Direct Medical Expenditure and Healthcare Utilization with Mental Disorders among Hispanic Population using Medical Expenditure Panel Survey 2013-2017 (Pages 10-17)

Jongwha Chang¹, Jangkwon Cho¹, Mar Medina¹, Jihaeng Heo² and Kisuk Min³

¹Department of Pharmaceutical Sciences, University of Texas, School of Pharmacy, El Paso, Texas, USA; ²Genesis Research, Hoboken, NJ, USA; ³Department of Kinesiology, University of Texas, College of Health Sciences, El Paso, Texas, USA

https://doi.org/10.12970/2310-8231.2021.09.02

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Abstract: This study sought to assess how mental disorders’ incidence affects healthcare cost and utilization amongst the U.S. Hispanic population from 2013-2017. Using 2013-2017 Medical Expenditure Panel Survey (MEPS) data, a retrospective database analysis was conducted for the Hispanic population with mental disorders. Study outcomes were mental disorder incidence, healthcare utilization, and healthcare cost among the Hispanic population. All-cause direct medical utilization and expenditures were calculated for the following categories of health care services: inpatient hospitalizations, hospital outpatient visits, emergency room visits, office-based physician visits, home health care visits, and prescription medications. From the MEPS data, 4,122 respondents with a mental disorder (weighted sample size: 4,789,634) and 30,312 without a mental disorder (weighted sample size: 33,893,665) were identified. A significant trend appeared through the Generalized Linear Model (GLM) with gamma distribution and log-link function. The mental disorder group had markedly higher adjusted expenditures on emergency room visits, hospital outpatients, physician visits, home healthcare, and prescriptions compared to non-mental disorder patients (p<0.001). Similarly, indirect medical expenditures had the mental disorder group spending $110.7 more than the non-mental disorder group (p<0.001). Incremental indirect cost was $26.9 (95% CI: 57.8-163.6, p<0.001) and incremental cost for overall adjusted expenditures was $ 2,958.5 (95% CI: 2,386.0-3,530.9, p<0.001). These results underscore that mental health disorders in the Hispanic population lead to significantly higher mental-health-related medical expenditure and healthcare utilization. Further research is required to characterize better the total medical expenditure and healthcare utilization cost for all health conditions by Hispanic mental health patients.

Keywords: Mental Disorders, US Hispanic Population, Healthcare Cost, Healthcare Utilization.
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Direct Medical Expenditure and Healthcare Utilization with Mental Disorders among Hispanic Population using Medical Expenditure Panel Survey 2013-2017 (Pages 10-17)

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