Cost of depression among adults in Japan.
Cost of depression among adults in Japan.
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DOI：
10.4088/pcc.10m01082
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发表时间：
2011-01-01
影响因子：
--
通讯作者：
Higuchi, Teruhiko
中科院分区：
文献类型：
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作者：
Okumura, Yasuyuki;Higuchi, Teruhiko
目的：本研究的目的是估计2008年日本20岁及以上成年人中重度抑郁症的年度国家成本。方法：采用的分析是基于国家卫生统计数据的自上而下的成本计算方法。从社会的角度来看，检查的成本是直接医疗成本，抑郁症相关的自杀成本，以及所有社会成员的工作场所成本。直接医疗费用包括住院和门诊医疗费用，而工作场所费用包括缺勤和出勤费用。作者进行了单因素敏感性分析，以检查成本计算中使用的参数选择对结果的影响程度。结果：日本抑郁症的经济负担约为110亿美元，其中直接医疗费用为15.7亿美元，自杀费用为25.42亿美元，工作场所费用为69.12亿美元。与以前发表的研究相比，这项研究采用了保守的关键假设，这可能会导致在一个保守的估计，每年的国家成本depression.CONCLUSIONS：抑郁症对日本社会造成了巨大的经济负担，这突出了迫切需要政策制定者分配资源对实施战略，预防和管理抑郁症在日本人口。
OBJECTIVE: The aim of this study was to estimate the annual national cost of major depressive disorder among adults 20 years and older in Japan in 2008.METHOD: The analysis used was a top-down costing approach based on national health statistics. From the societal perspective, the costs examined were direct medical costs, depression-related suicide costs, and workplace costs for all members of society. Direct medical costs included both inpatient and outpatient medical costs, while workplace costs included both absenteeism and presenteeism costs. The authors performed 1-way sensitivity analyses to examine the extent to which results were affected by the choice of parameters used in the cost calculation. All costs were expressed in 2008 US dollar terms.RESULTS: The economic burden of depression in Japan was approximately $11 billion, with $1,570 million relating to direct medical costs, $2,542 million to depression-related suicide costs, and $6,912 million to workplace costs. Compared to previously published studies, this study adopted conservative key assumptions; this may have resulted in a conservative estimate of the annual national cost of depression.CONCLUSIONS: Depression imposes a substantial economic burden on Japanese society, which highlights the urgent need for policymakers to allocate resources toward implementing strategies that prevent and manage depression in the Japanese population.