TY - JOUR
T1 - The effect of depression on health care utilization and costs in patients with type 2 diabetes
AU - Kalsekar, Iftekhar D.
AU - Madhavan, Suresh M.
AU - Amonkar, Mayur M.
AU - Scott, Virginia
AU - Douglas, Stratford M.
AU - Makela, Eugene
PY - 2006/3/1
Y1 - 2006/3/1
N2 - The objective of the study was to estimate the effect of depression on health care utilization and costs in patients newly diagnosed with type 2 diabetes. Patients were identified during a four-year enrollment period (1998-2001) from a Medicaid claims database. The final cohort consisted of 4,294 patients with type 2 diabetes (1,525 patients with depression; 2,769 patients without depression). Multivariate results indicated that significant utilization differences existed between the two groups: Patients who were depressed incurred a higher number of physician office visits, emergency room/inpatient admissions, and more prescriptions compared with patients who had diabetes but were not depressed. Patients with depression had nearly 65% higher overall health care costs than those without depression. Recognizing that depression is as a risk factor for increasing health care expenditures has the potential to improve diabetes management and related outcomes.
AB - The objective of the study was to estimate the effect of depression on health care utilization and costs in patients newly diagnosed with type 2 diabetes. Patients were identified during a four-year enrollment period (1998-2001) from a Medicaid claims database. The final cohort consisted of 4,294 patients with type 2 diabetes (1,525 patients with depression; 2,769 patients without depression). Multivariate results indicated that significant utilization differences existed between the two groups: Patients who were depressed incurred a higher number of physician office visits, emergency room/inpatient admissions, and more prescriptions compared with patients who had diabetes but were not depressed. Patients with depression had nearly 65% higher overall health care costs than those without depression. Recognizing that depression is as a risk factor for increasing health care expenditures has the potential to improve diabetes management and related outcomes.
UR - http://www.scopus.com/inward/record.url?scp=33645456057&partnerID=8YFLogxK
M3 - Article
C2 - 16583789
AN - SCOPUS:33645456057
SN - 1096-5645
VL - 19
SP - 39
EP - 46
JO - Managed Care Interface
JF - Managed Care Interface
IS - 3
ER -