The utilisation of public and private health care among Australian women with diabetes: Findings from the 45 and Up Study

Adams, J; McIntyre, E; Steel, A; Leung, B; Leach, M; Sibbritt, D

The utilisation of public and private health care among Australian women with diabetes: Findings from the 45 and Up Study

Adams, J

McIntyre, E

Steel, A

Leung, B Leach, M

Sibbritt, D

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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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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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http://hdl.handle.net/10453/159726