Jump to ContentJump to Main Navigation
Show Summary Details

International Journal on Disability and Human Development

Official journal of the the National Institute of Child Health and Human Development in Israel

Editor-in-Chief: Merrick, Joav

Editorial Board Member: Brooks, Tony / Carmeli, BPT, Eliezer / Caron, MPH, Rosemary M. / Davidson, Philip W / Galil, Ahron / Heller, Tamar / Huff, Marlene B. / Janicki, Matthew P. / Kerr, Mike / Levy, Howard B / Lindström, Bengt / Morad, Mohammed / Omar, Hatim A. / Postolache, Teodor T. / Prasher, Vee / Shek, Daniel T.L. / Sher, Leo / Stratakis, Constantine A

4 Issues per year


SCImago Journal Rank (SJR) 2015: 0.210
Source Normalized Impact per Paper (SNIP) 2015: 0.280
Impact per Publication (IPP) 2015: 0.247

Online
ISSN
2191-0367
See all formats and pricing

 


Select Volume and Issue

Issues

30,00 € / $42.00 / £23.00

Get Access to Full Text

Health service utilization in patients with major depressive disorder experiencing significant somatic symptoms in Korea

Jong-Min Woo
  • Department of Psychiatry, Seoul Paik Hospital, Inje University School of Medicine, Seoul, Korea
  • Stress Research Institute, Inje University, Seoul, Korea
/ Joo-Eon Park
  • Department of Psychiatry, Keyo Hospital, Uiwang-Si, Korea
/ Sang-Keun Chung
  • Department of Psychiatry, Chonbuk National University Medical School, Jeonju, Korea
/ Jin-Pyo Hong
  • Department of Psychiatry, College of Medicine, Asan Medical Center, Ulsan University, Seoul, Korea
/ Eui-Jung Kim
  • Department of Psychiatry, College of Medicine, Ewha Woman's University, Seoul, Korea
/ Sang-Yeol Lee
  • Department of Psychiatry, School of Medicine, Wonkwang University, Iksan, Korea
/ Kang-Seob Oh
  • Department of Psychiatry, Sungkyunkwan University School of Medicine, Kangbuk Samsung Hospital, Seoul, Korea
/ Won Kim
  • Department of Psychiatry, Seoul Paik Hospital, Inje University School of Medicine, Seoul, Korea
  • Stress Research Institute, Inje University, Seoul, Korea
/ Seong Kyeon Lim
  • Department of Psychiatry, Seoul Paik Hospital, Inje University School of Medicine, Seoul, Korea
  • Stress Research Institute, Inje University, Seoul, Korea
/ Eun-Ho Kang
  • Department of Psychiatry, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
/ Bum-Hee Yu
  • Department of Psychiatry, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
Published Online: 2010-11-02 | DOI: https://doi.org/10.1515/IJDHD.2010.004

Abstract

Background: This study investigated the patterns of health service utilization among patients with major depressive disorder (MDD) and significant somatic symptoms, who visited psychiatrists in a tertiary care setting.

Methods: A total of 211 patients (51 males and 160 females) were recruited from a convenience sampling and assessed for severity of depressive and somatic symptoms. A structured questionnaire was employed to assess their pattern of healthcare service utilization, specifically, type of treatment first sought, out-of-pocket medical expenses, and time from onset of depressive symptoms to first treatment.

Results: MDD patients with significant somatic symptoms tended to visit a non-psychiatrist physician first. Those with milder somatic symptoms who first visited non-physician practitioners spent a significantly greater amount on out-of-pocket medical expenses than did those who first visited physicians to get treatment. The patients with chief complaints of psychological and emotional symptoms were more likely to visit a psychiatrist first; however, a longer time interval lapsed before these patients received treatment.

Conclusions: Patients with MDD experiencing significant symptoms are unlikely to access appropriate services in a timely manner. The results have implications for improving health care delivery for this population.

Keywords: health service utilization; Korea; major depressive disorder; psychiatry; somatic symptom

Corresponding author: Bum-Hee Yu, MD, PhD, Department of Psychiatry, Samsung Medical Center, Sungkyunkwan University School of Medicine, Ilwon-Dong 50, Gangnam-Gu, Seoul 135-710, Korea Phone: +82-2-3410-3583, Fax: +82-2-3410-6957,


Received: 2009-10-15

Accepted: 2009-12-05

Published Online: 2010-11-02

Published in Print: 2010-11-01


Citation Information: International Journal on Disability and Human Development. Volume 9, Issue 1, Pages 23–28, ISSN (Online) 2191-0367, ISSN (Print) 2191-1231, DOI: https://doi.org/10.1515/IJDHD.2010.004, November 2010

Comments (0)

Please log in or register to comment.