Health care utilisation and out-of-pocket expenditure associated with hypertension: an analysis of Australian adults from the 45 and Up Study.

Adams, J; Hosseini, M; Peng, W; Sibbritt, D

Health care utilisation and out-of-pocket expenditure associated with hypertension: an analysis of Australian adults from the 45 and Up Study.

Adams, J

Hosseini, M

Peng, W

Sibbritt, D

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Publisher:: Springer Nature [academic journals on nature.com]
Publication Type:: Journal Article
Citation:: Journal of Human Hypertension, 2020, 34, (12), pp. 833-840
Issue Date:: 2020-12

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Field	Value	Language
dc.contributor.author	Adams, J https://orcid.org/0000-0002-9901-5717
dc.contributor.author	Hosseini, M https://orcid.org/0000-0001-6979-3780
dc.contributor.author	Peng, W https://orcid.org/0000-0001-9747-2466
dc.contributor.author	Sibbritt, D https://orcid.org/0000-0003-3561-9447
dc.date.accessioned	2021-06-01T06:35:54Z
dc.date.available	2020-05-29
dc.date.available	2021-06-01T06:35:54Z
dc.date.issued	2020-12
dc.identifier.citation	Journal of Human Hypertension, 2020, 34, (12), pp. 833-840
dc.identifier.issn	0950-9240
dc.identifier.issn	1476-5527
dc.identifier.uri	http://hdl.handle.net/10453/149319
dc.description.abstract	Hypertension is a common condition worldwide that significantly increases morbidity and mortality rates in the older population. A number of treatment options are available to control blood pressure. The purpose of this study was to assess the use of health services and self-care amongst people with hypertension and to estimate the out-of-pocket expenses associated with such health care use. A sub-study of the 45 and Up Study was conducted amongst 1300 individuals who had earlier reported a clinical diagnosis of hypertension in 2017. A total of 753 (57.9%) individuals with hypertension returned a completed questionnaire. In the last 12 month, for their hypertension management, 84% of participants consulted a doctor, 19% of them consulted an allied health practitioner and 9% of them consulted a complementary medicine practitioner. The average total out-of-pocket expenditure for hypertension-related health care was Australian $461.8 per annum, with an estimated Australian $941 million per annum if extrapolated to all Australians aged 55 years and over with hypertension. Older people with hypertension use a wide range of health services to control their blood pressure including conventional medicine, allied health and complementary medicine practitioners as well as various self-care practices. A substantial amount of out-of-pocket expenditure has been spent on hypertension care annually. Given the global health and economic burden of hypertension, there is an urgent need for more research exploring cost-effective management(s) for hypertensive patients.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Springer Nature [academic journals on nature.com]
dc.relation	http://purl.org/au-research/grants/arc/FT140100195
dc.relation.ispartof	Journal of Human Hypertension
dc.relation.isbasedon	10.1038/s41371-020-0363-z
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1103 Clinical Sciences
dc.subject.classification	Cardiovascular System & Hematology
dc.title	Health care utilisation and out-of-pocket expenditure associated with hypertension: an analysis of Australian adults from the 45 and Up Study.
dc.type	Journal Article
utslib.citation.volume	34
utslib.location.activity	England
utslib.for	1117 Public Health and Health Services
utslib.for	1103 Clinical Sciences
utslib.for	1103 Clinical Sciences
pubs.organisational-group	/University of Technology Sydney
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	closed_access	*
pubs.consider-herdc	true
dc.date.updated	2021-06-01T06:35:52Z
pubs.issue	12
pubs.publication-status	Published
pubs.volume	34
utslib.citation.issue	12

Abstract:

Hypertension is a common condition worldwide that significantly increases morbidity and mortality rates in the older population. A number of treatment options are available to control blood pressure. The purpose of this study was to assess the use of health services and self-care amongst people with hypertension and to estimate the out-of-pocket expenses associated with such health care use. A sub-study of the 45 and Up Study was conducted amongst 1300 individuals who had earlier reported a clinical diagnosis of hypertension in 2017. A total of 753 (57.9%) individuals with hypertension returned a completed questionnaire. In the last 12 month, for their hypertension management, 84% of participants consulted a doctor, 19% of them consulted an allied health practitioner and 9% of them consulted a complementary medicine practitioner. The average total out-of-pocket expenditure for hypertension-related health care was Australian $461.8 per annum, with an estimated Australian $941 million per annum if extrapolated to all Australians aged 55 years and over with hypertension. Older people with hypertension use a wide range of health services to control their blood pressure including conventional medicine, allied health and complementary medicine practitioners as well as various self-care practices. A substantial amount of out-of-pocket expenditure has been spent on hypertension care annually. Given the global health and economic burden of hypertension, there is an urgent need for more research exploring cost-effective management(s) for hypertensive patients.

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

http://hdl.handle.net/10453/149319