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KMID : 0387320240340010068
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Korean Journal of Health Policy and Administration
2024 Volume.34 No. 1 p.68 ~ p.77
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Relationship between Depression and Health Care Utilization
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Cho Hyo-Eun
Lee Jun-Hyup
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Abstract
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Background: Depressive disorders can be categorized into daily depression and clinical depression. The experience of depressive disorder canincrease health care utilization due to decreased treatment compliance and somatization. On the other hand, the clinical depression group mayalso experience social prejudice associated with the illness, which can limit their access to health care utilization. In terms of the significance ofhealth care utilization as a factor in individual and social issues, this study aims to compare the health care utilization of the clinical depressiongroup with that of the non-depressed group and the daily depression group.
Methods: The analysis utilized the inverse probability of treatment weighting based on the generalized propensity score.
Results: As a result of the analysis, clinical depression and daily depression were higher among women, low-income groups, individuals withlow education levels, and so forth. The clinical depression group was also higher among individuals who were not economically active, did nothave private health insurance, or had multiple chronic diseases. The number of outpatient department visits in the depression group wassignificantly higher than in the non-depressed group. In addition, the number of outpatient department visits for the clinical depression groupwas significantly higher than that for the daily depression group. Outpatient medical expenses were higher in the depression group than in thenon-depressed group, and there was no significant difference between the clinical depression group and the daily depression group.
Conclusion: Health care utilization was higher in the depression group than the non-depressed group, it was also higher in the clinicaldepression group than the daily depression group.
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KEYWORD
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Depressive disorder, Depressive episode, Depression, Hospital costs, Health care utilization
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