Postnatal Major Depressive Disorder in Australia: Inequalities and Costs of Healthcare to Individuals, Governments and Insurers

Callander, Emily; Gamble, Jenny; Creedy, Debra

doi:10.1007/s40273-021-01013-w

Cited by 8 publications

(10 citation statements)

References 32 publications

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“…Kan et al estimate the mean cost of a treatment episode in the Netherlands for MDD patients in a specialist mental healthcare setting to be €21,186 (demonstrating a large skew compared to the median in the same population of €2320) [8]. In Australia, Callander et al estimate the total cost of services accessed from birth to 12 months postpartum by women with postpartum MDD to be A$14,090, 636% higher than women without postpartum MDD after accounting for differences in private hospital use, delivery type, clinical characteristics, and socioeconomic status (SES) [9]. These findings underscore that small groups of MDD patients can meaningfully affect overall costs [8].…”

Section: Research Concerning the Cost Of Mddmentioning

confidence: 99%

“…Another form of illness that garners a lot of research attention is PPD. Callander et al show that PPD is found in a higher percentage of women with pre-existing mental health conditions and results in sizable increases in healthcare utilization [9].…”

Section: Treatment-resistant Depression and Postpartum Depressionmentioning

confidence: 99%

“…Several studies examine the effect of SES on depressionrelated costs and offer different insights depending on local conditions. Callander et al find that among Australian women with PPD, those with lower SES had lower total healthcare costs than women with higher SES, most likely as a result of differential access to care [9]. Those with lower SES have fewer inpatient episodes, specialist consultations, and prescriptions but higher general practitioner consultations and emergency department presentations [9].…”

Section: Socioeconomic Statusmentioning

confidence: 99%

“…Callander et al find that among Australian women with PPD, those with lower SES had lower total healthcare costs than women with higher SES, most likely as a result of differential access to care [9]. Those with lower SES have fewer inpatient episodes, specialist consultations, and prescriptions but higher general practitioner consultations and emergency department presentations [9]. In Germany, König et al find that direct medical costs tend to be lower among MDD patients with higher SES.…”

Section: Socioeconomic Statusmentioning

confidence: 99%

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The Growing Burden of Major Depressive Disorders (MDD): Implications for Researchers and Policy Makers

2021

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Major Depressive Disorder (MDD) is one of the most burdensome illnesses globally, with significant negative impacts on activities of daily living, quality of life, cognitive function, and employment status and work productivity [1,2]. Researchers studying MDD are challenged by the complex nature of the disease, which is often comorbid with other chronic and acute conditions, including both physical and psychiatric disorders. In particular, the treatment pathway for patients with MDD is remarkably complicated, with extensive variability in disease presentation, uncertainty of diagnoses, and heterogeneity of treatment effects.The research featured in this special issue of Pharma-coEconomics draws on findings from a variety of countries across North America, Europe, Asia, and Oceania. Although differences in culture as well as health and social care systems complicate research in MDD, a broad survey of studies of the burden of MDD provides an opportunity for new insights concerning the many determinants of health outcomes associated with this disease. This editorial overview surveys these studies, focusing on several unifying themes:1. Growing prevalence of MDD, particularly during the coronavirus disease 2019 (COVID-19) pandemic 2. Research concerning the cost of MDD 3. Economic burden of MDD in subpopulations 4. Advances in analytical methods 5. Implications for researchers and policy makers.

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Section: Research Concerning the Cost Of Mddmentioning

confidence: 99%

Section: Treatment-resistant Depression and Postpartum Depressionmentioning

confidence: 99%

Section: Socioeconomic Statusmentioning

confidence: 99%

Section: Socioeconomic Statusmentioning

confidence: 99%

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The Growing Burden of Major Depressive Disorders (MDD): Implications for Researchers and Policy Makers

2021

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“…Pregnancy and postnatal education and support provided by a multidisciplinary team of specialists (e.g., doctors, midwives, trainers, and psychotherapists) may enhance the quality of care (7,8). However, they may be too expensive or unavailable in impoverished countries (9,10). Additionally, coronavirus disease 2019 (COVID- 19) and its corresponding isolation periods may harm the health of pregnant and postpartum women (11).…”

Section: Introductionmentioning

confidence: 99%

A Comparison of Functional Features of Chinese and US Mobile Apps for Pregnancy and Postnatal Care: A Systematic App Store Search and Content Analysis

Yu¹,

He²,

Wang³

et al. 2022

Front. Public Health

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BackgroundPregnancy to postpartum (PtP) applications (apps) are becoming more common tools to document everything from pregnancy and delivery to nutrient allocation, life taboos, and infant medical examinations. However, the dependability, quality, and efficacy of these apps remain unclear. This study examined the features and functions of mobile PtP care apps accessible in China and the United States and to identify the major gaps that need to be addressed.MethodsApps were selected by searching the Apple App Store and Android Markets (in the US and China) for the terms “pregnancy” and “postpartum” in Chinese and English. The apps' security, quality, and effectiveness were investigated, and chi-square tests and analysis of variance were performed to examine the differences in characteristics between apps available in the US and China.ResultsA total of 84 mobile PtP care apps (45 from the US and 39 from China) were included. A total of 89.7% (35/39) of Chinese mobile apps did not provide safety statements or supporting evidence. The objective app quality ratings for Chinese and US apps were 3.20 ± 0.48 (mean ± standard deviation) and 3.56 ± 0.45, respectively (p > 0.05). A greater number of Chinese apps provided app-based monitoring functions, namely recording fetal size (n = 18, 46.2% in China vs. n = 3, 6.7% in the US), contractions (n = 11, 28.2% in China vs. n = 0, 0% in the US), pregnancy weight (n = 11, 28.2% in China vs. 0, 0% in the US), and pregnancy check-up reminders (n = 10, 25.6% in China vs. n = 0, 0% in the US). Meanwhile, a greater number of US apps provided exercise modules, namely pregnancy yoga (n = 2, 5.1% in China vs. n = 21, 46.7% in the US), pregnancy workouts (n = 2, 5.1% in China vs. n = 13, 28.9% in the US), and pregnancy meditation (n = 0, 0% in China vs. 10, 22.2% in the US) (p < 0.01). A medium security risk was identified for 40% (18/45) of apps in the US and 82.1% (32/39) of apps in China (p < 0.01).ConclusionsThe functionality and characteristics of in-store mobile apps for PtP care varied between China and the US. Both countries' apps, particularly Chinese apps, encountered issues related to a lack of evidence-based information, acceptable content risk, and program evaluations. Both countries' apps lacked proper mental health care functions. The findings suggest that the design of app features should be enhanced in both countries, and increased interaction between app creators and users is recommended.

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Postnatal depression: substantial cost, major inequalities in Australia

2021

PharmacoEcon Outcomes News

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Postnatal Major Depressive Disorder in Australia: Inequalities and Costs of Healthcare to Individuals, Governments and Insurers

Cited by 8 publications

References 32 publications

The Growing Burden of Major Depressive Disorders (MDD): Implications for Researchers and Policy Makers

The Growing Burden of Major Depressive Disorders (MDD): Implications for Researchers and Policy Makers

A Comparison of Functional Features of Chinese and US Mobile Apps for Pregnancy and Postnatal Care: A Systematic App Store Search and Content Analysis

Postnatal depression: substantial cost, major inequalities in Australia

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