PMID- 30908962
OWN - NLM
STAT- MEDLINE
DCOM- 20190902
LR  - 20190902
IS  - 1873-7714 (Electronic)
IS  - 0163-8343 (Linking)
VI  - 57
DP  - 2019 Mar-Apr
TI  - A longitudinal study of healthcare utilisation and expenditure in people with 
      type 2 diabetes mellitus with and without major depressive disorder.
PG  - 50-58
LID - S0163-8343(18)30011-2 [pii]
LID - 10.1016/j.genhosppsych.2018.09.007 [doi]
AB  - OBJECTIVE: This study investigated the healthcare service utilisation and 
      expenditure of patients with type 2 diabetes mellitus (T2DM) and major depressive 
      disorder (MDD) and identified associated factors. METHODS: Healthcare service 
      utilisation and expenditure of patients with T2DM with and without MDD during 
      2002-2013 were examined using Taiwan's population-based National Health Insurance 
      claims database. Healthcare service utilisation included outpatient visits and 
      inpatient admissions, and health expenditure included outpatient, inpatient, and 
      total medical expenditure. Moreover, non-psychiatric health service utilisation 
      and expenditure were distinguished from total health service utilisation and 
      medical expenditure. RESULTS: Average healthcare service utilisation was 
      significantly higher in those with comorbid MDD (both total and non-psychiatric 
      utilisation). The higher overall costs of the patients with comorbid MDD largely 
      driven by psychiatric costs and non-psychiatric costs between the groups were not 
      significantly different. Gender, age, income, comorbidities and complications, 
      and diabetes complications severity index were significant factors in outpatient 
      visits, medical expenditure, and hospitalisation in those with comorbid MDD. 
      CONCLUSIONS: Type 2 diabetes patients with comorbid MDD were found to have higher 
      costs, and that they appeared to be driven by more visits in the first 6 years 
      and by psychiatric-related costs rather than general medical costs.
CI  - Copyright (c) 2018 Elsevier Inc. All rights reserved.
FAU - Huang, Chun-Jen
AU  - Huang CJ
AD  - Department of Psychiatry, Kaohsiung Medical University Hospital, Taiwan; 
      Department of Psychiatry, Faculty of Medicine, College of Medicine, Kaohsiung 
      Medical University, 100, Shih-Chuan 1st Road, San Ming District, Kaohsiung 807, 
      Taiwan.
FAU - Lin, Ching-Hua
AU  - Lin CH
AD  - Department of Psychiatry, Faculty of Medicine, College of Medicine, Kaohsiung 
      Medical University, 100, Shih-Chuan 1st Road, San Ming District, Kaohsiung 807, 
      Taiwan; Department of Adult Psychiatry, Kai-Suan Psychiatric Hospital, Taiwan.
FAU - Hsieh, Hui-Min
AU  - Hsieh HM
AD  - Department of Public Health, Kaohsiung Medical University, 100, Shih-Chuan 1st 
      Road, San Ming District, Kaohsiung 807, Taiwan.
FAU - Chang, Chih-Cheng
AU  - Chang CC
AD  - Department of Psychiatry, Chi Mei Medical Center, 442, Section 2, Shulin Street, 
      South District, Tainan City 702, Taiwan; Department of Health Psychology, Chang 
      Jung Christian University, 1, Changda Rd., Gueiren District, Tainan City 711, 
      Taiwan.
FAU - Chu, Chin-Chen
AU  - Chu CC
AD  - Department of Anesthesiology, Chi-Mei Medical Center, 901, Chung Hwa Rd, Yung 
      Kang District, Tainan 710, Taiwan.
FAU - Sun, Ding-Ping
AU  - Sun DP
AD  - Department of Surgery, Chi-Mei Medical Center, 901, Chung Hwa Rd, Yung Kang 
      District, Tainan 710, Taiwan.
FAU - Weng, Shih-Feng
AU  - Weng SF
AD  - Department of Healthcare Administration and Medical Informatics, College of 
      Health Sciences, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of 
      Medical Research, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan. 
      Electronic address: sfweng@kmu.edu.tw.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20181030
PL  - United States
TA  - Gen Hosp Psychiatry
JT  - General hospital psychiatry
JID - 7905527
SB  - IM
MH  - Adult
MH  - Aged
MH  - Comorbidity
MH  - *Depressive Disorder, Major/economics/epidemiology/therapy
MH  - *Diabetes Complications/economics/epidemiology/therapy
MH  - *Diabetes Mellitus, Type 2/economics/epidemiology/therapy
MH  - Female
MH  - Health Expenditures/*statistics & numerical data
MH  - Humans
MH  - Longitudinal Studies
MH  - Male
MH  - Middle Aged
MH  - Patient Acceptance of Health Care/*statistics & numerical data
MH  - Retrospective Studies
MH  - Taiwan/epidemiology
OTO - NOTNLM
OT  - Expenditure
OT  - Healthcare utilisation
OT  - Major depressive disorder
OT  - Type 2 diabetes mellitus
EDAT- 2019/03/26 06:00
MHDA- 2019/09/03 06:00
CRDT- 2019/03/26 06:00
PHST- 2018/01/23 00:00 [received]
PHST- 2018/09/12 00:00 [revised]
PHST- 2018/09/16 00:00 [accepted]
PHST- 2019/03/26 06:00 [pubmed]
PHST- 2019/09/03 06:00 [medline]
PHST- 2019/03/26 06:00 [entrez]
AID - S0163-8343(18)30011-2 [pii]
AID - 10.1016/j.genhosppsych.2018.09.007 [doi]
PST - ppublish
SO  - Gen Hosp Psychiatry. 2019 Mar-Apr;57:50-58. doi: 
      10.1016/j.genhosppsych.2018.09.007. Epub 2018 Oct 30.