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Impact of depression on health care utilization and costs among multimorbid patients--from the MultiCare Cohort Study

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Impact of depression on health care utilization and costs among multimorbid patients--from the MultiCare Cohort Study. / Bock, Jens-Oliver; Luppa, Melanie; Brettschneider, Christian; Riedel-Heller, Steffi; Bickel, Horst; Fuchs, Angela; Gensichen, Jochen; Maier, Wolfgang; Mergenthal, Karola; Schäfer, Ingmar; Schön, Gerhard; Weyerer, Siegfried; Wiese, Birgitt; Bussche van den, Hendrik; Scherer, Martin; König, Hans-Helmut.

in: PLOS ONE, Jahrgang 9, Nr. 3, 01.01.2014, S. e91973.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Bock, J-O, Luppa, M, Brettschneider, C, Riedel-Heller, S, Bickel, H, Fuchs, A, Gensichen, J, Maier, W, Mergenthal, K, Schäfer, I, Schön, G, Weyerer, S, Wiese, B, Bussche van den, H, Scherer, M & König, H-H 2014, 'Impact of depression on health care utilization and costs among multimorbid patients--from the MultiCare Cohort Study', PLOS ONE, Jg. 9, Nr. 3, S. e91973. https://doi.org/10.1371/journal.pone.0091973

APA

Bock, J-O., Luppa, M., Brettschneider, C., Riedel-Heller, S., Bickel, H., Fuchs, A., Gensichen, J., Maier, W., Mergenthal, K., Schäfer, I., Schön, G., Weyerer, S., Wiese, B., Bussche van den, H., Scherer, M., & König, H-H. (2014). Impact of depression on health care utilization and costs among multimorbid patients--from the MultiCare Cohort Study. PLOS ONE, 9(3), e91973. https://doi.org/10.1371/journal.pone.0091973

Vancouver

Bock J-O, Luppa M, Brettschneider C, Riedel-Heller S, Bickel H, Fuchs A et al. Impact of depression on health care utilization and costs among multimorbid patients--from the MultiCare Cohort Study. PLOS ONE. 2014 Jan 1;9(3):e91973. https://doi.org/10.1371/journal.pone.0091973

Bibtex

@article{61b3ac757e854611959faac043fd9993,
title = "Impact of depression on health care utilization and costs among multimorbid patients--from the MultiCare Cohort Study",
abstract = "OBJECTIVE: The objective of this study was to describe and analyze the effects of depression on health care utilization and costs in a sample of multimorbid elderly patients.METHOD: This cross-sectional analysis used data of a prospective cohort study, consisting of 1,050 randomly selected multimorbid primary care patients aged 65 to 85 years. Depression was defined as a score of six points or more on the Geriatric Depression Scale (GDS-15). Subjects passed a geriatric assessment, including a questionnaire for health care utilization. The impact of depression on health care costs was analyzed using multiple linear regression models. A societal perspective was adopted.RESULTS: Prevalence of depression was 10.7%. Mean total costs per six-month period were €8,144 (95% CI: €6,199-€10,090) in patients with depression as compared to €3,137 (95% CI: €2,735-€3,538; p<0.001) in patients without depression. The positive association between depression and total costs persisted after controlling for socio-economic variables, functional status and level of multimorbidity. In particular, multiple regression analyses showed a significant positive association between depression and pharmaceutical costs.CONCLUSION: Among multimorbid elderly patients, depression was associated with significantly higher health care utilization and costs. The effect of depression on costs was even greater than reported by previous studies conducted in less morbid patients.",
author = "Jens-Oliver Bock and Melanie Luppa and Christian Brettschneider and Steffi Riedel-Heller and Horst Bickel and Angela Fuchs and Jochen Gensichen and Wolfgang Maier and Karola Mergenthal and Ingmar Sch{\"a}fer and Gerhard Sch{\"o}n and Siegfried Weyerer and Birgitt Wiese and {Bussche van den}, Hendrik and Martin Scherer and Hans-Helmut K{\"o}nig",
year = "2014",
month = jan,
day = "1",
doi = "10.1371/journal.pone.0091973",
language = "English",
volume = "9",
pages = "e91973",
journal = "PLOS ONE",
issn = "1932-6203",
publisher = "Public Library of Science",
number = "3",

}

RIS

TY - JOUR

T1 - Impact of depression on health care utilization and costs among multimorbid patients--from the MultiCare Cohort Study

AU - Bock, Jens-Oliver

AU - Luppa, Melanie

AU - Brettschneider, Christian

AU - Riedel-Heller, Steffi

AU - Bickel, Horst

AU - Fuchs, Angela

AU - Gensichen, Jochen

AU - Maier, Wolfgang

AU - Mergenthal, Karola

AU - Schäfer, Ingmar

AU - Schön, Gerhard

AU - Weyerer, Siegfried

AU - Wiese, Birgitt

AU - Bussche van den, Hendrik

AU - Scherer, Martin

AU - König, Hans-Helmut

PY - 2014/1/1

Y1 - 2014/1/1

N2 - OBJECTIVE: The objective of this study was to describe and analyze the effects of depression on health care utilization and costs in a sample of multimorbid elderly patients.METHOD: This cross-sectional analysis used data of a prospective cohort study, consisting of 1,050 randomly selected multimorbid primary care patients aged 65 to 85 years. Depression was defined as a score of six points or more on the Geriatric Depression Scale (GDS-15). Subjects passed a geriatric assessment, including a questionnaire for health care utilization. The impact of depression on health care costs was analyzed using multiple linear regression models. A societal perspective was adopted.RESULTS: Prevalence of depression was 10.7%. Mean total costs per six-month period were €8,144 (95% CI: €6,199-€10,090) in patients with depression as compared to €3,137 (95% CI: €2,735-€3,538; p<0.001) in patients without depression. The positive association between depression and total costs persisted after controlling for socio-economic variables, functional status and level of multimorbidity. In particular, multiple regression analyses showed a significant positive association between depression and pharmaceutical costs.CONCLUSION: Among multimorbid elderly patients, depression was associated with significantly higher health care utilization and costs. The effect of depression on costs was even greater than reported by previous studies conducted in less morbid patients.

AB - OBJECTIVE: The objective of this study was to describe and analyze the effects of depression on health care utilization and costs in a sample of multimorbid elderly patients.METHOD: This cross-sectional analysis used data of a prospective cohort study, consisting of 1,050 randomly selected multimorbid primary care patients aged 65 to 85 years. Depression was defined as a score of six points or more on the Geriatric Depression Scale (GDS-15). Subjects passed a geriatric assessment, including a questionnaire for health care utilization. The impact of depression on health care costs was analyzed using multiple linear regression models. A societal perspective was adopted.RESULTS: Prevalence of depression was 10.7%. Mean total costs per six-month period were €8,144 (95% CI: €6,199-€10,090) in patients with depression as compared to €3,137 (95% CI: €2,735-€3,538; p<0.001) in patients without depression. The positive association between depression and total costs persisted after controlling for socio-economic variables, functional status and level of multimorbidity. In particular, multiple regression analyses showed a significant positive association between depression and pharmaceutical costs.CONCLUSION: Among multimorbid elderly patients, depression was associated with significantly higher health care utilization and costs. The effect of depression on costs was even greater than reported by previous studies conducted in less morbid patients.

U2 - 10.1371/journal.pone.0091973

DO - 10.1371/journal.pone.0091973

M3 - SCORING: Journal article

C2 - 24638040

VL - 9

SP - e91973

JO - PLOS ONE

JF - PLOS ONE

SN - 1932-6203

IS - 3

ER -