Psychische Belastungen bei Erwerbstätigen: Leistungsinanspruchnahme und Kosten für das deutsche Gesundheitssystem

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2024年6月11日

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Nadine Mulfinger,
Peter Angerer,
Yesim Erim,
Nicole Hander,
Marieke Hansmann,
Regina Herold,
Reinhold Kilian,
Christoph Kröger,
Eva Rothermund,
Jeannette Weber,
Jolanda Brezinski,
Manuel Feisst,
Fiona Kohl,
Meike Heming,
Harald Gündel,
Kristin Herrmann,
Rike Seega,
Sinja Hondong,
Lorena Brenner,
Sophia Chrysanthou,
Volker Köllner,
Ralf Stegmann,
Ute B. Schröder,
Uta Wegewitz,
Tamara Waldmann

摘要

Background

Service use among employees with mental health problems and the associated costs for the health and social system have not yet been systematically analysed in studies or have only been recorded indirectly. The aim of this article is to report the service use in this target group, to estimate the costs for the health and social system and to identify possible influencing factors on the cost variance.

Methods

As part of a multicentre study, use and costs of health and social services were examined for a sample of 550 employees with mental health problems. Service use was recorded using the German version of the Client Sociodemographic Service Receipt Inventory (CSSRI). Costs were calculated for six months. A generalized linear regression model was used to examine influencing cost factors.

Results

At the start of the study, the average total costs for the past six months in the sample were € 5227.12 per person (standard deviation € 7704.21). The regression model indicates significant associations between increasing costs with increasing age and for people with depression, behavioural syndromes with physiological symptoms, and other diagnoses.

Discussion

The calculated costs were similar in comparison to clinical samples. It should be further examined in longitudinal studies whether this result changes through specific interventions.