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Healthcare utilization among adults with serious headache and comorbid depression in the US population

Horoko Takaki, Ichiro Ieiri, Hidetoshi Shibuta, Daisuke Onozuka, Akihito Hagihara

Abstract


Rationale, aims and objectives: A relationship between physicians and patients with serious headache has an influence on healthcare utilization. However, there is insufficient evidence related to healthcare utilization among headache patients with comorbid depression. The present study aimed to compare and identify barriers to healthcare utilization among US adults with serious headache and comorbid depression.

Methods: We used data from the 2012 National Health Interview Survey, comprising a sample of 34,525 adults. Multivariate logistic regression models were used and adjusted by sociodemographics and several chronic conditions.

Results: Adults with serious headache and comorbid depression had significantly more healthcare visits, hospital emergency visits and trouble finding a healthcare provider than adults with neither condition. Regarding adults with a usual place of care, adults with both conditions had significantly higher odds of changing their usual place of care than adults with neither condition. Further, barriers to healthcare utilization in adults with both conditions, without a usual place of care, were significantly associated with the following aspects: “Doesn’t like /trust /believe in doctors” and “Too expensive /no insurance /cost.”

Conclusions: The results of this study indicate that headache patients with comorbid depression had more difficulties with physicians compared to adults with neither condition. The barriers to healthcare utilization were not convenience, but distrust of doctors or the cost of healthcare. Developments of the relationship between physicians and headache patients with comorbid depression could enable the patients to have regular healthcare visits, improve their health outcomes and reduce the burden of suffering, important indices as part of the person-centered healthcare approach.

Keywords


Anxiety, clinical communication, clinical outcomes, comorbidity, depression, doctor shopping, economic burden, headache, healthcare utilization, multiple treatment providers, National Health Interview Survey, pain assessment, person-centered healthcare, p

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References


Hazard, E., Munakata, J., Bigal, M.E., Rupnow, M.F.T. & Lipton, R.B. (2009). The burden of migraine in the United States: current and emerging perspectives on disease management and economic analysis. Value in Health 12 (1) 55-64.

Lipton, R.B., Bigal, M.E., Diamond, M., Freitag, F., Reed, M.L. & Stewart, W.F. (2007). Migraine prevalence, disease burden, and the need for preventive therapy. Neurology 68 (5) 343-349.

Blumenfeld, A.M., Varon, S.F., Wilcox, T.K., Buse, D.C., Kawata, A.K., Manack, A., Goadsby, P.J. & Lipton, R.B. (2011). Disability, HRQoL and resource use among chronic and episodic migraineurs: results from the International Burden of Migraine Study (IBMS). Cephalalgia 31 (3) 301-315.

Burch, R.C., Loder, S., Loder, E. & Smitherman, T.A. (2015). The prevalence and burden of migraine and severe headache in the United States: updated statistics from government health surveillance studies. Headache 55 (1) 21-34.

Sanderson, J.C., Devine, E.B., Lipton, R.B., Bloudek, L.M., Varon, S.F., Blumenfeld, A.M., Goadsby, P.J., Buse, D.C. & Sullivan, S.D. (2013). Headache-related health resource utilisation in chronic and episodic migraine across six countries. Journal of Neurology, Neurosurgery and Psychiatry 84 (12) 1309-1317.

Dueland, A.N., Leira, R. & Cabelli, S.T. (2005). The impact of migraine on psychological well-being of young women and their communication with physicians about migraine: a multinational study. Current Medical Research and Opinion 21 (8) 1297-1305.

Palacios-Ceña, D., Neira-Martín, B., Silva-Hernández, L., Mayo-Canalejo, D., Florencio, L.L., Fernández-de-Las-Peñas, C., García-Moreno, H., García-Azorín, D. & Cuadrado, M.L. (2017). Living with chronic migraine: a qualitative study on female patients’ perspectives from a specialised headache clinic in Spain. BMJ Open 7 (8) e017851.

Bigal, M.E., Serrano, D., Reed, M. & Lipton, R.B. (2008). Chronic migraine in the population: burden, diagnosis, and satisfaction with treatment. Neurology 71 (8) 559-566.

Minen, M.T., Loder, E., Tishler, L. & Silbersweig, D. (2016). Migraine diagnosis and treatment: a knowledge and needs assessment among primary care providers. Cephalalgia 36 (4) 358-370.

Feroni, I., Peretti-Watel, P., Paraponaris, A., Masut, A., Ronfle, E., Mabriez, J.C. & Obadia, Y. (2005). French general practitioners’ attitudes and prescription patterns toward buprenorphine maintenance treatment: does doctor shopping reflect buprenorphine misuse? Journal of Addictive Diseases 24 (3) 7-22.

