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Social Welfare Centers Protect Outpatients with Mood Disorders from Risk of Hospital Admission.

Authors
 Kyu-Tae Han  ;  Suk Yong Jang  ;  Sohee Park  ;  Kyung Hee Cho  ;  Ki-Bong Yoo  ;  Young Choi  ;  Eun-Cheol Park 
Citation
 PLOS ONE, Vol.11(1) : e0146754, 2016 
Journal Title
 PLOS ONE 
Issue Date
2016
MeSH
Adult ; Aged ; Ambulatory Care* ; Female ; Health Policy ; Hospitalization ; Humans ; Logistic Models ; Male ; Middle Aged ; Mood Disorders/economics ; Mood Disorders/pathology* ; National Health Programs ; Odds Ratio ; Outpatients/psychology ; Republic of Korea ; Risk ; Sex Factors ; Social Welfare*
Abstract
BACKGROUND: South Korea faces difficulties in the management of mental disorders, and those difficulties are expected to gradually worsen. Therefore, we analyzed the relationship between social welfare centers and hospital admission after outpatient treatment for mooddisorders. METHODS: We used data from the National Health Insurance Service National Sample Cohort 2002-2013, which included all medical claims filed for the 50,160 patients who were newly diagnosed with a mood disorder among the 1,025,340 individuals in a nationally representative sample. We performed a logistic regression analysis using generalized estimating equation (GEE) models to examine the relationship between social welfare centers and hospital admission after outpatient treatment for mood disorders (ICD-10: F3). RESULTS: There was a 3.9% admission rate among a total of 99,533 person-years. Outpatients who lived in regions with more socialwelfare centers were less likely to be admitted to a hospital (per increase of five social welfare centers per 100,000 people; OR: 0.958; 95% CI: 0.919-0.999). Social welfare centers had an especially strong protective effect on patients with relatively mild mood disorders and those who were vulnerable to medical expenditures. CONCLUSIONS: Considering the protective role of social welfare centers in managing patients with mood disorders, health-policy makers need to consider strategies for activating mental healthcare.
Files in This Item:
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DOI
10.1371/journal.pone.0146754
Appears in Collections:
4. Graduate School of Public Health (보건대학원) > Graduate School of Public Health (보건대학원) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실) > 1. Journal Papers
Yonsei Authors
Park, So Hee(박소희) ORCID logo https://orcid.org/0000-0001-8513-5163
Park, Eun-Cheol(박은철) ORCID logo https://orcid.org/0000-0002-2306-5398
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/146253
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