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Social Psychiatry and Psychiatric Epidemiology

, Volume 30, Issue 5, pp 224–230 | Cite as

Depressive disorders: treatment patterns and costs of treatment in the private sector of the United States

  • Teh-Wei Hu
  • A. J. Rush
Original Paper
  • 24 Downloads

Abstract

The purpose of this paper is to examine the treatment patterns and costs of treatment for depressive disorders in the private sector of the United States. Based on the 1987–1989 calendar year MEDSTAT claim data, 40,898 patients were identified with a principal diagnosis of depressive disorder. Among a list of CPT-4 code procedures, individual psychotherapy had the highest frequency of usage followed by individual visits. Compared to individual psychotherapy, group/family psychotherapy had a much lower frequency of usage. Very few diagnostic episodes had laboratory work. In inpatient settings, costs of physician procedures and laboratory services were 2 times greater for patients with major depression or bipolar disorder than for patients with depression not otherwise specified (NOS) or dysthymic disorder. As expected, costs varied widely per episode. As the severity of illness increased, the cost variation became wider.

Keywords

Private Sector Bipolar Disorder Depressive Disorder Major Depression Cost Variation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Agency for Health Care Policy and Research (1993) Depression in primary care: Clinical practice guideline. U.S. Department of Health and Human Services, Washington, D.C.Google Scholar
  2. Hillman B et al (1990) Frequency and costs of diagnostic imaging in office practice: comparison of self-referring and radiologist-refering physician. N Engl J Med 323: 1604–1608Google Scholar
  3. Hornbrook M, Hurtado AV, Johnson R (1985) Health care episodes: definition, measurement and use. Med Care Rev 42: 163–219Google Scholar
  4. Kessler LG, Steinwachs D, Hankin J (1980) Episodes of psychiatric utilization. Med Care 18: 1219–1227Google Scholar
  5. Rice DP, Miller L (1993) The economic burden of affective disorders. In: Teh-Wei Hu, Rupp A (eds) Advances in health economics and health services research: research in the economics of mental health, Vol. 14. JAI press, Greenwich, Connecticut, pp 37–53Google Scholar
  6. Wells KB, Stewart A, Hays RD, Buram MA, Rogers W et al (1989) The functioning and well-being of depressed patients. JAMA 262: 914–919Google Scholar

Copyright information

© Springer-Verlag 1995

Authors and Affiliations

  • Teh-Wei Hu
    • 1
  • A. J. Rush
    • 2
  1. 1.School of Public HealthUniversity of CaliforniaBerkeleyUSA
  2. 2.Southwestern Medical CenterUniversity of TexasUSA

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