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The Additional Medical Expenditure Caused by Depressive Symptoms among Middle-Aged and Elderly Patients with Chronic Lung Diseases in China

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Listed:
  • Sihui Jin

    (Department of Health Policy and Management, School of Public Health, Sun Yat-sen University, 74 Zhongshan 2nd Road, Guangzhou 510030, China
    These authors contributed equally to this work.)

  • Yun Wu

    (Department of Health Policy and Management, School of Public Health, Sun Yat-sen University, 74 Zhongshan 2nd Road, Guangzhou 510030, China
    These authors contributed equally to this work.)

  • Shengliang Chen

    (Department of Health Policy and Management, School of Public Health, Sun Yat-sen University, 74 Zhongshan 2nd Road, Guangzhou 510030, China)

  • Dongbao Zhao

    (Department of Health Policy and Management, School of Public Health, Sun Yat-sen University, 74 Zhongshan 2nd Road, Guangzhou 510030, China)

  • Jianwei Guo

    (Department of Health Policy and Management, School of Public Health, Sun Yat-sen University, 74 Zhongshan 2nd Road, Guangzhou 510030, China)

  • Lijin Chen

    (Department of Health Policy and Management, School of Public Health, Sun Yat-sen University, 74 Zhongshan 2nd Road, Guangzhou 510030, China)

  • Yixiang Huang

    (Department of Health Policy and Management, School of Public Health, Sun Yat-sen University, 74 Zhongshan 2nd Road, Guangzhou 510030, China)

Abstract

Depression is one of the most common comorbidities in patients with chronic lung diseases (CLDs). Depressive symptoms have an obvious influence on the health function, treatment, and management of CLD patients. In order to investigate the additional medical expenditure caused by depressive symptoms among middle-aged and elderly patients with CLDs in China, and to estimate urban–rural differences in additional medical expenditure, our study used data from the 2018 China Health and Retirement Longitudinal Study (CHARLS) investigation. A total of 1834 middle-aged and elderly CLD patients were included in this study. A generalized linear regression model was used to analyze the additional medical expenditure on depressive symptoms in CLD patients. The results show that depressive symptoms were associated with an increase in medical costs in patients with CLDs. Nevertheless, the incremental medical costs differed between urban and rural patients. In urban and rural patients with more severe comorbid CLD and depressive symptoms (co-MCDs), the total additional medical costs reached 4704.00 Chinese Yuan (CNY) (USD 711.60) and CNY 2140.20 (USD 323.80), respectively. Likewise, for patients with lower severity co-MCDs, the total additional medical costs of urban patients were higher than those of rural patients (CNY 4908.10 vs. CNY 1169.90) (USD 742.50 vs. USD 176.90). Depressive symptoms were associated with increased medical utilization and expenditure among CLD patients, which varies between urban and rural areas. This study highlights the importance of mental health care for patients with CLDs.

Suggested Citation

  • Sihui Jin & Yun Wu & Shengliang Chen & Dongbao Zhao & Jianwei Guo & Lijin Chen & Yixiang Huang, 2022. "The Additional Medical Expenditure Caused by Depressive Symptoms among Middle-Aged and Elderly Patients with Chronic Lung Diseases in China," IJERPH, MDPI, vol. 19(13), pages 1-11, June.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:13:p:7849-:d:848340
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    References listed on IDEAS

    as
    1. Smith, James P. & Tian, Meng & Zhao, Yaohui, 2013. "Community effects on elderly health: Evidence from CHARLS national baseline," The Journal of the Economics of Ageing, Elsevier, vol. 1, pages 50-59.
    2. Haixia Liu & Xiaojing Fan & Huanyuan Luo & Zhongliang Zhou & Chi Shen & Naibao Hu & Xiangming Zhai, 2021. "Comparison of Depressive Symptoms and Its Influencing Factors among the Elderly in Urban and Rural Areas: Evidence from the China Health and Retirement Longitudinal Study (CHARLS)," IJERPH, MDPI, vol. 18(8), pages 1-18, April.
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