Yolonda R Pickett1, Samiran Ghosh2, Anne Rohs3, Gary J Kennedy3, Martha L Bruce4, Jeffrey M Lyness5. 1. Department of Psychiatry, Weill Cornell Medical College, White Plains, NY; Department of Psychiatry and Behavioral Sciences, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY. Electronic address: yop2003@med.cornell.edu. 2. Department of Family Medicine & Public Health Sciences, Wayne State University, Detroit, MI. 3. Department of Psychiatry and Behavioral Sciences, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY. 4. Department of Psychiatry, Weill Cornell Medical College, White Plains, NY. 5. Department of Psychiatry, University of Rochester Medical Center, Rochester, NY.
Abstract
OBJECTIVE: To determine the rate of healthcare utilization for older primary care patients by depression status. DESIGN: Cross-sectional data analysis. SETTING: Primary care practices, western New York state. PARTICIPANTS: 753 patients aged 65 years and older. MEASURES: Diagnostic depression categories were determined using the Structured Clinical Interview for DSM-IV (SCID). The Cornell Services Index (CSI) measured outpatient medical visits. Demographic, clinical, and functional variables were obtained from medical records and interview data. RESULTS: 41.23% had subsyndromal or minor depression (M/SSD) and 53.15% had no depression. The unadjusted mean number of outpatient medical visits was greater in those with M/SSD (3.96 visits within 3 months) compared to those without depression (2.84), with a significant difference after adjusting for demographic, functional, and clinical factors. CONCLUSION: Those with M/SSD had higher rates of healthcare utilization compared with those without depressive symptoms. Future research should examine whether interventions for older adults with M/SSD reduce healthcare utilization.
OBJECTIVE: To determine the rate of healthcare utilization for older primary care patients by depression status. DESIGN: Cross-sectional data analysis. SETTING: Primary care practices, western New York state. PARTICIPANTS: 753 patients aged 65 years and older. MEASURES: Diagnostic depression categories were determined using the Structured Clinical Interview for DSM-IV (SCID). The Cornell Services Index (CSI) measured outpatient medical visits. Demographic, clinical, and functional variables were obtained from medical records and interview data. RESULTS: 41.23% had subsyndromal or minor depression (M/SSD) and 53.15% had no depression. The unadjusted mean number of outpatient medical visits was greater in those with M/SSD (3.96 visits within 3 months) compared to those without depression (2.84), with a significant difference after adjusting for demographic, functional, and clinical factors. CONCLUSION: Those with M/SSD had higher rates of healthcare utilization compared with those without depressive symptoms. Future research should examine whether interventions for older adults with M/SSD reduce healthcare utilization.
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