The utilisation of public and private health care among Australian women with diabetes: Findings from the 45 and Up Study
- Publisher:
- Public Library of Science (PLoS)
- Publication Type:
- Journal Article
- Citation:
- PLoS One, 2021, 16, (8)
- Issue Date:
- 2021-08-12
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Full metadata record
Field | Value | Language |
---|---|---|
dc.contributor.author |
Adams, J https://orcid.org/0000-0002-9901-5717 |
|
dc.contributor.author |
McIntyre, E https://orcid.org/0000-0002-3970-9979 |
|
dc.contributor.author |
Steel, A https://orcid.org/0000-0001-6643-9444 |
|
dc.contributor.author | Leung, B | |
dc.contributor.author |
Leach, M https://orcid.org/0000-0003-3133-1913 |
|
dc.contributor.author |
Sibbritt, D https://orcid.org/0000-0003-3561-9447 |
|
dc.date.accessioned | 2022-08-07T04:41:03Z | |
dc.date.available | 2021-07-21 | |
dc.date.available | 2022-08-07T04:41:03Z | |
dc.date.issued | 2021-08-12 | |
dc.identifier.citation | PLoS One, 2021, 16, (8) | |
dc.identifier.issn | 1932-6203 | |
dc.identifier.issn | 1932-6203 | |
dc.identifier.uri | http://hdl.handle.net/10453/159726 | |
dc.description.abstract | Aim To describe the prevalence of health care utilisation and out-of-pocket expenditure associated with the management of diabetes among Australian women aged 45 years and older. Design Cross-sectional survey design. Methods The questionnaire was administered to 392 women (a cohort of the 45 and Up Study) reporting a diagnosis of diabetes between August and November 2016. It asked about the use of conventional medicine, complementary medicine (CM) and self-prescribed treatments for diabetes and associated out-of-pocket spending. Results Most women (88.3%; n = 346) consulted at least one health care practitioner in the previous 12 months for their diabetes; 84.6% (n = 332) consulted a doctor, 44.4% (n = 174) consulted an allied health practitioner, and 20.4% (n = 80) consulted a CM practitioner. On average, the combined annual out-of-pocket health care expenditure was AU$492.6 per woman, which extrapolated to approximately AU$252 million per annum. Of this total figure, approximately AU$70 million was spent on CM per annum. Conclusions Women with diabetes use a diverse range of health services and incur significant out-of-pocket expense to manage their health. The degree to which the health care services women received were coordinated, or addressed their needs and preferences, warrants further exploration. Limitations of this study include the use of self-report and inability to generalise findings to other populations. | |
dc.format | Electronic-eCollection | |
dc.language | eng | |
dc.publisher | Public Library of Science (PLoS) | |
dc.relation | http://purl.org/au-research/grants/arc/DP140100238 | |
dc.relation | http://purl.org/au-research/grants/arc/FT140100195 | |
dc.relation.ispartof | PLoS One | |
dc.relation.isbasedon | 10.1371/journal.pone.0255573 | |
dc.rights | info:eu-repo/semantics/openAccess | |
dc.subject.classification | General Science & Technology | |
dc.subject.mesh | Aged | |
dc.subject.mesh | Aged, 80 and over | |
dc.subject.mesh | Cross-Sectional Studies | |
dc.subject.mesh | Delivery of Health Care | |
dc.subject.mesh | Diabetes Mellitus | |
dc.subject.mesh | Health Expenditures | |
dc.subject.mesh | Health Facilities | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Middle Aged | |
dc.subject.mesh | Patient Acceptance of Health Care | |
dc.subject.mesh | Private Sector | |
dc.subject.mesh | Public Sector | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Diabetes Mellitus | |
dc.subject.mesh | Cross-Sectional Studies | |
dc.subject.mesh | Private Sector | |
dc.subject.mesh | Public Sector | |
dc.subject.mesh | Aged | |
dc.subject.mesh | Aged, 80 and over | |
dc.subject.mesh | Middle Aged | |
dc.subject.mesh | Health Facilities | |
dc.subject.mesh | Health Expenditures | |
dc.subject.mesh | Delivery of Health Care | |
dc.subject.mesh | Patient Acceptance of Health Care | |
dc.title | The utilisation of public and private health care among Australian women with diabetes: Findings from the 45 and Up Study | |
dc.type | Journal Article | |
utslib.citation.volume | 16 | |
utslib.location.activity | United States | |
pubs.organisational-group | /University of Technology Sydney | |
pubs.organisational-group | /University of Technology Sydney/DVC (Research) | |
pubs.organisational-group | /University of Technology Sydney/DVC (Research)/Institute For Sustainable Futures | |
pubs.organisational-group | /University of Technology Sydney/Faculty of Health | |
pubs.organisational-group | /University of Technology Sydney/Strength - CHSP - Health Services and Practice | |
pubs.organisational-group | /University of Technology Sydney/Faculty of Health/Public Health | |
utslib.copyright.status | open_access | * |
pubs.consider-herdc | false | |
dc.date.updated | 2022-08-07T04:41:00Z | |
pubs.issue | 8 | |
pubs.publication-status | Published | |
pubs.volume | 16 | |
utslib.citation.issue | 8 |
Abstract:
Aim
To describe the prevalence of health care utilisation and out-of-pocket expenditure associated with the management of diabetes among Australian women aged 45 years and older.
Design
Cross-sectional survey design.
Methods
The questionnaire was administered to 392 women (a cohort of the 45 and Up Study) reporting a diagnosis of diabetes between August and November 2016. It asked about the use of conventional medicine, complementary medicine (CM) and self-prescribed treatments for diabetes and associated out-of-pocket spending.
Results
Most women (88.3%; n = 346) consulted at least one health care practitioner in the previous 12 months for their diabetes; 84.6% (n = 332) consulted a doctor, 44.4% (n = 174) consulted an allied health practitioner, and 20.4% (n = 80) consulted a CM practitioner. On average, the combined annual out-of-pocket health care expenditure was AU$492.6 per woman, which extrapolated to approximately AU$252 million per annum. Of this total figure, approximately AU$70 million was spent on CM per annum.
Conclusions
Women with diabetes use a diverse range of health services and incur significant out-of-pocket expense to manage their health. The degree to which the health care services women received were coordinated, or addressed their needs and preferences, warrants further exploration. Limitations of this study include the use of self-report and inability to generalise findings to other populations.
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