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What is the healthcare utilisation and out-of-pocket expenditure associated with osteoarthritis? A cross-sectional study

OBJECTIVE: To examine the use and out-of-pocket expenses resulting from consultations, products and practices across conventional, self-care, and complementary medicine (CM) treatments for osteoarthritis (OA) among Australian women. DESIGN, SETTING AND PARTICIPANTS: A cross-sectional survey of 800 w...

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Autores principales: Sibbritt, David, Sundberg, Tobias, Ward, Lesley, Broom, Alex, Frawley, Jane, Bayes, Jessica, Adams, Jon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8915347/
https://www.ncbi.nlm.nih.gov/pubmed/35264358
http://dx.doi.org/10.1136/bmjopen-2021-055468
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author Sibbritt, David
Sundberg, Tobias
Ward, Lesley
Broom, Alex
Frawley, Jane
Bayes, Jessica
Adams, Jon
author_facet Sibbritt, David
Sundberg, Tobias
Ward, Lesley
Broom, Alex
Frawley, Jane
Bayes, Jessica
Adams, Jon
author_sort Sibbritt, David
collection PubMed
description OBJECTIVE: To examine the use and out-of-pocket expenses resulting from consultations, products and practices across conventional, self-care, and complementary medicine (CM) treatments for osteoarthritis (OA) among Australian women. DESIGN, SETTING AND PARTICIPANTS: A cross-sectional survey of 800 women from the 45 and Up Study who had reported a clinical diagnosis of OA. OUTCOME MEASURES: Women’s use of conventional, CM and self-prescribed treatments for OA and the associated out-of-pocket cost. RESULTS: Completed questionnaires were returned by 403 women (50.4%). Their average time since the first diagnosis of OA was 15.4 years, and self-rated severity of OA was 5.1 (out of 10) over the past 12 months. During the previous year, 67.0% of the women consulted a doctor, 39.2% consulted an allied health practitioner and 34.7% consulted a CM practitioner for their OA. Some women (19%) consulted with practitioner(s) from all three practitioner groups, 27% consulted with practitioner(s) from two of the three practitioner groups, while 6% consulted with a CM practitioner only. Women with a greater time since diagnosis had more consultations, as did women who rated their OA as more severe. Women’s average combined out-of-pocket expenditure for OA-related healthcare consultations, prescription medications, products, and practices was $673 per annum. Extrapolated to all Australian women with OA, aged 50 years and over, the total out-of-pocket expenditure for this condition is estimated to be $873 million per annum. CONCLUSIONS: Australian women with OA use a range of conventional and CM consultations, self-care, products and practices to manage their condition, incurring significant out-of-pocket expenses. Given the high individual and societal burden of OA, there is a need for further research into the concurrent use of different healthcare resources with a view to providing safe, cost-effective management of OA across the healthcare system and the wider community.
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spelling pubmed-89153472022-03-25 What is the healthcare utilisation and out-of-pocket expenditure associated with osteoarthritis? A cross-sectional study Sibbritt, David Sundberg, Tobias Ward, Lesley Broom, Alex Frawley, Jane Bayes, Jessica Adams, Jon BMJ Open Rheumatology OBJECTIVE: To examine the use and out-of-pocket expenses resulting from consultations, products and practices across conventional, self-care, and complementary medicine (CM) treatments for osteoarthritis (OA) among Australian women. DESIGN, SETTING AND PARTICIPANTS: A cross-sectional survey of 800 women from the 45 and Up Study who had reported a clinical diagnosis of OA. OUTCOME MEASURES: Women’s use of conventional, CM and self-prescribed treatments for OA and the associated out-of-pocket cost. RESULTS: Completed questionnaires were returned by 403 women (50.4%). Their average time since the first diagnosis of OA was 15.4 years, and self-rated severity of OA was 5.1 (out of 10) over the past 12 months. During the previous year, 67.0% of the women consulted a doctor, 39.2% consulted an allied health practitioner and 34.7% consulted a CM practitioner for their OA. Some women (19%) consulted with practitioner(s) from all three practitioner groups, 27% consulted with practitioner(s) from two of the three practitioner groups, while 6% consulted with a CM practitioner only. Women with a greater time since diagnosis had more consultations, as did women who rated their OA as more severe. Women’s average combined out-of-pocket expenditure for OA-related healthcare consultations, prescription medications, products, and practices was $673 per annum. Extrapolated to all Australian women with OA, aged 50 years and over, the total out-of-pocket expenditure for this condition is estimated to be $873 million per annum. CONCLUSIONS: Australian women with OA use a range of conventional and CM consultations, self-care, products and practices to manage their condition, incurring significant out-of-pocket expenses. Given the high individual and societal burden of OA, there is a need for further research into the concurrent use of different healthcare resources with a view to providing safe, cost-effective management of OA across the healthcare system and the wider community. BMJ Publishing Group 2022-03-08 /pmc/articles/PMC8915347/ /pubmed/35264358 http://dx.doi.org/10.1136/bmjopen-2021-055468 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Rheumatology
Sibbritt, David
Sundberg, Tobias
Ward, Lesley
Broom, Alex
Frawley, Jane
Bayes, Jessica
Adams, Jon
What is the healthcare utilisation and out-of-pocket expenditure associated with osteoarthritis? A cross-sectional study
title What is the healthcare utilisation and out-of-pocket expenditure associated with osteoarthritis? A cross-sectional study
title_full What is the healthcare utilisation and out-of-pocket expenditure associated with osteoarthritis? A cross-sectional study
title_fullStr What is the healthcare utilisation and out-of-pocket expenditure associated with osteoarthritis? A cross-sectional study
title_full_unstemmed What is the healthcare utilisation and out-of-pocket expenditure associated with osteoarthritis? A cross-sectional study
title_short What is the healthcare utilisation and out-of-pocket expenditure associated with osteoarthritis? A cross-sectional study
title_sort what is the healthcare utilisation and out-of-pocket expenditure associated with osteoarthritis? a cross-sectional study
topic Rheumatology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8915347/
https://www.ncbi.nlm.nih.gov/pubmed/35264358
http://dx.doi.org/10.1136/bmjopen-2021-055468
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