The profiles of health care utilization among a non-depressed population and patients with depressive symptoms with and without clinical depression
Publiceringsår
2019
Upphovspersoner
Tusa, Nina; Koponen, Hannu; Kautiainen, Hannu; Korniloff, Katariina; Raatikainen, Ilkka; Elfving, Pia; Vanhala, Mauno; Mäntyselkä, Pekka
Abstrakt
Objective: To examine health service (HS) utilization profiles among a non-depressive population and patients with depressive symptoms (DS) with and without clinical depression. Design, subjects and setting: The study population was based on primary care patients with DS scoring ≥10 in the 21-item Beck Depression Inventory (BDI) and who were at least 35 years old and had been referred to depression nurse case managers (n = 705). Their psychiatric diagnosis was confirmed with the Mini-International Neuropsychiatric Interview (M.I.N.I.). Of these patients, 447 had clinical depression. The number of patients with DS without clinical depression was 258. The control group consisted of a random sample of 414 residents with a BDI score < 10. Use of HS (visits and phone calls to a doctor and a nurse) was based on patient records. Main outcome measures: Number of visits and calls to physicians and nurses. Results: Patients with DS regardless of their depression diagnosis used primary health care (PHC) services three times more than the controls (p < 0.001). In the secondary care, the differences were smaller but significant. Of the controls, 70% had 0-4 HS contacts per year whereas a majority of the patients having DS had more than 5 contacts per year. The number of contacts correlated with the BDI from a score of 0 to 10 but not as clearly in the higher scores. Conclusion: Depressive symptoms, both with or without clinical depression, are associated with increased HS use, especially in PHC. This study suggests that even mild depressive symptoms are associated with an increased use of HS. KEY POINTS We analyzed the health service (HS) use among primary health care patients screened for depression and non-depressive population. Screen positive patients without clinical depression used as much HS as those having clinical depression. Regardless of depression diagnosis, screen positive patients visited a GP and nurse three times more often than the control population. In the screen negative control population, milder depressive symptoms were correlated with the use of HS. Primary health care was responsible for most of the HS use among patients having depressive symptoms.
Visa merOrganisationer och upphovspersoner
Helsingfors universitet
Koponen Hannu
Jyväskylä universitet
Raatikainen Ilkka
Kuopio universitetssjukhus specialupptagningsområde
Raatikainen I
Vanhala Mauno
Elfving Pia
Kautiainen Hannu
Tusa Nina
Mäntyselkä Pekka
Publikationstyp
Publikationsform
Artikel
Moderpublikationens typ
Tidning
Artikelstyp
En originalartikel
Målgrupp
VetenskapligKollegialt utvärderad
Kollegialt utvärderadUKM:s publikationstyp
A1 Originalartikel i en vetenskaplig tidskriftPublikationskanalens uppgifter
Moderpublikationens namn
Volym
37
Nummer
3
Sidor
312-318
ISSN
Publikationsforum
Publikationsforumsnivå
1
Öppen tillgång
Öppen tillgänglighet i förläggarens tjänst
Ja
Öppen tillgång till publikationskanalen
Helt öppen publikationskanal
Parallellsparad
Ja
Övriga uppgifter
Vetenskapsområden
Vårdvetenskap; Allmänmedicin, inre medicin och annan klinisk medicin; Neurologi och psykiatri; Folkhälsovetenskap, miljö och arbetshälsa
Nyckelord
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Publiceringsland
Förenade kungariket
Förlagets internationalitet
Internationell
Språk
engelska
Internationell sampublikation
Nej
Sampublikation med ett företag
Nej
DOI
10.1080/02813432.2019.1639904
Publikationen ingår i undervisnings- och kulturministeriets datainsamling
Ja