Effect of antidepressant choice on the incidence and economic intensity of hospitalization among depressed individuals

被引:7
作者
Croghan, TW [1 ]
Kniesner, TJ
Melfi, CA
Robinson, RL
机构
[1] Eli Lilly & Co, Lilly Res Labs, Lilly Corp Ctr, Hlth Outcomes Evaluat Grp, Indianapolis, IN 46285 USA
[2] Regenstrief Inst Hlth Care, Indianapolis, IN 46202 USA
[3] Indiana Univ, Sch Med, Indianapolis, IN USA
[4] Indiana Univ, Dept Econ, Bloomington, IN 47405 USA
[5] Bowen Res Ctr, Indianapolis, IN USA
来源
ADMINISTRATION AND POLICY IN MENTAL HEALTH | 2000年 / 27卷 / 04期
关键词
D O I
10.1023/A:1021305301408
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
This study identified differences in hospital utilization for mental health problems among depressed patients initially treated with selective serotonin reuptake inhibitors (SSRIs) or tricyclic antidepressants (TCAs). A retrospective sample of 2,557 patients was obtained from a private insurance claims database. Quasi-experimental, two-stage multivariate regression modeling was used to estimate the likelihood of hospitalization and subsequent inpatient expenditures. Only 2% of the sample were hospitalized, and the average expenditures per admitted patient was about $8,000. Patients initially prescribed sertraline had the same likelihood of hospitalization for a mental health problem as patients prescribed TCAs. Patients initially prescribed fluoxetine were half as likely to be hospitalized as patients initially prescribed TCAs. Once hospitalized, no differential effects of a specific antidepressant on inpatient expenditures were found.
引用
收藏
页码:183 / 195
页数:13
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