Skip to main content
Full access
Brief Reports
Published Online: 1 October 2013

National Trends in the Use of Antidepressants Between 1997 and 2009 and the Role of Medicare Part D Implementation

Abstract

Objectives

This study examined national trends in antidepressant use before and after implementation of Medicare Part D and compared utilization among individuals with different types of insurance.

Methods

The data source was the Medical Expenditure Panel Survey Household Component (1997–2009), and logistic regression was used for the analysis.

Results

The odds of antidepressant use among people with depression increased between 1997 and 2009 in each insurance group (Medicare: adjusted odds ratio [AOR]=3.30, 95% confidence interval [CI]=1.84–5.92; Medicaid: AOR=2.97, CI=2.01–4.40; dually eligible for Medicare and Medicaid: AOR=2.24, CI=1.11–4.54; and private coverage: AOR=6.63, CI=5.23–8.42). The odds of antidepressant use after implementation of Part D increased more among Medicare beneficiaries than among Medicaid beneficiaries (AOR=1.35, CI=1.05–1.72).

Conclusions

The use of antidepressants among people with depression increased in all insurance groups up to 2009; however, the patterns of utilization and the degree of increase over time differed by insurance type.

Formats available

You can view the full content in the following formats:

Information & Authors

Information

Published In

Go to Psychiatric Services
Go to Psychiatric Services

Cover: Walter Martin, by Dickson Reeder, 1956. Oil on canvas. Collection of the San Antonio Art League and Museum, San Antonio, Texas.

Psychiatric Services
Pages: 1038 - 1042
PubMed: 24081402

History

Published online: 1 October 2013
Published in print: October 2013

Authors

Details

Dooyoung Lim, M.H.A.
The authors are affiliated with the Department of Health Policy and Administration, College of Health and Human Development, Pennsylvania State University, University Park, Pennsylvania. Send correspondence to Dr. Jung at the department, 604 Ford Building, University Park, PA 16802 (e-mail: [email protected]).
Kyoungrae Jung, Ph.D.
The authors are affiliated with the Department of Health Policy and Administration, College of Health and Human Development, Pennsylvania State University, University Park, Pennsylvania. Send correspondence to Dr. Jung at the department, 604 Ford Building, University Park, PA 16802 (e-mail: [email protected]).
Yunfeng Shi, Ph.D.
The authors are affiliated with the Department of Health Policy and Administration, College of Health and Human Development, Pennsylvania State University, University Park, Pennsylvania. Send correspondence to Dr. Jung at the department, 604 Ford Building, University Park, PA 16802 (e-mail: [email protected]).

Metrics & Citations

Metrics

Citations

Export Citations

If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download.

For more information or tips please see 'Downloading to a citation manager' in the Help menu.

Format
Citation style
Style
Copy to clipboard

View Options

View options

PDF/EPUB

View PDF/EPUB

Full Text

View Full Text

Login options

Already a subscriber? Access your subscription through your login credentials or your institution for full access to this article.

Personal login Institutional Login Open Athens login
Purchase Options

Purchase this article to access the full text.

PPV Articles - Psychiatric Services

PPV Articles - Psychiatric Services

Not a subscriber?

Subscribe Now / Learn More

PsychiatryOnline subscription options offer access to the DSM-5-TR® library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.

Need more help? PsychiatryOnline Customer Service may be reached by emailing [email protected] or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).

Media

Figures

Other

Tables

Share

Share

Share article link

Share