The household economic burden for acute coronary syndrome survivors in Australia.
BMC Health Serv Res
; 16(1): 636, 2016 11 08.
Article
em En
| MEDLINE
| ID: mdl-27825335
ABSTRACT
BACKGROUND:
Studies of chronic diseases are associated with a financial burden on households. We aimed to determine if survivors of acute coronary syndrome (ACS) experience household economic burden and to quantify any potential burden by examining level of economic hardship and factors associated with hardship.METHODS:
Australian patients admitted to hospital with ACS during 2-week period in May 2012, enrolled in SNAPSHOT ACS audit and who were alive at 18 months after index admission were followed-up via telephone/paper survey. Regression models were used to explore factors related to out-of-pocket expenses and economic hardship.RESULTS:
Of 1833 eligible patients at baseline, 180 died within 18 months, and 702 patients completed the survey. Mean out-of-pocket expenditure (n = 614) in Australian dollars was A$258.06 (median A$126.50) per month. The average spending for medical services was A$120.18 (SD A$310.35) and medications was A$66.25 (SD A$80.78). In total, 350 (51 %) of patients reported experiencing economic hardship, 78 (12 %) were unable to pay for medical services and 81 (12 %) could not pay for medication. Younger age (18-59 vs ≥80 years (OR) 1.89), no private health insurance (OR 2.04), pensioner concession card (OR 1.80), residing in more disadvantaged area (group 1 vs 5 (OR) 1.77), history of CVD (OR 1.47) and higher out-of-pocket expenses (group 4 vs 1 (OR) 4.57) were more likely to experience hardship.CONCLUSION:
Subgroups of ACS patients are experiencing considerable economic burden in Australia. These findings provide important considerations for future policy development in terms of the cost of recommended management for patients.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Gastos em Saúde
/
Sobreviventes
/
Síndrome Coronariana Aguda
Tipo de estudo:
Health_economic_evaluation
/
Prognostic_studies
Limite:
Adult
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Aged
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Aged80
/
Female
/
Humans
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Male
/
Middle aged
País/Região como assunto:
Oceania
Idioma:
En
Ano de publicação:
2016
Tipo de documento:
Article