Curative care expenditure of outpatient anxiety disorder in Liaoning Province, 2015-2020-based on “System of Health Accounts 2011”

Introduction: Anxiety disorders are the most common mental disorder, experienced by more than a quarter of the population. This study examines total outpatient curative care expenditures (CCE) for anxiety disorders and changes in their composition based on the System of Health Accounts 2011 (SHA 2011). Methods: This study used multi-stage stratified random from a total of 9,318,513 outpatient sample data by 920 healthcare organizations, a total of 109,703 cases of anxiety disorders from 53 sample organizations (5.76%) from 2015 to 2020. Univariate analysis, multifactor analysis and structural equation modeling (SEM) were used to explore the influential factors affecting outpatient CCE for anxiety disorders. Results: Anxiety disorder outpatient CCE from 2015 to 2020 continued to increase from CNY 99.39million in 2015 to CNY 233.84 million in 2020, mainly concentrated in western medicine costs, 15-64 years, general hospital, generalized anxiety disorder and public financing. The results of univariate analysis showed statistically significant differences in all subgroups, and the results of multivariate analysis and SEM showed that the choice to purchase western drugs, purchase prepared Chinese drugs, choice to have a checkup, urban employees' basic medical insurance, and 0-14 years old were associated with high anxiety disorder outpatient CCE. Conclusion: Initiatives to improve the essential drug system, reduce the out-of-pocket (OOP) ratio, and strengthen primary health care to effectively reduce the medical burden on patients

Anxiety · Economic growth · Environmental health · Health care · Psychiatry · Healthcare Systems and Reforms · Medicine · Mental Health Treatment and Access · Patient Satisfaction in Healthcare · Gerontology

• Estimation of the current healthcare costs of gout in Liaoning Province from 2015 to 2022 based on the SHA2011 accounting system

  Open Access•Xiaoxia Shi, Shi Xiaoxia et al.•Frontiers in Public Health•2025

  Incluir item

• Household catastrophic health expenditure

  Open Access•Ke Xu, D Evans et al.•The Lancet•2003

  Incluir item

• Adverse Events Associated With Prescription Drug Cost-Sharing Among Poor and Elderly Persons

  Robyn Tamblyn•JAMA•2001

  Incluir item

• The Epidemiology of Major Depressive Disorder

  R C Kessler, Patricia Berglund et al.•JAMA•2003

  Incluir item

• Twelve-Month Use of Mental Health Services in the United States

  Philip S Wang, Mike Lane et al.•Archives of General Psychiatry•2005

  Incluir item

• The global burden of mental disorders

  Open Access•R C Kessler, Sergio Aguilar-Gaxiola et al.•Epidemiologia e Psichiatria Sociale•2009

  Incluir item

• Prevalence, treatment, and associated disability of mental disorders in four provinces in China during 2001–05

  Open Access•Michael R Phillips, Jingxuan Zhang et al.•The Lancet•2009

  Incluir item

• Epidemiology of anxiety disorders in the 21st century

  Open Access•Borwin Bandelow, Sophie Michaelis•Dialogues in Clinical Neuroscience•2015

  Incluir item

• The cross-national epidemiology of social anxiety disorder

  Open Access•WHO World Mental Health Survey Collaborators, Dan J Stein et al.•BMC Medicine•2017

  Incluir item

• The prognosis of common mental disorders in adolescents

  Open Access•George C Patton, George Patton et al.•The Lancet•2014

  Incluir item

• The relationship between greenspace and the mental wellbeing of adults

  Open Access•Victoria Houlden, Scott Weich et al.•PLoS ONE•2018

  Incluir item

• Psycho-Physiological Stress Recovery in Outdoor Nature-Based Interventions

  Open Access•Sus Sola Corazon, Ulrik Sidenius et al.•International Journal of…•2019

  Incluir item

• Scaling-up treatment of depression and anxiety

  Open Access•Dan Chisholm, Kim Sweeny et al.•The Lancet Psychiatry•2016

  Incluir item

• Excess mortality of mental disorder

  Open Access•C Harris, Brian Barraclough et al.•The British Journal of Psychiatry•1998

  Incluir item

• How to apply SHA 2011 at a subnational level in China’s practical situation

  Open Access•Mingyang Li, Ang Zheng et al.•Journal of Global Health•2018

  Incluir item

• How to control the economic burden of treating cardio-cerebrovascular diseases in China? Assessment based on System of Health Accounts 2011

  Open Access•Yalan Zhu, Chunping Liu et al.•Journal of Global Health•2020

  Incluir item

• Factors of hospitalization expenditure of the genitourinary system diseases in the aged based on “System of Health Account 2011” and neural network model

  Open Access•Junlin He, Zhuo Yin et al.•Journal of Global Health•2018

  Incluir item

• The Cost of Generalized Anxiety Disorder in Primary Care Settings

  Open Access•J Rovira, Guillermina Albarracin et al.•Community Mental Health Journal•2012

  Incluir item