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Substantial out-of-pocket expenditure on maternity care practitioner consultations and treatments during pregnancy: estimates from a nationally-representative sample of pregnant women in Australia.
BMC Pregnancy Childbirth. 2017 04 12; 17(1):114.BP

Abstract

BACKGROUND

A wide range of health care options are utilised by pregnant women in Australia. The out-of-pocket costs of maternity care in Australia vary depending on many factors including model of care utilised, health insurance coverage, and women's decision to access health services outside of conventional maternity care provision.

METHODS

Women from the 1973-78 cohort of the Australian Longitudinal Study on Women's Health (ALSWH) who identified as pregnant or as recently having given birth in 2009 were invited to complete a sub-study questionnaire investigating health service utilisation during their most recent pregnancy.

RESULTS

A total of 1,835 women agreed to participate in the sub-study. The majority of women (99.8%) consulted with a conventional health care practitioner during pregnancy, 49.4% consulted with a complementary and alternative medicine practitioner at least once during pregnancy and 89.6% of the women used a complementary and alternative medicine product. Women reported an average of AUD$781.10 in out-of-pocket expenses for consultations with conventional health care practitioners, AUD$185.40 in out-of-pocket expenses for consultations with complementary and alternative medicine practitioners and AUD$179.60 in out-of-pocket expenses for complementary and alternative medicine products. From the study data we estimate Australian pregnant women spend over AUD$337 M on out-of-pocket health services.

CONCLUSION

While the majority of pregnant women in Australia may obtain health services via the publically-funded health care system and/or private health insurance coverage, our analysis identifies substantial out-of-pocket expenditure for health care by pregnant women - a trend in public spending for maternity care of importance to policy makers, health administrators, and health professionals.

Authors+Show Affiliations

Australian Research Centre in Complementary and Integrative Medicine (ARCCIM), Faculty of Health, University of Technology Sydney, Ultimo, NSW, Australia.Australian Research Centre in Complementary and Integrative Medicine (ARCCIM), Faculty of Health, University of Technology Sydney, Ultimo, NSW, Australia. amie.steel@uts.edu.au. Office of Research, Endeavour College of Natural Health, Level 2, 269 Wickham St, Fortitude Valley, QLD, Australia, 4006. amie.steel@uts.edu.au.Australian Research Centre in Complementary and Integrative Medicine (ARCCIM), Faculty of Health, University of Technology Sydney, Ultimo, NSW, Australia.School of Social Sciences, The University of New South Wales, Sydney, Australia.Australian Research Centre in Complementary and Integrative Medicine (ARCCIM), Faculty of Health, University of Technology Sydney, Ultimo, NSW, Australia.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28403816

Citation

Adams, Jon, et al. "Substantial Out-of-pocket Expenditure On Maternity Care Practitioner Consultations and Treatments During Pregnancy: Estimates From a Nationally-representative Sample of Pregnant Women in Australia." BMC Pregnancy and Childbirth, vol. 17, no. 1, 2017, p. 114.
Adams J, Steel A, Frawley J, et al. Substantial out-of-pocket expenditure on maternity care practitioner consultations and treatments during pregnancy: estimates from a nationally-representative sample of pregnant women in Australia. BMC Pregnancy Childbirth. 2017;17(1):114.
Adams, J., Steel, A., Frawley, J., Broom, A., & Sibbritt, D. (2017). Substantial out-of-pocket expenditure on maternity care practitioner consultations and treatments during pregnancy: estimates from a nationally-representative sample of pregnant women in Australia. BMC Pregnancy and Childbirth, 17(1), 114. https://doi.org/10.1186/s12884-017-1297-5
Adams J, et al. Substantial Out-of-pocket Expenditure On Maternity Care Practitioner Consultations and Treatments During Pregnancy: Estimates From a Nationally-representative Sample of Pregnant Women in Australia. BMC Pregnancy Childbirth. 2017 04 12;17(1):114. PubMed PMID: 28403816.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Substantial out-of-pocket expenditure on maternity care practitioner consultations and treatments during pregnancy: estimates from a nationally-representative sample of pregnant women in Australia. AU - Adams,Jon, AU - Steel,Amie, AU - Frawley,Jane, AU - Broom,Alex, AU - Sibbritt,David, Y1 - 2017/04/12/ PY - 2016/10/05/received PY - 2017/03/28/accepted PY - 2017/4/14/entrez PY - 2017/4/14/pubmed PY - 2017/10/24/medline KW - Complementary and alternative medicine KW - Economics KW - Pregnancy SP - 114 EP - 114 JF - BMC pregnancy and childbirth JO - BMC Pregnancy Childbirth VL - 17 IS - 1 N2 - BACKGROUND: A wide range of health care options are utilised by pregnant women in Australia. The out-of-pocket costs of maternity care in Australia vary depending on many factors including model of care utilised, health insurance coverage, and women's decision to access health services outside of conventional maternity care provision. METHODS: Women from the 1973-78 cohort of the Australian Longitudinal Study on Women's Health (ALSWH) who identified as pregnant or as recently having given birth in 2009 were invited to complete a sub-study questionnaire investigating health service utilisation during their most recent pregnancy. RESULTS: A total of 1,835 women agreed to participate in the sub-study. The majority of women (99.8%) consulted with a conventional health care practitioner during pregnancy, 49.4% consulted with a complementary and alternative medicine practitioner at least once during pregnancy and 89.6% of the women used a complementary and alternative medicine product. Women reported an average of AUD$781.10 in out-of-pocket expenses for consultations with conventional health care practitioners, AUD$185.40 in out-of-pocket expenses for consultations with complementary and alternative medicine practitioners and AUD$179.60 in out-of-pocket expenses for complementary and alternative medicine products. From the study data we estimate Australian pregnant women spend over AUD$337 M on out-of-pocket health services. CONCLUSION: While the majority of pregnant women in Australia may obtain health services via the publically-funded health care system and/or private health insurance coverage, our analysis identifies substantial out-of-pocket expenditure for health care by pregnant women - a trend in public spending for maternity care of importance to policy makers, health administrators, and health professionals. SN - 1471-2393 UR - https://www.unboundmedicine.com/medline/citation/28403816/Substantial_out_of_pocket_expenditure_on_maternity_care_practitioner_consultations_and_treatments_during_pregnancy:_estimates_from_a_nationally_representative_sample_of_pregnant_women_in_Australia_ L2 - https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-017-1297-5 DB - PRIME DP - Unbound Medicine ER -