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Depression in Central and Eastern Europe: How Much It Costs? Cost of Depression in Romania

Objective: The present study aims to estimate the public cost of depression in Romania during a seven-year time span to complement existing papers with data from Central and Eastern Europe and to identify and propose measures that allow efficient use of funds. Methods: We used data collected from th...

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Autores principales: Iordache, Miorita Melina, Sorici, Costin Octavian, Aivaz, Kamer Ainur, Lupu, Elena Carmen, Dumitru, Andrei, Tocia, Cristina, Dumitru, Eugen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10048715/
https://www.ncbi.nlm.nih.gov/pubmed/36981578
http://dx.doi.org/10.3390/healthcare11060921
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author Iordache, Miorita Melina
Sorici, Costin Octavian
Aivaz, Kamer Ainur
Lupu, Elena Carmen
Dumitru, Andrei
Tocia, Cristina
Dumitru, Eugen
author_facet Iordache, Miorita Melina
Sorici, Costin Octavian
Aivaz, Kamer Ainur
Lupu, Elena Carmen
Dumitru, Andrei
Tocia, Cristina
Dumitru, Eugen
author_sort Iordache, Miorita Melina
collection PubMed
description Objective: The present study aims to estimate the public cost of depression in Romania during a seven-year time span to complement existing papers with data from Central and Eastern Europe and to identify and propose measures that allow efficient use of funds. Methods: We used data collected from the National Health Insurance System to analyze the main components of the cost. Findings: Indirect costs exceed direct costs. Within the direct costs, hospitalization and medicines still have an important share but are decreasing due to the intervention of outpatient services such as psychiatrists and psychotherapists. Conclusion: Since the goal is mental health, it is necessary to act early and quickly to decrease the burden in the long run. Annually, the mean direct cost of depression per patient is EUR 143 (part of it is represented by hospitalization, i.e., EUR 67, and psychotherapy, i.e., EUR 5), the mean cost of sick leaves per patient is EUR 273, and the total cost per patient is EUR 5553. Indirect costs (cost of disability and lost productive years) represent 97.17% of the total cost. An integrated approach to early diagnosis, effective treatment, monitoring, and prevention as well as included economic and social programs are needed to optimize indirect costs.
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spelling pubmed-100487152023-03-29 Depression in Central and Eastern Europe: How Much It Costs? Cost of Depression in Romania Iordache, Miorita Melina Sorici, Costin Octavian Aivaz, Kamer Ainur Lupu, Elena Carmen Dumitru, Andrei Tocia, Cristina Dumitru, Eugen Healthcare (Basel) Article Objective: The present study aims to estimate the public cost of depression in Romania during a seven-year time span to complement existing papers with data from Central and Eastern Europe and to identify and propose measures that allow efficient use of funds. Methods: We used data collected from the National Health Insurance System to analyze the main components of the cost. Findings: Indirect costs exceed direct costs. Within the direct costs, hospitalization and medicines still have an important share but are decreasing due to the intervention of outpatient services such as psychiatrists and psychotherapists. Conclusion: Since the goal is mental health, it is necessary to act early and quickly to decrease the burden in the long run. Annually, the mean direct cost of depression per patient is EUR 143 (part of it is represented by hospitalization, i.e., EUR 67, and psychotherapy, i.e., EUR 5), the mean cost of sick leaves per patient is EUR 273, and the total cost per patient is EUR 5553. Indirect costs (cost of disability and lost productive years) represent 97.17% of the total cost. An integrated approach to early diagnosis, effective treatment, monitoring, and prevention as well as included economic and social programs are needed to optimize indirect costs. MDPI 2023-03-22 /pmc/articles/PMC10048715/ /pubmed/36981578 http://dx.doi.org/10.3390/healthcare11060921 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Iordache, Miorita Melina
Sorici, Costin Octavian
Aivaz, Kamer Ainur
Lupu, Elena Carmen
Dumitru, Andrei
Tocia, Cristina
Dumitru, Eugen
Depression in Central and Eastern Europe: How Much It Costs? Cost of Depression in Romania
title Depression in Central and Eastern Europe: How Much It Costs? Cost of Depression in Romania
title_full Depression in Central and Eastern Europe: How Much It Costs? Cost of Depression in Romania
title_fullStr Depression in Central and Eastern Europe: How Much It Costs? Cost of Depression in Romania
title_full_unstemmed Depression in Central and Eastern Europe: How Much It Costs? Cost of Depression in Romania
title_short Depression in Central and Eastern Europe: How Much It Costs? Cost of Depression in Romania
title_sort depression in central and eastern europe: how much it costs? cost of depression in romania
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10048715/
https://www.ncbi.nlm.nih.gov/pubmed/36981578
http://dx.doi.org/10.3390/healthcare11060921
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