The health care utilization and out-of-pocket expenditure associated with asthma amongst a sample of Australian women aged over 45 years: analysis from the '45 and up' study.

Adams, J; Steel, A; Frawley, J; Leach, M; McIntyre, E; Broom, A; Sibbritt, D

The health care utilization and out-of-pocket expenditure associated with asthma amongst a sample of Australian women aged over 45 years: analysis from the '45 and up' study.

Adams, J

Steel, A

Frawley, J

Leach, M McIntyre, E

Broom, A Sibbritt, D

Permalink

Publisher:: TAYLOR & FRANCIS LTD
Publication Type:: Journal Article
Citation:: The Journal of asthma : official journal of the Association for the Care of Asthma, 2020, pp. 1-9
Issue Date:: 2020-03-18

Open Access

Copyright Clearance Process

Recently Added
In Progress
Open Access

This item is open access.

Adobe PDF

Download Accepted versionAdobe PDF (801.23 kB)

View on publisher's site

View statistics

Full metadata record

Field	Value	Language
dc.contributor.author	Adams, J https://orcid.org/0000-0002-9901-5717
dc.contributor.author	Steel, A https://orcid.org/0000-0001-6643-9444
dc.contributor.author	Frawley, J https://orcid.org/0000-0001-6037-0140
dc.contributor.author	Leach, M
dc.contributor.author	McIntyre, E https://orcid.org/0000-0002-3970-9979
dc.contributor.author	Broom, A
dc.contributor.author	Sibbritt, D https://orcid.org/0000-0003-3561-9447
dc.date.accessioned	2020-08-18T02:40:32Z
dc.date.available	2020-08-18T02:40:32Z
dc.date.issued	2020-03-18
dc.identifier.citation	The Journal of asthma : official journal of the Association for the Care of Asthma, 2020, pp. 1-9
dc.identifier.issn	0277-0903
dc.identifier.issn	1532-4303
dc.identifier.uri	http://hdl.handle.net/10453/142177
dc.description.abstract	Objective: This study aims to describe the prevalence of health care utilization (including conventional medicine, self-care and complementary medicine treatments) for the management of asthma by women aged 45 years and over and their associated out-of-pocket expenditure.Methods: A self-reported mail survey of 375 Australian women, a cohort of the national 45 and Up Study, reporting a clinical diagnosis of asthma. The women were asked about their use of health care resources including conventional medicine, complementary medicine, and self-prescribed treatments for asthma and their associated out-of-pocket spending. Spearman's correlation coefficient, student's t-test and chi-square test were used as appropriate. Population level costs were created by extrapolating the costs reported by participants by available national prevalence data.Results: Survey respondents (N = 375; response rate, 46.9%) were, on average, 67.0 years old (min 53, max 91). The majority (69.1%; n = 259) consulted at least one health care practitioner in the previous 12 months for their asthma. Most of the participants (n = 247; 65.9%) reported using at least one prescription medication for asthma in the previous 12 months. The total out-of-pocket expenditure on asthma treatment for Australian women aged 50 years and over is estimated to be AU$159 million per annum.Conclusions: The breadth of conventional and complementary medicine health care services reported in this study, as well as the range of treatments that patients self-prescribe, highlights the challenges of coordinating care for individuals living with asthma.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	TAYLOR & FRANCIS LTD
dc.relation	http://purl.org/au-research/grants/arc/DP140100238
dc.relation	http://purl.org/au-research/grants/arc/FT140100195
dc.relation.ispartof	The Journal of asthma : official journal of the Association for the Care of Asthma
dc.relation.hasversion	Accepted manuscript version	en
dc.relation.isbasedon	10.1080/02770903.2020.1741609
dc.rights	info:eu-repo/semantics/openAccess
dc.rights	This is an Accepted Manuscript of an article published by Taylor & Francis in Journal of Asthma on 18 March 2020, available online: http://www.tandfonline.com/10.1080/02770903.2020.1741609	en
dc.subject	1103 Clinical Sciences, 1117 Public Health and Health Services
dc.subject.classification	Allergy
dc.title	The health care utilization and out-of-pocket expenditure associated with asthma amongst a sample of Australian women aged over 45 years: analysis from the '45 and up' study.
dc.type	Journal Article
utslib.location.activity	England
utslib.for	1103 Clinical Sciences
utslib.for	1117 Public Health and Health Services
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
utslib.copyright.status	open_access	*
dc.date.updated	2020-08-18T02:40:10Z
pubs.publication-status	Published

Abstract:

Objective: This study aims to describe the prevalence of health care utilization (including conventional medicine, self-care and complementary medicine treatments) for the management of asthma by women aged 45 years and over and their associated out-of-pocket expenditure.Methods: A self-reported mail survey of 375 Australian women, a cohort of the national 45 and Up Study, reporting a clinical diagnosis of asthma. The women were asked about their use of health care resources including conventional medicine, complementary medicine, and self-prescribed treatments for asthma and their associated out-of-pocket spending. Spearman's correlation coefficient, student's t-test and chi-square test were used as appropriate. Population level costs were created by extrapolating the costs reported by participants by available national prevalence data.Results: Survey respondents (N = 375; response rate, 46.9%) were, on average, 67.0 years old (min 53, max 91). The majority (69.1%; n = 259) consulted at least one health care practitioner in the previous 12 months for their asthma. Most of the participants (n = 247; 65.9%) reported using at least one prescription medication for asthma in the previous 12 months. The total out-of-pocket expenditure on asthma treatment for Australian women aged 50 years and over is estimated to be AU$159 million per annum.Conclusions: The breadth of conventional and complementary medicine health care services reported in this study, as well as the range of treatments that patients self-prescribe, highlights the challenges of coordinating care for individuals living with asthma.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/142177