Psychiatr Serv 59:840-842, August 2008
doi: 10.1176/appi.ps.59.8.840
© 2008 American Psychiatric Association
Economic Grand Rounds: Financial Burden of Medical Care and Risk of Forgoing Care Among Europeans With Depressive Symptoms
Isabelle Peytremann-Bridevaux, M.D., M.P.H. and
H. Chevrou-Severac, Ph.D.
The authors are affiliated with the Institute of Health Economics and Management, University of Lausanne, Switzerland. Dr. Peytremann-Bridevaux is also with the Institute of Social and Preventive Medicine, University of Lausanne, Centre Hospitalier Universitaire Vaudois, Switzerland. Send correspondence to Dr. Peytremann-Bridevaux at the Institute of Social and Preventive Medicine, 17 Bugnon, CH-1005, Lausanne, Switzerland (e-mail: isabelle.peytremann-bridevaux{at}chuv.ch). Steven S. Sharfstein, M.D., Haiden A. Huskamp, Ph.D., and Alison Evans Cuellar, Ph.D., are editors of this column.
Little is known about the financial burden of individuals with depressive symptoms. This study explored that burden, using data from the Survey of Health, Ageing, and Retirement in Europe. To assess the association between depressive symptoms and the individuals' financial burden for medical care and whether they forwent medical care because of costs, logistic regressions were performed that adjusted for age, gender, marital status, education, and chronic diseases. A total of 16,696 noninstitutionalized individuals aged 50–79 years were included in the study. Individuals with depressive symptoms and those without such symptoms bore a similar financial burden. However, individuals with depressive symptoms were at increased risk of forgoing care because of costs, which may worsen their health and financial situation.
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