The health care utilisation and out-of-pocket expenditure associated with Australian stroke survivors aged 55 and over.

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

The health care utilisation and out-of-pocket expenditure associated with Australian stroke survivors aged 55 and over.

Sibbritt, D

Hosseini, M Peng, W

Bayes, J

Adams, J

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Publisher:: PUBLIC LIBRARY SCIENCE
Publication Type:: Journal Article
Citation:: PLoS One, 2022, 17, (3), pp. e0265907
Issue Date:: 2022

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Field	Value	Language
dc.contributor.author	Sibbritt, D https://orcid.org/0000-0003-3561-9447
dc.contributor.author	Hosseini, M
dc.contributor.author	Peng, W https://orcid.org/0000-0001-9747-2466
dc.contributor.author	Bayes, J https://orcid.org/0000-0003-0601-6129
dc.contributor.author	Adams, J https://orcid.org/0000-0002-9901-5717
dc.date.accessioned	2022-10-13T04:11:18Z
dc.date.available	2022-03-09
dc.date.available	2022-10-13T04:11:18Z
dc.date.issued	2022
dc.identifier.citation	PLoS One, 2022, 17, (3), pp. e0265907
dc.identifier.issn	1932-6203
dc.identifier.issn	1932-6203
dc.identifier.uri	http://hdl.handle.net/10453/162549
dc.description.abstract	OBJECTIVE: Stroke is a major cause of mortality and disability worldwide. People with stroke have a number of options available to treat post-stroke related symptoms and challenges. The aim of this study was to assess the use of healthcare services, self-care practices and out-of-pocket expenses associated with post-stroke healthcare. METHODS: We retrospectively analysed data collected between April and October 2017 from a survey of 576 participants aged 55 to 96 from the 45 and Up Study, NSW (Australia), who had earlier reported a clinical diagnosis of stroke. Participants were asked about their use of health care services, including conventional medicine practitioners and medications, complementary medicine practitioners, practices and products and the respective associated out-of-pocket expenditure for each. RESULTS: Amongst the total of 576 individuals who participated in the study, 39% consulted a doctor, 18% consulted an allied health practitioner, and 8% consulted a complementary medicine practitioner in the previous year for their stroke. Participants' average combined out-of-pocket expenditure for post-stroke related healthcare was AU$386.4 per annum. Extrapolated to all Australians with stroke, aged 55 years and over, the total out-of-pocket expenditure for post-stroke related healthcare is estimated to be AU$42 million per annum. CONCLUSIONS: Post-stroke individuals used a wide range of health services and various self-care practices for stroke rehabilitation. Such healthcare utilisation is associated with significant annual out-of-pocket expenditure. Given the socioeconomic burden of stroke, further research is required to identify the barriers and facilitators of self-care among patients with stroke and explore the cost-effectiveness of the wide range of treatments(s) utilised for post-stroke care.
dc.format	Electronic-eCollection
dc.language	eng
dc.publisher	PUBLIC LIBRARY SCIENCE
dc.relation	http://purl.org/au-research/grants/arc/FT140100195
dc.relation.ispartof	PLoS One
dc.relation.isbasedon	10.1371/journal.pone.0265907
dc.rights	info:eu-repo/semantics/openAccess
dc.subject.classification	General Science & Technology
dc.subject.mesh	Australia
dc.subject.mesh	Delivery of Health Care
dc.subject.mesh	Health Expenditures
dc.subject.mesh	Humans
dc.subject.mesh	Patient Acceptance of Health Care
dc.subject.mesh	Retrospective Studies
dc.subject.mesh	Survivors
dc.subject.mesh	Humans
dc.subject.mesh	Retrospective Studies
dc.subject.mesh	Survivors
dc.subject.mesh	Health Expenditures
dc.subject.mesh	Delivery of Health Care
dc.subject.mesh	Patient Acceptance of Health Care
dc.subject.mesh	Australia
dc.title	The health care utilisation and out-of-pocket expenditure associated with Australian stroke survivors aged 55 and over.
dc.type	Journal Article
utslib.citation.volume	17
utslib.location.activity	United States
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
pubs.organisational-group	/University of Technology Sydney/Strength - ARCCIM - Australian Research Centre in Complementary & Integrative Medicine
utslib.copyright.status	open_access	*
dc.date.updated	2022-10-13T04:11:16Z
pubs.issue	3
pubs.publication-status	Published online
pubs.volume	17
utslib.citation.issue	3

Abstract:

OBJECTIVE: Stroke is a major cause of mortality and disability worldwide. People with stroke have a number of options available to treat post-stroke related symptoms and challenges. The aim of this study was to assess the use of healthcare services, self-care practices and out-of-pocket expenses associated with post-stroke healthcare. METHODS: We retrospectively analysed data collected between April and October 2017 from a survey of 576 participants aged 55 to 96 from the 45 and Up Study, NSW (Australia), who had earlier reported a clinical diagnosis of stroke. Participants were asked about their use of health care services, including conventional medicine practitioners and medications, complementary medicine practitioners, practices and products and the respective associated out-of-pocket expenditure for each. RESULTS: Amongst the total of 576 individuals who participated in the study, 39% consulted a doctor, 18% consulted an allied health practitioner, and 8% consulted a complementary medicine practitioner in the previous year for their stroke. Participants' average combined out-of-pocket expenditure for post-stroke related healthcare was AU$386.4 per annum. Extrapolated to all Australians with stroke, aged 55 years and over, the total out-of-pocket expenditure for post-stroke related healthcare is estimated to be AU$42 million per annum. CONCLUSIONS: Post-stroke individuals used a wide range of health services and various self-care practices for stroke rehabilitation. Such healthcare utilisation is associated with significant annual out-of-pocket expenditure. Given the socioeconomic burden of stroke, further research is required to identify the barriers and facilitators of self-care among patients with stroke and explore the cost-effectiveness of the wide range of treatments(s) utilised for post-stroke care.

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http://hdl.handle.net/10453/162549