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Economic burden of depression in Brazil: a cost-of-illness study based on productivity losses and healthcare costs between 2010 to 2018.
Mercedes, Bruna Paiva Do Carmo; Nunes da Silva, Everton; Carregaro, Rodrigo Luiz; Miasso, Adriana Inocenti.
Afiliação
  • Mercedes BPDC; University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, São Paulo, Brazil.
  • Nunes da Silva E; School of Collective Health, Faculty of Ceilândia, University of Brasilia, Brasilia, Brazil.
  • Carregaro RL; School of Physiotherapy, Faculty of Ceilândia, University of Brasilia, Brasilia, Brazil.
Expert Rev Pharmacoecon Outcomes Res ; 23(2): 181-189, 2023 Feb.
Article em En | MEDLINE | ID: mdl-36537181
BACKGROUND: Depression is disabling disorder and cause functional impairments, and high costs for the health and social security system. OBJECTIVE: The direct and indirect costs of depression from the societal perspective were estimated for the period 2010 to 2018. METHODS: This cost-of-illness study in adults is based on prevalence, with a top-down approach, from the societal perspective. Direct (hospital and outpatient) and indirect (absenteeism) costs were included. Data were extracted from the Hospital and Outpatient Information Systems and the National Social Security Institute. RESULTS: The cost of depression was Int$ 2,288,511,607.39 in the analyzed period, with an average annual cost of Int$ 254,279,067.49. From 2014 to 2018, had a sharp and persistent decrease in the cost of depression (-44.24%), mainly in indirect costs (-55.83%). In the period investigated, indirect costs represented 74.85% of the total cost. Over time, outpatient surpassed hospital cost. In 2017 and 2018, outpatient costs represented 43.22% and 39.57% of total costs. In all the years and cost components analyzed, women predominated. CONCLUSIONS: Depression is a disease with a high economic burden for the healthcare system. Investments are still needed, such as higher coverage of services, multidisciplinary teams, and training of health professionals for psychosocial care.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Depressão / Estresse Financeiro Tipo de estudo: Health_economic_evaluation / Risk_factors_studies Limite: Adult / Female / Humans País/Região como assunto: America do sul / Brasil Idioma: En Revista: Expert Rev Pharmacoecon Outcomes Res Assunto da revista: FARMACOLOGIA Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Depressão / Estresse Financeiro Tipo de estudo: Health_economic_evaluation / Risk_factors_studies Limite: Adult / Female / Humans País/Região como assunto: America do sul / Brasil Idioma: En Revista: Expert Rev Pharmacoecon Outcomes Res Assunto da revista: FARMACOLOGIA Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido