health care economics and organizations Depression (differential diagnoses) National Insurance Depression business.industry Incidence lcsh:Public aspects of medicine Health Policy Public health lcsh:RA1-1270 Health Care Costs Depressive disorder treatment-resistant Middle Aged medicine.disease Antidepressive Agents Regimen Female Costs and cost analysis business Treatment-resistant depression 030217 neurology & neurosurgery Research Article |
| Zdroj: | BMC Health Services Research, Vol 20, Iss 1, Pp 1-11 (2020) BMC Health Services Research |
| ISSN: | 1472-6963 |
| DOI: | 10.1186/s12913-020-05153-1 |
| Popis: | Background The incidence and burden of depressive disorders are increasing in South Korea. There are many differences between pharmaceutically treated depression (PTD) and treatment-resistant depression (TRD), including the economic consequences; however, to our knowledge, the economic burden of depression is understudied in South Korea. Therefore, the objective of the present study was to calculate the different economic costs of PTD and TRD in South Korea, specifically by comparing several aspects of medical care. Methods This study comprised patients aged 18 and over who were newly prescribed antidepressants for more than 28 days with a depression code included from January 1, 2012, to December 31, 2012, by the Health Insurance Review and Assessment Service (HIRA). TRD was classified as more than two antidepressant regimen failures in PTD patients. The cost was calculated based on the cost reflected on the receipt registered with HIRA. Results Of the 834,694 patients with PTD, 34,812 patients (4.17%) were converted to TRD. The cost of medical care for TRD (6,610,487 KRW, 5881 USD) was approximately 5 times higher than the cost of non-TRD (1,273,045 KRW, 1133 USD) and was significantly higher for patients with or without depression and suicide codes. Medical expenses incurred by non-psychiatrists were roughly 1.7 times higher than those incurred by psychiatrists. Conclusions TRD patients had significantly higher healthcare costs than PTD patients. Identifying these financial aspects of care for depression can help to establish a more effective policy to reduce the burden on mentally ill patients. |
| Databáze: | OpenAIRE |
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