Incidence and Direct Medical Cost of Adjustment Disorder and in Korea Using National Health Insurance Service Claims Data From 2011 to 2017
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Objective We aimed to investigate the annual incidence and direct medical cost of adjustment disorder in general population using the National Health Insurance Service Database (NHID) in Korea.Methods To examine the incidence, we selected patients who had at least one medical claim for adjustment disorder and had not been diagnosed in the previous 365 days, from 2010 to 2017.Results The number of newly diagnosed cases of adjustment disorder from 2011 to 2017 were total 101,922. Annual incidence of adjustment disorder was ranged from 22.0 to 36.8 per 100,000 persons. The incidence of adjustment disorder was found more in female and highest among 70–79 years of age group and medical aid beneficiaries group. Annual prevalence of adjustment disorder was in the range from 95.4 to 116.4 per 100,000 persons. Estimated annual medical cost per person of adjustment disorder was ranged from 162 to 231.4 US dollars.Conclusion From 2011 to 2017, the annual incidence and direct medical cost of adjustment disorder in Korea were increased. Proper information on adjustment disorder will not only allows us to accumulate more knowledge but also lead to more appropriate therapeutic interventions.
Abstract
Objective We aimed to investigate the annual incidence and direct medical cost of adjustment disorder in general population using the National Health Insurance Service Database (NHID) in Korea.Methods To examine the incidence, we selected patients who had at least one medical claim for adjustment disorder and had not been diagnosed in the previous 365 days, from 2010 to 2017.Results The number of newly diagnosed cases of adjustment disorder from 2011 to 2017 were total 101,922. Annual incidence of adjustment disorder was ranged from 22.0 to 36.8 per 100,000 persons. The incidence of adjustment disorder was found more in female and highest among 70–79 years of age group and medical aid beneficiaries group. Annual prevalence of adjustment disorder was in the range from 95.4 to 116.4 per 100,000 persons. Estimated annual medical cost per person of adjustment disorder was ranged from 162 to 231.4 US dollars.Conclusion From 2011 to 2017, the annual incidence and direct medical cost of adjustment disorder in Korea were increased. Proper information on adjustment disorder will not only allows us to accumulate more knowledge but also lead to more appropriate therapeutic interventions.
참고문헌 (23)
- American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorders" (2013), American Psychiatric Association
- American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorders" (1980), American Psychiatric Association
- The ICD-10 Classification of Mental and Behavioural Disorders, "World Health Organization (WHO)", World Health Organization, ~ (1993)
- Bachem R, "Adjustment disorder : A diagnosis whose time has come", J Affect Disord, 227, pp.243~253 (2018)
- Casey P, "Adjustment disorder : new developments", Curr Psychiatry Rep, 16, pp.451~ (2014)
- Maercker A, "Adjustment disorders, posttraumatic stress disorder, and depressive disorders in old age : findings from a community survey", Compr Psychiatry, 49, pp.113~120 (2008)
- Cornelius LR, "Development and validation of the Diagnostic Interview Adjustment Disorder(DIAD)", Int J Methods Psychiatr Res, 23, pp.192~207 (2014)
- Mitchell AJ, "Prevalence of depression, anxiety, and adjustment disorder in oncological, haematological, and palliative-care settings : a meta-analysis of 94 interview-based studies", Lancet Oncol, 12, pp.160~174 (2011)
- Myers JK, "Six-month prevalence of psychiatric disorders in three communities 1980 to 1982", Arch Gen Psychiatry, 41, pp.959~967 (1984)
- Jenkins R, "The National Psychiatric Morbidity surveys of Great Britain--initial findings from the household survey", Psychol Med, 27, pp.775~789 (1997)
- Kessler RC, "Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Results from the National Comorbidity Survey", Arch Gen Psychiatry, 51, pp.8~19 (1994)
- Casey P, "Can adjustment disorder and depressive episode be distinguished? Results from ODIN", J Affect Disord, 92, pp.291~297 (2006)
- Maercker A, "Adjustment disorders : prevalence in a representative nationwide survey in Germany", Soc Psychiatry Psychiatr Epidemiol, 47, pp.1745~1752 (2012)
- Casey P, "Adjustment disorder : epidemiology, diagnosis and treatment", CNS Drugs, 23, pp.927~938 (2009)
- Seong SC, "Data resource profile : the National Health Information Database of the National Health Insurance Service in South Korea", Int J Epidemiol, 46, pp.799~800 (2017)
- "Currency exchange statistical survey" (2020)[URL]
- 차경태, "사무직 근로자들의 직무 스트레스와 피로", Annals of Occupational and Environmental Medicine, 20(3), pp.182~192 (2008), 대한직업환경의학회
- 박종익, "정신질환에 대한 사회적 편견", 신경정신의학, 55(4), pp.299~309 (2016), 대한신경정신의학회[DOI]
- Choi Y, "Retirement, Work, and Pensions in Ageing Korea", pp.36~46 (2010), Routledge
- Statistics of the Elderly, "Statistics Korea", Statistics Korea, ~ (2011)
- Current Status and Challenges of the Elderly Welfare Policy, "Choi YJ", Korean Legislation Research Institute, ~ (2011)
- The ICD-11 Reference Guide, "World Health Organization(WHO)", World Health Organization, ~ (2019)
- Perkonigg A, "Prevalence and correlates of ICD11 adjustment disorder : Findings from the Zurich Adjustment Disorder Study", Int J Clin Health Psychol, 18, pp.209~217 (2018)