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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


CiteScore 2016: 0.25

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

Online
ISSN
2191-0367
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In This Section
Volume 9, Issue 1 (Nov 2010)

Issues

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

About the article

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, ISSN (Online) 2191-0367, ISSN (Print) 2191-1231, DOI: https://doi.org/10.1515/IJDHD.2010.004. Export Citation

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