伴随性抑郁症和2型糖尿病的负担:使用商业保险数据的实证研究
SangNam Ahn1,2, Gang Han2,3, McKenzie Beck1
1Saint Louis University College for Public Health and Social Justice Department of Health Policy and Management, Saint Louis, MO, USA.
抑郁症显著恶化糖尿病管理,增加血糖失控的可能性 (A1C ≥8%) 并导致2型糖尿病患者的医疗费用增加.
科学领域:
- 医学经济学 医学经济学
- 公共卫生 公共卫生
- 内分泌学 在内分泌学.
背景情况:
- 抑郁症和糖尿病的上升率需要了解它们的综合负担.
- 关于抑郁症对糖尿病管理和相关经济成本的影响的评估有限.
研究的目的:
- 评估抑郁症对糖尿病管理的负担.
- 量化共患抑郁症和2型糖尿病的财务影响.
主要方法:
- 德克萨斯州商业索赔数据 (2016-2019) 的倾向性得分匹配.
- 匹配了2型糖尿病患者 (n=613) 和没有 (n=583) 抑郁症.
- 确定的初始抑郁症和随访失控的糖尿病 (A1C ≥8%).
- 分析了与糖尿病相关的总体,门诊和住院费用 (2018-2019).
主要成果:
- 抑郁症与失控糖尿病 (A1C ≥8%) (P=.031) 的2.7个百分点增加有关.
- 伴随性抑郁症和不受控制的糖尿病与2,037美元更高的总医疗费用相关 (P=.004).
- 与494美元更高的糖尿病相关费用 (P=.020) 和336美元更高的门诊费用 (P=.008) 相关.
结论:
- 抑郁症对糖尿病控制有不利影响,导致医疗保健支出增加.
- 对糖尿病管理,血糖控制和降低成本的主动抑郁症治疗需要进一步的研究.
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