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Incident depression increases medical utilization in Medicaid patients with hypertension

Ian Michael Breunig1, Fadia T Shaya, Justin Tevie

  • 1Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, 220 Arch St, 12th Floor, Baltimore, MD 21201, USA.

Expert Review of Cardiovascular Therapy
|December 10, 2014
PubMed

Insights

Newly diagnosed depression in hypertension patients increased overall medical visits, but not specifically for cardiovascular issues. This suggests depression impacts healthcare use differently than previously assumed for hypertension management.

Area of Science:

  • Cardiology
  • Psychiatry
  • Health Services Research

Background:

  • Hypertension is a major cardiovascular disease risk factor.
  • Depression disproportionately affects hypertensive patients.
  • Limited research exists on outcomes for hypertensive patients with newly diagnosed depression.

Purpose of the Study:

  • To investigate if incident depression exacerbates hypertensive disease.
  • To determine if depression leads to increased medical service utilization in hypertensive patients.

Main Methods:

  • Utilized Maryland Medicaid claims data (2005-2010) for hypertensive patients.
  • Compared annualized medical utilization post-incident depression to a matched cohort without depression.
  • Employed multivariate regression to control for medication, adherence, and comorbidity changes.

Main Results:

  • Medical utilization increased following incident depression.
  • Increased encounters were primarily for non-acute medical care.
  • No significant rise in cardiovascular or hypertension-specific encounters was observed.

Conclusions:

  • Incident depression in hypertensive patients is associated with increased overall medical utilization.
  • The increase in utilization is not specifically linked to cardiovascular or hypertension-related conditions.
  • Findings inform future research on long-term outcomes in comorbid hypertension and depression.
Abstract

Keywords:
Medicaiddepressionhypertensionmedical utilization

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