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Health service utilization in patients with major depressive disorder experiencing significant somatic symptoms in Korea

Title
Health service utilization in patients with major depressive disorder experiencing significant somatic symptoms in Korea
Authors
Woo J.-M.Park J.-E.Chung S.-K.Hong J.-P.Kim E.-J.Lee S.-Y.Oh K.-S.Kim W.Lim S.K.Kang E.-H.Yu B.-H.
Ewha Authors
김의정
SCOPUS Author ID
김의정scopus
Issue Date
2010
Journal Title
International Journal on Disability and Human Development
ISSN
2191-0367JCR Link
Citation
vol. 9, no. 1, pp. 23 - 28
Indexed
SCOPUS scopus
Abstract
Background: This study investigated the patterns of health service utilization among patients with major depressive disorder (MDD) and significant somatic symptoms, who visited psychiatrists in a tertiary care setting. Methods: A total of 211 patients (51 males and 160 females) were recruited from a convenience sampling and assessed for severity of depressive and somatic symptoms. A structured questionnaire was employed to assess their pattern of healthcare service utilization, specifically, type of treatment first sought, out-of-pocket medical expenses, and time from onset of depressive symptoms to first treatment. Results: MDD patients with significant somatic symptoms tended to visit a non-psychiatrist physician first. Those with milder somatic symptoms who first visited non-physician practitioners spent a significantly greater amount on out-of-pocket medical expenses than did those who first visited physicians to get treatment. The patients with chief complaints of psychological and emotional symptoms were more likely to visit a psychiatrist first; however, a longer time interval lapsed before these patients received treatment. Conclusions: Patients with MDD experiencing significant symptoms are unlikely to access appropriate services in a timely manner. The results have implications for improving health care delivery for this population. © 2010 by Walter de Gruyter Berlin New York.
DOI
10.1515/IJDHD.2010.004
Appears in Collections:
의과대학 > 의학과 > Journal papers
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