Depression, use of medical services and cost-offset effects.
Depression, use of medical services and cost-offset effects.
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抑郁症、医疗服务的使用和成本抵消效应。
DOI：
10.1016/s0022-3999(96)00367-4
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发表时间：
1997
影响因子：
4.7
通讯作者：
Katzelnick,DJ
中科院分区：
文献类型：
--
作者：
Simon,GE;Katzelnick,DJ
这篇综述考虑的证据表明，抑郁症与普通医疗服务的使用增加有关，而且更密集的抑郁症治疗可能会减少医疗支出。横断面研究强烈支持抑郁症和医疗用途之间的联系，但不能建立因果关系。现有的纵向研究缺乏研究抑郁症变化如何影响利用所需的样本量和持续时间。一些准实验和实验研究支持由于心理健康治疗而产生的“成本抵消”效应，但没有实验数据直接解决抑郁症治疗对医疗利用的具体影响。现有的数据确定了通过改善抑郁症的治疗来节省大量成本的潜力，但没有明确地确定这种节省可以实现。要确凿地证明抑郁症治疗可以抵消成本，需要进行新一代实验研究，以评估经济结果。
This review considers evidence that depression is associated with increased use of general medical services and that more intensive treatment of depression might be expected to reduce medical expenditures. Cross-sectional studies strongly support an association between depression and medical utilization, but cannot establish a causal relationship. Available longitudinal studies lack the sample size and duration of follow-up necessary to examine how changes in depression influence utilization. Some quasi-experimental and experimental studies support a “cost-offset” effect due to mental health treatment, but no experimental data directly address the specific impact of depression treatment on medical utilization. The available data identify the potential for large cost savings through improved treatment of depression but do not clearly establish that such savings can be realized. Definitive proof of a cost-offset due to depression treatment will require a new generation of experimental studies adapted to assess economic outcomes.