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Gesundheitsökonomische Aspekte psychischer Komorbidität bei somatischen Krankheiten

Health economic aspects of physical-mental comorbidity

  • Leitthema
  • Published:
Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz Aims and scope

Zusammenfassung

Psychische Komorbidität bei somatischen Erkrankungen ist oftmals mit schlechteren klinischen und psychosozialen Outcomes, Beeinträchtigungen der gesundheitsbezogenen Lebensqualität und erhöhter Leistungsinanspruchnahme assoziiert. Der vorliegende Beitrag widmet sich gesundheitsökonomischen Aspekten psychischer Komorbidität bei somatischen Krankheiten. Neben grundlegenden theoretischen und methodischen Aspekten von Krankheitskostenstudien und ökonomischen Evaluationen auf dem Gebiet der psychischen Komorbidität werden jeweils die in der internationalen Literatur verfügbaren gesundheitsökonomischen Studienergebnisse für das Beispiel der komorbiden Depression bei Diabetes mellitus vorgestellt. Die Ergebnisse zeigen, dass psychische Komorbidität mit erhöhten Behandlungskosten verbunden ist, die zumindest teilweise auf einer erhöhten Leistungsinanspruchnahme im Bereich der somatischen Versorgung beruhen. Ursache hierfür sind Wechselwirkungen zwischen der psychischen und der somatischen Erkrankung. Geeignete Interventionen können diese Zusatzkosten wahrscheinlich reduzieren und die aus dieser Intervention resultierenden Kosten eventuell sogar überkompensieren. Insgesamt besteht zu diesem Themenfeld noch erheblicher Forschungsbedarf.

Abstract

Physical-mental comorbidity is often associated with worse clinical and psychosocial outcomes, reduced health-related quality of life, and increased healthcare utilization. The following article is dedicated to the health economic aspects of physical-mental comorbidity. It presents basic theoretical and methodological aspects of cost-of-illness studies and economic evaluations related to physical-mental comorbidity, which are explained and discussed for the practical example of comorbid depression in diabetes mellitus. The results show that mental comorbidity in diabetes is associated with increased healthcare costs, which can in part be attributed to an increased somatic health service use. Appropriate interventions can lower these excess costs. Economic evaluations assessing the effectiveness of interventions for depressive diabetics have shown that overall health can be improved and costs saved. However, especially in health economics, mental comorbidity in somatic diseases has not been comprehensively investigated and further research is warranted.

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Danksagung

Diese Arbeit wurde vom Bundesministerium für Bildung und Forschung gefördert (Förderkennzeichen 01ET0728 und 01ET0719).

Interessenkonflikt

Der korrespondierende Autor gibt an, dass kein Interessenkonflikt besteht.

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Authors and Affiliations

  1. Institut für Medizinische Soziologie, Sozialmedizin und Gesundheitsökonomie (IMSG), Universitätsklinikum Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Deutschland

    T. Lehnert, A. Konnopka &  H.-H. König M.P.H.

  2. Selbständige Abteilung für Sozialmedizin, Universität Leipzig, Leipzig, Deutschland

    S. Riedel-Heller

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  1. T. Lehnert
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  2. A. Konnopka
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  3. S. Riedel-Heller
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  4. H.-H. König M.P.H.
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Correspondence to H.-H. König M.P.H..

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Lehnert, T., Konnopka, A., Riedel-Heller, S. et al. Gesundheitsökonomische Aspekte psychischer Komorbidität bei somatischen Krankheiten. Bundesgesundheitsbl. 54, 120–127 (2011). https://doi.org/10.1007/s00103-010-1187-8

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  • DOI: https://doi.org/10.1007/s00103-010-1187-8

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