Healthcare expenditure on Indigenous and non-Indigenous Australians at high risk of cardiovascular disease

Blake Angell; Tracey-Lea Laba; Tom Lung; Alex Brown; Sandra Eades; Tim Usherwood; David Peiris; Laurent Billot; Graham Hillis; Ruth Webster; Andrew Tonkin; Christopher Reid; Barbara Molanus; Natasha Rafter; Alan Cass; Anushka Patel; Stephen Jan

doi:10.1186/s12939-017-0610-2

Healthcare expenditure on Indigenous and non-Indigenous Australians at high risk of cardiovascular disease

Blake Angell, Tracey-Lea Laba, Tom Lung, Alex Brown, Sandra Eades, Tim Usherwood, David Peiris, Laurent Billot, Graham Hillis, Ruth Webster, Andrew Tonkin, Christopher Reid, Barbara Molanus, Natasha Rafter, Alan Cass, Anushka Patel, Stephen Jan

Research output: Contribution to journal › Article › peer-review

7 Citations (Scopus)

Abstract

BACKGROUND: In spite of bearing a heavier burden of death, disease and disability, there is mixed evidence as to whether Indigenous Australians utilise more or less healthcare services than other Australians given their elevated risk level. This study analyses the Medicare expenditure and its predictors in a cohort of Indigenous and non-Indigenous Australians at high risk of cardiovascular disease.

METHODS: The healthcare expenditure of participants of the Kanyini Guidelines Adherence with the Polypill (GAP) pragmatic randomised controlled trial was modelled using linear regression methods. 535 adult (48% Indigenous) participants at high risk of cardiovascular disease (CVD) were recruited through 33 primary healthcare services (including 12 Aboriginal Medical Services) across Australia.

RESULTS: There was no significant difference in the expenditure of Indigenous and non-Indigenous participants in non-remote areas following adjustment for individual characteristics. Indigenous individuals living in remote areas had lower MBS expenditure ($932 per year P

CONCLUSION: The findings suggest that for the majority of participants, once individuals are engaged with a primary care provider, factors other than whether they are Indigenous determine the level of Medicare expenditure for each person.

TRIAL REGISTRATION: Australian New Zealand Clinical Trials Registry ACTRN 126080005833347.

Original language	English
Article number	108
Journal	International Journal for Equity in Health
Volume	16
Issue number	1
DOIs	https://doi.org/10.1186/s12939-017-0610-2
Publication status	Published - 23 Jun 2017
Externally published	Yes

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Angell, B., Laba, T.-L., Lung, T., Brown, A., Eades, S., Usherwood, T., Peiris, D., Billot, L., Hillis, G., Webster, R., Tonkin, A., Reid, C., Molanus, B., Rafter, N., Cass, A., Patel, A., & Jan, S. (2017). Healthcare expenditure on Indigenous and non-Indigenous Australians at high risk of cardiovascular disease. International Journal for Equity in Health , 16(1), Article 108. https://doi.org/10.1186/s12939-017-0610-2

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title = "Healthcare expenditure on Indigenous and non-Indigenous Australians at high risk of cardiovascular disease",

abstract = "BACKGROUND: In spite of bearing a heavier burden of death, disease and disability, there is mixed evidence as to whether Indigenous Australians utilise more or less healthcare services than other Australians given their elevated risk level. This study analyses the Medicare expenditure and its predictors in a cohort of Indigenous and non-Indigenous Australians at high risk of cardiovascular disease.METHODS: The healthcare expenditure of participants of the Kanyini Guidelines Adherence with the Polypill (GAP) pragmatic randomised controlled trial was modelled using linear regression methods. 535 adult (48% Indigenous) participants at high risk of cardiovascular disease (CVD) were recruited through 33 primary healthcare services (including 12 Aboriginal Medical Services) across Australia.RESULTS: There was no significant difference in the expenditure of Indigenous and non-Indigenous participants in non-remote areas following adjustment for individual characteristics. Indigenous individuals living in remote areas had lower MBS expenditure ($932 per year P CONCLUSION: The findings suggest that for the majority of participants, once individuals are engaged with a primary care provider, factors other than whether they are Indigenous determine the level of Medicare expenditure for each person.TRIAL REGISTRATION: Australian New Zealand Clinical Trials Registry ACTRN 126080005833347.",

author = "Blake Angell and Tracey-Lea Laba and Tom Lung and Alex Brown and Sandra Eades and Tim Usherwood and David Peiris and Laurent Billot and Graham Hillis and Ruth Webster and Andrew Tonkin and Christopher Reid and Barbara Molanus and Natasha Rafter and Alan Cass and Anushka Patel and Stephen Jan",

