Cost and utilisation of healthcare resources during rehabilitation after ankle fracture are not linked to health insurance, income, gender, or pain: An observational study

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dc.contributor.author Lin, C-WC
dc.contributor.author Haas, M
dc.contributor.author Moseley, AM
dc.contributor.author Herbert, RD
dc.contributor.author Refshauge, KM
dc.date.accessioned 2010-05-28T09:50:34Z
dc.date.issued 2008
dc.identifier.citation Australian Journal of Physiotherapy, 2008, 54 (3), pp. 201 - 208
dc.identifier.issn 0004-9514
dc.identifier.other C1 en_US
dc.identifier.uri http://hdl.handle.net/10453/9579
dc.description.abstract Question: What are the costs and utilisation of healthcare resources, their determinants, and quality of life for people attending outpatient physiotherapy after ankle fracture? Design: Longitudinal observational study. Participants: Ninety-four adults (2 dropouts) following cast removal after isolated ankle fracture attending outpatient physiotherapy at three hospitals in Sydney, Australia. Outcome measures: Costs incurred (direct healthcare costs and out-of-pocket costs) and utilisation of healthcare system resources were measured at 4, 8, 12, 16, 20, and 24 weeks. Quality of life was measured shortly after cast removal and at 4, 12, and 24 weeks. Factors known to influence costs and utilisation in other conditions (private health insurance, income level, gender, and pain) were also measured. Results: The total cost per person was AUD 735 (SD 876) over 24 weeks. Outpatient physiotherapy accounted for the highest costs in both direct healthcare (39%) and out-of-pocket (42%) costs. Less than 20% of participants sought private non-medical care in addition to receiving outpatient physiotherapy. None of the factors investigated had a significant influence on costs and utilisation. Quality of life score improved over the 24 weeks by a mean of 6.1 points out of 45 (95% CI 5.2 to 6.9), with most of the improvement occurring in the domain of independent living. Conclusion: Information on costs and utilisation of healthcare resources can be used to plan health services, eg, the number of physiotherapy sessions required after ankle fracture. Private health insurance, income level, gender, or pain did not influence the costs or the decision behind seeking care over and above publicly-provided physiotherapy. © Australian Physiotherapy Association 2008.
dc.language eng
dc.title Cost and utilisation of healthcare resources during rehabilitation after ankle fracture are not linked to health insurance, income, gender, or pain: An observational study
dc.type Journal Article
dc.parent Australian Journal of Physiotherapy
dc.journal.volume 3
dc.journal.volume 54
dc.journal.number 3 en_US
dc.publocation Australia en_US
dc.identifier.startpage 201 en_US
dc.identifier.endpage 208 en_US
dc.cauo.name BUS.Centre for Health Economics Research and Evaluation en_US
dc.conference Verified OK en_US
dc.for 110317 Physiotherapy
dc.personcode 020119
dc.percentage 100 en_US
dc.classification.name Physiotherapy en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US
dc.date.activity en_US
dc.location.activity en_US
dc.description.keywords Ankle injuries
dc.description.keywords Bone
dc.description.keywords Cost and cost analysis
dc.description.keywords Fractures
dc.description.keywords Physiotherapy (specialty)
dc.description.keywords Quality of life
pubs.embargo.period Not known
pubs.organisational-group /University of Technology Sydney
pubs.organisational-group /University of Technology Sydney/Faculty of Business
pubs.organisational-group /University of Technology Sydney/Strength - Health Economics and Research Evaluation
utslib.copyright.status Closed Access
utslib.copyright.date 2015-04-15 12:17:09.805752+10
pubs.consider-herdc true
utslib.collection.history Closed (ID: 3)


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