The Economic Burden of depression in psychiatric disorders
نویسندگان
1 Department of Acupuncture, School of Traditional Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
2 Department of Medical Biotechnology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
3 Social Determinants of Health Research Center, Department of Health and Management, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
4 Social Determinants of Health Research Center, Department of Health and Management, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
5 School of Public Health, Mashhad University of Medical Sciences, Mashhad, Iran
6 Community Medicine Specialist, Assistant Professor of Community Medicine, Department of Community Medicine, School of Medicine, Social Determinants of Health Research Center, Gonabad University of Medical Sciences, Gonabad, Iran
doi
10.22037/sdh.v5i4.28429چکیده
Background: Psychiatric disorders are very common, but their economic costs are not calculated transparently, while they are associated with significant economic consequences. The aim of this study was to investigate the direct and indirect costs of psychiatric disorders in 2017. Method: The present cross-sectional study was performed on all psychiatric patients admitted to hospitals in Ibn-e-Sina and Hejazi hospitals of Mashhad. According to the International book of ICD10, the medical records of psychiatric patients admitted with Code of Mental and Behavioral Disorders (F32-F33.9) were first identified and their costs of hospitalized was extracted and investigated from the Hospital Information system. The Top-Down Approach was used to estimate the costs. Descriptive statistics were used to analyze the data. Result: During the study period, 6896 patients were discharged, of which 1915 (28%) had mood disorders and among the mood patients, 300 (16%) had depression. The highest treatment cost for psychiatric patients is paid by insurance (93%). The average length of stay in the hospital was 23.6 days, and the average cost of each patient was $ 1020. The greatest cost of depression patients is related to hoteling (62%) and doctor's visit (24%). Conclusion: Depression is a common and costly disease and should be prevented by designing effective interventions
