|
KMID : 1138720170430040021
|
|
Korean Public Health Research
2017 Volume.43 No. 4 p.21 ~ p.34
|
|
|
The Differences of Outpatient Service Uses by Depression : Focusing on the Hypertension and/or Diabetes Patients
|
|
Seo Eun-Won
Choi So-Young
Lee Kwang-Soo
|
|
|
Abstract
|
|
|
Objective : This study purposed to analyze the differences of outpatient service uses for hypertension and/or diabetes patients by depression.
Methods : Korea Health Panel Survey 2012 provided by the Korea Institute for Health and Social Affairs and National Health Insurance Service was used for the analysis. The number of outpatient days and total expenditure were used as dependent variables. Depression was used as independent variable and socio- demographic factors (gender, age, education level and presence of a spouse), economic factors (insurance types, presence of an economic activity and income level), health behavior (smoke and obesity)and chronic diseases types (hypertension and diabetes, hypertension only, diabetes only)were used as covariates. Chronic diseases types were defined by ICD-10 code given outpatients as their primary- and/or secondary- diagnosis.
Results : There were differences in the number of outpatient days and total expenditure between patients with and those without depression. Patients with depression showed higher number of outpatient days and total expenditure. Regression analysis provided that depression had significant influence on the number of outpatient days and total expenditure.
Conclusions : This study found that depression increased the number of outpatient days and total expenditure in hypertension and diabetes patients. Thus, it will need to consider depression in developing health policies for patients with chronic diseases and to provide integrated healthcare and management for those patients.
|
|
|
KEYWORD
|
|
|
Hypertension, Diabetes, Depression, Outpatient visit, Total charge, Outpatient service uses
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|