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Impact of Depression on Health Care Utilization and Costs among Multimorbid Patients – Results from the MultiCare Cohort Study

Author

Listed:
  • Jens-Oliver Bock
  • Melanie Luppa
  • Christian Brettschneider
  • Steffi Riedel-Heller
  • Horst Bickel
  • Angela Fuchs
  • Jochen Gensichen
  • Wolfgang Maier
  • Karola Mergenthal
  • Ingmar Schäfer
  • Gerhard Schön
  • Siegfried Weyerer
  • Birgitt Wiese
  • Hendrik van den Bussche
  • Martin Scherer
  • Hans-Helmut König

Abstract

Objective: The objective of this study was to describe and analyze the effects of depression on health care utilization and costs in a sample of multimorbid elderly patients. Method: This cross-sectional analysis used data of a prospective cohort study, consisting of 1,050 randomly selected multimorbid primary care patients aged 65 to 85 years. Depression was defined as a score of six points or more on the Geriatric Depression Scale (GDS-15). Subjects passed a geriatric assessment, including a questionnaire for health care utilization. The impact of depression on health care costs was analyzed using multiple linear regression models. A societal perspective was adopted. Results: Prevalence of depression was 10.7%. Mean total costs per six-month period were €8,144 (95% CI: €6,199-€10,090) in patients with depression as compared to €3,137 (95% CI: €2,735-€3,538; p

Suggested Citation

  • Jens-Oliver Bock & Melanie Luppa & Christian Brettschneider & Steffi Riedel-Heller & Horst Bickel & Angela Fuchs & Jochen Gensichen & Wolfgang Maier & Karola Mergenthal & Ingmar Schäfer & Gerhard Schö, 2014. "Impact of Depression on Health Care Utilization and Costs among Multimorbid Patients – Results from the MultiCare Cohort Study," PLOS ONE, Public Library of Science, vol. 9(3), pages 1-9, March.
    • Handle: RePEc:plo:pone00:0091973
    DOI: 10.1371/journal.pone.0091973
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    References listed on IDEAS

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    1. Bernard Berg & Werner Brouwer & Marc Koopmanschap, 2004. "Economic valuation of informal care," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 5(1), pages 36-45, February.
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    1. Sicsic, Jonathan & Ravesteijn, Bastian & Rapp, Thomas, 2020. "Are frail elderly people in Europe high-need subjects? First evidence from the SPRINTT data," Health Policy, Elsevier, vol. 124(8), pages 865-872.

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