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Angell, B, Laba, T-L, Lung, T, Brown, A, Eades, S, Usherwood, T, Peiris, D, Billot, L, Hillis, G, Webster, R, Tonkin, A, Reid, C, Molanus, B, Rafter, N, Cass, A, Patel, A & Jan, S 2017, 'Healthcare expenditure on Indigenous and non-Indigenous Australians at high risk of cardiovascular disease', International Journal for Equity in Health , vol. 16, no. 1, 108. https://doi.org/10.1186/s12939-017-0610-2

TY - JOUR

T1 - Healthcare expenditure on Indigenous and non-Indigenous Australians at high risk of cardiovascular disease

AU - Angell, Blake

AU - Laba, Tracey-Lea

AU - Lung, Tom

AU - Brown, Alex

AU - Eades, Sandra

AU - Usherwood, Tim

AU - Peiris, David

AU - Billot, Laurent

AU - Hillis, Graham

AU - Webster, Ruth

AU - Tonkin, Andrew

AU - Reid, Christopher

AU - Molanus, Barbara

AU - Rafter, Natasha

AU - Cass, Alan

AU - Patel, Anushka

AU - Jan, Stephen

PY - 2017/6/23

Y1 - 2017/6/23

N2 - BACKGROUND: In spite of bearing a heavier burden of death, disease and disability, there is mixed evidence as to whether Indigenous Australians utilise more or less healthcare services than other Australians given their elevated risk level. This study analyses the Medicare expenditure and its predictors in a cohort of Indigenous and non-Indigenous Australians at high risk of cardiovascular disease.METHODS: The healthcare expenditure of participants of the Kanyini Guidelines Adherence with the Polypill (GAP) pragmatic randomised controlled trial was modelled using linear regression methods. 535 adult (48% Indigenous) participants at high risk of cardiovascular disease (CVD) were recruited through 33 primary healthcare services (including 12 Aboriginal Medical Services) across Australia.RESULTS: There was no significant difference in the expenditure of Indigenous and non-Indigenous participants in non-remote areas following adjustment for individual characteristics. Indigenous individuals living in remote areas had lower MBS expenditure ($932 per year P CONCLUSION: The findings suggest that for the majority of participants, once individuals are engaged with a primary care provider, factors other than whether they are Indigenous determine the level of Medicare expenditure for each person.TRIAL REGISTRATION: Australian New Zealand Clinical Trials Registry ACTRN 126080005833347.

AB - BACKGROUND: In spite of bearing a heavier burden of death, disease and disability, there is mixed evidence as to whether Indigenous Australians utilise more or less healthcare services than other Australians given their elevated risk level. This study analyses the Medicare expenditure and its predictors in a cohort of Indigenous and non-Indigenous Australians at high risk of cardiovascular disease.METHODS: The healthcare expenditure of participants of the Kanyini Guidelines Adherence with the Polypill (GAP) pragmatic randomised controlled trial was modelled using linear regression methods. 535 adult (48% Indigenous) participants at high risk of cardiovascular disease (CVD) were recruited through 33 primary healthcare services (including 12 Aboriginal Medical Services) across Australia.RESULTS: There was no significant difference in the expenditure of Indigenous and non-Indigenous participants in non-remote areas following adjustment for individual characteristics. Indigenous individuals living in remote areas had lower MBS expenditure ($932 per year P CONCLUSION: The findings suggest that for the majority of participants, once individuals are engaged with a primary care provider, factors other than whether they are Indigenous determine the level of Medicare expenditure for each person.TRIAL REGISTRATION: Australian New Zealand Clinical Trials Registry ACTRN 126080005833347.

U2 - 10.1186/s12939-017-0610-2

DO - 10.1186/s12939-017-0610-2

M3 - Article

C2 - 28645284

SN - 1475-9276

VL - 16

JO - International Journal for Equity in Health

JF - International Journal for Equity in Health

IS - 1

M1 - 108

ER -

Healthcare expenditure on Indigenous and non-Indigenous Australians at high risk of cardiovascular disease

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