Annual out-of-pocket expenditure associated with healthcare use among Australian older women with osteoporosis: a cross-sectional study

Jon Adams; Jessica Bayes; Mahdie Hosseini; David Sibbritt

doi:10.1007/s11657-021-01021-5

Annual out-of-pocket expenditure associated with healthcare use among Australian older women with osteoporosis: a cross-sectional study

Arch Osteoporos. 2021 Oct 4;16(1):148. doi: 10.1007/s11657-021-01021-5.

Authors

Jon Adams¹, Jessica Bayes², Mahdie Hosseini¹, David Sibbritt¹

Affiliations

¹ School of Public Health, Faculty of Health, University of Technology Sydney, Building 10, 235 Jones Street, Ultimo 2007, Sydney, NSW, Australia.
² School of Public Health, Faculty of Health, University of Technology Sydney, Building 10, 235 Jones Street, Ultimo 2007, Sydney, NSW, Australia. Jessica.bayes@yahoo.com.

PMID: 34606032
DOI: 10.1007/s11657-021-01021-5

Abstract

This research aimed to determine the health care cost and utilisation of older Australian women with osteoporosis. A wide range of healthcare services were used and approximately AU$593.9 was spent over a 12-month period for these services. This highlights the significant cost burden of osteoporosis on the healthcare system.

Purpose: Osteoporosis is a common skeletal condition among women that has a considerable impact on quality of life. The purpose of this study is to determine the prevalence of healthcare use and to estimate associated out-of-pocket expenditure for the management of osteoporosis in older Australian women.

Methods: Data was obtained from 393 Australian women from the 45 and Up Study who had osteoporosis. The women were asked about healthcare use for their osteoporosis, including conventional medicine, complementary medicine, and self-care practices or self-care products, and associated out-of-pocket expenditure for that use over 12 months.

Results: The average age of participants was 72.0 years. Over a 12-month period, the majority of participants (72%) consulted a doctor for their osteoporosis, 24% consulted an allied health practitioner, and 20% consulted a complementary medicine practitioner. Participants had a mean of 6.8 consultations with healthcare practitioners in the previous 12 months for the osteoporosis. In addition, 46% participants used three or more types of complementary medicine products/practices in the previous 12 months. Overall, the participants incurred a (arithmetic) mean ofAU$594 (median = $350; inter-quartile range = $450) in out-of-pocket expenditure for healthcare use over the 12-month period.

Conclusions: Women with osteoporosis use a wide range of healthcare services that are associated with significant annual out-of-pocket expenditure. Preventive strategies can help decrease the cost burden of osteoporosis on the healthcare system.

Keywords: Complementary medicine; Healthcare; Osteoporosis; Out-of-pocket expenditure.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Aged
Australia / epidemiology
Cross-Sectional Studies
Delivery of Health Care
Female
Health Expenditures*
Humans
Osteoporosis* / epidemiology
Quality of Life