Table 3.
Mean unadjusted healthcare expenditures (with standard deviations), 12 months post-screening by severity of depressive symptoms
| Type of expendituresa | Screen Negativeb ($) n =3,707 | Screen Positiveb ($) | p | ||
|---|---|---|---|---|---|
| Mild Depression n= 186 | Moderate-to-Severe Depression n= 95 | All n= 281 | |||
| Outpatient | 2,203 (4,531) | 2,951 (4,152) | 6,067 (7,771) | 4,004 (5,818) | < 0.01c |
| Inpatient | 334 (4,500) | 554 (3,592) | 2,105 (9,701) | 1,079 (6,376) | < 0.01c |
| Inpatient Mental Health Care | 24 (730) | --d | --d | 416 (2973) | < 0.01c |
| Inpatient Medical Care | 310 (4427) | --d | --d | 663 (4917) | < 0.01c |
| Emergency Department | 145 (801) | 411 (2,182) | 1,129 (3,789) | 634 (2,843) | < 0.01c |
| Pharmacy | 280 (1,236) | 453 (881) | 654 (1,231) | 521 (1,015) | < 0.01c |
| Diagnostic tests (laboratory and radiology) | 108 (476) | 163 (229) | 257 (437) | 195 (317) | < 0.01c |
| Total costs | 2,357 (7,621) | 3,505 (6819) | 8,173 (14,887) | 5,083 (10,489) | < 0.01c |
All results are expressed as mean (SD) in 2013 US dollars
Probable depression severity was categorized by PHQ-2 and PHQ-9 screening results. A PHQ-2 score < 2 OR a PHQ-2 score ≥ 3 and a PHQ-9 score < 10 represented a probably non-depressed patient, a PHQ-9 score of 10-14 represented a probably mildly depressed patient, and a PHQ-9 score ≥ 15 represented a probable moderately-to-severely depressed patient
Statistically significant difference between depression screen-negative, screen positive for mild MDD, and screen positive for moderate-to severe MDD groups at p = 0.05 level or below