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Titolo:
Depression and service utilization in elderly primary care patients
Autore:
Luber, MP; Meyers, BS; Williams-Russo, PG; Hollenberg, JP; DiDomenico, TN; Charlson, ME; Alexopoulos, GS;
Indirizzi:
Univ Penn, Dept Psychiat, Philadelphia, PA 19104 USA Univ Penn Philadelphia PA USA 19104 Psychiat, Philadelphia, PA 19104 USA Univ Penn, Dept Family Practice, Philadelphia, PA 19104 USA Univ Penn Philadelphia PA USA 19104 Practice, Philadelphia, PA 19104 USA
Titolo Testata:
AMERICAN JOURNAL OF GERIATRIC PSYCHIATRY
fascicolo: 2, volume: 9, anno: 2001,
pagine: 169 - 176
SICI:
1064-7481(200121)9:2<169:DASUIE>2.0.ZU;2-Y
Fonte:
ISI
Lingua:
ENG
Soggetto:
DISTRESSED HIGH UTILIZERS; HEALTH-CARE; MEDICAL-CARE; PSYCHIATRIC-DISORDERS; EMOTIONAL-PROBLEMS; RANDOMIZED TRIAL; MAJOR DEPRESSION; INPATIENTS; COMORBIDITY; MANAGEMENT;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
47
Recensione:
Indirizzi per estratti:
Indirizzo: Charlson, ME Cornell Univ, Weill Med Coll, 525 E 68th St,Box 46, New York,NY 10021 USA Cornell Univ 525 E 68th St,Box 46 New York NY USA 10021 1 USA
Citazione:
M.P. Luber et al., "Depression and service utilization in elderly primary care patients", AM J GER PS, 9(2), 2001, pp. 169-176

Abstract

The authors analyzed the relationship between a provider's diagnosis of depression and health services utilization among all elderly, patients (N = 3,481) seen in a primary care practice over 12 months. Of patients with a diagnosis of depression, 29.7% were given nit antidepressant. Depressed patients had increased outpatient resource utilization, including frequency! of appointments, number of laboratory tests, X-rays and scans and consultations. This association remained significant after controlling for comorbidity.! Out average, patients who were depressed had two more appointments per year. No difference in total cost of hospitalization was observed between thetwo groups. This study, also demonstrated a higher incidence of nonspecific medical complaints in depressed vs. non-depressed elderly primary, care patients, and all such nonspecific symptoms were associated with increased total ambulatory costs, tests and consultations. The somatic presentation ofdepression may contribute to the increased services utilization.

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Documento generato il 24/01/20 alle ore 16:32:09