Sources of variation in the costs of health care for asthma patients in Australia

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dc.contributor.author Kenny, Patricia en_US
dc.contributor.author Hall, Jane en_US
dc.contributor.author King, Madeleine en_US
dc.contributor.author Lancsar, Emily en_US
dc.contributor.editor en_US
dc.date.accessioned 2010-05-28T09:53:21Z
dc.date.available 2010-05-28T09:53:21Z
dc.date.issued 2009 en_US
dc.identifier 2008000660 en_US
dc.identifier.citation Kenny Patsy et al. 2009, 'Sources of variation in the costs of health care for asthma patients in Australia', Royal Society of Medicine Press Ltd, vol. 14, no. 3, pp. 133-140. en_US
dc.identifier.issn 1355-8196 en_US
dc.identifier.other C1 en_US
dc.identifier.uri http://hdl.handle.net/10453/9995
dc.description.abstract Objectives: Individuals with chronic conditions, such as asthma, on average incur high health care costs, though good control can reduce costs and improve health outcomes. However, there may be substantial variation between patients in their use of services and therefore costs. Our objective was to investigate the sources of such variation in health system and out-of-pocket costs for people with asthma. Methods: A longitudinal observational study of 252 people with asthma in New South Wales, Australia, followed for three years, using six-monthly postal surveys and individual administrative data. Factors associated with costs were investigated using generalized linear mixed models. Results: There was substantial variability in costs between individuals but relatively little within-person change over time for the majority. Costs to the health system and out-of-pocket costs were higher with increasing asthma-related health problems and increasing age. Health system costs were less for patients living outside the state capital (Sydney) and for those in the middle income group relative to high and low income groups. Conclusions: Those with poorly-controlled asthma and the elderly require more carefully targeted strategies to improve their health and ensure appropriate use of resources. Access to appropriate services for those living outside of major cities should be improved. Co-payments for the middle-income groups and those living outside major cities should be reduced to improve equity in the use of services. en_US
dc.language en_US
dc.publisher Royal Society of Medicine Press Ltd en_US
dc.relation.hasversion Accepted manuscript version en_US
dc.relation.isbasedon http://dx.doi.org/10.1258/jhsrp.2008.008078 en_US
dc.title Sources of variation in the costs of health care for asthma patients in Australia en_US
dc.parent Journal of Health Services Research & Policy en_US
dc.journal.volume 14 en_US
dc.journal.number 3 en_US
dc.publocation London, UK en_US
dc.identifier.startpage 133 en_US
dc.identifier.endpage 140 en_US
dc.cauo.name BUS.Centre for Health Economics Research and Evaluation en_US
dc.conference Verified OK en_US
dc.for 111700 en_US
dc.personcode 106668 en_US
dc.personcode 020116 en_US
dc.personcode 020118 en_US
dc.personcode 104463 en_US
dc.percentage 100 en_US
dc.classification.name Public Health and Health Services 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 NA en_US
dc.staffid 104463 en_US


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