Kasteler, J., Kane, R.L., Olsen, D.M. & Thetford, C. (1976). Issues underlying prevalence of "doctor-shopping" behavior. Journal of Health and Social Behavior 17 (4) 329-339.

Hagihara, A., Odamaki, M., Nobutomo, K. & Tarumi, K. (2006). Physician and patient perceptions of the physician explanations in medical encounters. Journal of Health Psychology 11 (1) 91-105.

Lo, A.Y., Hedley, A.J., Pei, G.K., Ong, S.G., Ho, L.M., Fielding, R., Cheng, K.K. & Daniel, L. (1994). Doctor-shopping in Hong Kong: implications for quality of care. International Journal for Quality Health Care 6 (4) 371-381.

Hagihara, A., Tarumi, K., Odamaki, M. & Nobutomo, K. (2005). A signal detection approach to patient-doctor communication and doctor-shopping behaviour among Japanese patients. Journal of Evaluation in Clinical Practice 11 (6) 556-567.

Skomo, M.L., Desselle, S.P., Berdine, H.J. & O’Neil, C.K. (2008). Impact of pharmacist interventions on seeking of medical care by migraineurs. Journal of the American Pharmacists Association 48 (1) 32-37.

Lampl, C., Thomas, H., Tassorelli, C., Katsarava, Z., Laínez, J.M., Lantéri-Minet, M., Rastenyte, D., Ruiz de la Torre, E., Stovner, L.J., Andrée, C. & Steiner, T.J. (2016). Headache, depression and anxiety: associations in the Eurolight project. Journal of Headache and Pain 17 (1) 59.

Whitebird, R.R., Solberg, L.I., Margolis, K.L., Asche, S.E., Trangle, M.A. & Wineman, A.P. (2013). Barriers to improving primary care of depression: perspectives of medical group leaders. Qualitative Health Research 23 (6) 805-814.

Wu, J., Davis-Ajami, M.L. & Kevin Lu, Z. (2016). Impact of Depression on Health and Medical Care Utilization and Expenses in US Adults With Migraine: A Retrospective Cross Sectional Study. Headache 56 (7) 1147-1160.

Ward, B.W. (2017). Barriers to Health Care for Adults With Multiple Chronic Conditions: United States, 2012-2015. NCHS Data Brief (275) 1-8.

R Development Core Team. (2011). R: a language and environment for statistical computing. Available at: https://www.gbif.org/tool/81287/r-a-language-and-environment-for-statistical-computing.

Lumley, A.T. (2017). Package “survey” ver. 3.32-1. Available at: http://www.et.bs.ehu.es/cran/web/packages/survey/survey.pdf.

Sansone, R.A. & Sansone, L.A. (2012). Doctor shopping: a phenomenon of many themes. Innovations in Clinical Neuroscience 9 (11-12) 42-46.

Linde, M. & Dahlöf, C. (2004). Attitudes and burden of disease among self-considered migraineurs - A nation-wide population-based survey in Sweden. Cephalalgia 24 (6) 455-465.

Norton, J., de Roquefeuil, G., David, M., Boulenger, J-P., Ritchie, K. & Mann, A. (2011). The mental health of doctor-shoppers: experience from a patient-led fee-for-service primary care setting. Journal of Affective Disorders 131 (1-3) 428-432.

Yamada, K., Maeno, T., Ono, M., Sato, T., Otsubo, T. & Isse, K. (2005). Depression in a family practice in Japan: doctor shopping and patient complaints. Primary Care and Community Psychiatry 10 (1) 7-11.

Kroll, T., Jones, G.C., Kehn, M. & Neri, M.T. (2006). Barriers and strategies affecting the utilisation of primary preventive services for people with physical disabilities: a qualitative inquiry. Health & Social Care in the Community 14 (4) 284-293.

Wyshak, G. & Barsky, A. (1995). Satisfaction with and effectiveness of medical care in relation to anxiety and depression. General Hospital Psychiatry 17 (2) 108-114.

Patwardhan, M., Coeytaux, R.R., Deshmukh, R. & Samsa, G. (2007). What is the impact of physician communication and patient understanding in the management of headache? Neuropsychiatric Disease and Treatment 3 (6) 893-897.

Baos, V., Ester, F., Castellanos, A., Nocea, G., Caloto, M.T., Gerth, W.C. & I-Max Study Group. (2005). Use of a structured migraine diary improves patient and physician communication about migraine disability and treatment outcomes. International Journal of Clinical Practice 59 (3) 281-286.




DOI: http://dx.doi.org/10.5750/ejpch.v7i2.1639

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