Disease costs in inpatients with schizophrenia,major depressive disorder,and bipolar disorder
10.3969/j.issn.1000-6729.2024.01.002
- VernacularTitle:精神分裂症、抑郁症和双相障碍住院患者的疾病成本
- Author:
Guoping WU
1
;
Jingming WEI
;
Yueqin HUANG
;
Tingting ZHANG
;
Yanling HE
;
Liang ZHOU
;
Jie ZHANG
;
Yuandong GONG
;
Yan LIU
;
Bo LIU
;
Jin LU
;
Zijian ZHAO
;
Yuhang LIANG
;
Libo WANG
;
Bin LI
;
Linling JIANG
;
Zhongcai LI
;
Zhaorui LIU
Author Information
1. 楚雄州第二人民医院,云南楚雄 675000
- Keywords:
schizophrenia;
major depressive disorder;
bipolar disorder;
disease cost
- From:
Chinese Mental Health Journal
2024;38(1):9-15
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate direct and indirect costs for schizophrenia,major depressive disorder(MDD)and bipolar disorder,and to compare their differences of cost composition,and to explore the drivers of the total costs.Methods:A total of 3 175 inpatients with schizophrenia,MDD,and bipolar disorder were recruited.In-patient's self-report total direct of medical costs outpatient and inpatient,out-of-pocket costs,and direct non-medical costs were regarded as direct costs.Productivity loss and other loss caused by damaging properties were defined as indirect costs.The perspectives of this study included individual and societal levels.Multivariate regression analysis was applied for detecting the factors influencing disease costs.Results:The total cost of schizophrenia was higher than those of MDD and bipolar disorder at individual and societal levels.The indirect costs of three mental disorders were higher than the direct costs,and the indirect cost ratio of bipolar disorder was higher than those of schizophre-nia and MDD.Age,gender,working condition and marital status(P＜0.05)were the important drivers of total costs.Conclusion:The economic burden of the three mental disorders is relatively heavy.Schizophrenia has heaviest disease burden,and the productivity loss due to mental disorders is the driving force of the soaring disease cost
