How Are Household Economic Circumstances Affected After a Stroke? The Psychosocial Outcomes In StrokE (POISE) Study

Essue, Beverley M; Hackett, Maree L.; Li, Qiang; Glozier, Nick; Lindley, Richard I.; Jan, Stephen

doi:10.1161/strokeaha.112.666453

Cited by 21 publications

(12 citation statements)

References 9 publications

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“…We collected data on participants' age, sex, marital status, country of residence, highest level of education attained, employment status, recent experience of economic hardship whether in the previous 12 months they were unable to make any necessary household payments (eg, food, housing) or needed assistance to do so, 19,20 annual household income, and health insurance status. In terms of clinical characteristics, cancer site, and TNM tumor stage were obtained from medical records.…”

Section: Methodsmentioning

confidence: 99%

Financial catastrophe, treatment discontinuation and death associated with surgically operable cancer in South-East Asia: Results from the ACTION Study

2015

Surgery

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Section: Methodsmentioning

confidence: 99%

Financial catastrophe, treatment discontinuation and death associated with surgically operable cancer in South-East Asia: Results from the ACTION Study

2015

Surgery

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“…[5][6][7][8][9] Each additional chronic disease adds 46% to the likelihood that a person faces severe financial difficulties, often compounding existing levels of financial stress. 10,11 What is the impact of increasing co-payments on healthcare access and outcomes?…”

Section: What Out-of-pocket Expenditures Do Australian Health Consumementioning

confidence: 99%

“…20,21 Gap payments and PBS co-payments impact most significantly on the poor -those who are most likely to suffer ill health in the first place. [5][6][7][8]22 The empirical evidence evaluating the effect of co-payment on healthcare demand clearly identifies that individuals with lower incomes reduce their use of healthcare services to a greater extent in response to increased copayments. 20,21 Limited empirical evidence exists to analyse the long-term health effects of co-payments for health care, 20 although there is some indication that reduced access and utilisation of otherwise cost-effective health care result from higher co-payments, particularly among those with chronic illnesses.…”

Section: What Out-of-pocket Expenditures Do Australian Health Consumementioning

confidence: 99%

Co-payments for health care: what is their real cost?

Laba

Usherwood

Leeder

et al. 2015

Aust. Health Review

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Abstract. Based on the premise that current trends in healthcare spending are unsustainable, the Australian Government has proposed in the recent Budget the introduction of a compulsory $7 co-payment to visit a General Practitioner (GP), alongside increased medication copayments. This paper is based on a recent submission to the Senate Inquiry into the impact of out-of-pocket costs in Australia. It is based on a growing body of evidence highlighting the substantial economic burden faced by individuals and families as a result of out-of-pocket costs for health care and their flow-on effects on healthcare access, outcomes and long-term healthcare costs. It is argued that a compulsory minimum co-payment for GP consultations will exacerbate these burdens and significantly undermine the tenets of universal access in Medicare. Alternative recommendations are provided that may help harness unsustainable health spending while promoting an equitable and fair health system.

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“…Stroke has potentially catastrophic economic and social consequences on individuals and their families [1,2]. A key element in achieving optimal recovery, returning to work and maintaining good quality of life, is the provision of multidisciplinary rehabilitation, with such services recommended in clinical guidelines in Australia [3,4] and internationally [5-8].…”

Section: Introductionmentioning

confidence: 99%

Are rehabilitation services following stroke accessed equitably in Australia?: findings from the psychosocial outcomes in stroke (POISE) cohort study

et al. 2013

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BackgroundStroke recovery is generally optimised through the provision of multidisciplinary rehabilitation. However not much is known about how equitably such services are utilised. This study examines the determinants of physiotherapy and speech therapy utilisation in rehabilitation within a cohort of young stroke survivors in Australia.MethodsPsychosocial Outcomes in StrokE (POISE) was a three-year prospective observational study involving stroke survivors between the ages of 18 and 65 years recruited within 28 days of stroke. It was conducted in 20 stroke units in Australia. Participants were interviewed at 28 days (baseline), 6 and 12 months after stroke about their demographic and socioeconomic background, economic and health outcomes and the use of services. The primary outcome in this paper is utilisation of rehabilitation in the 12 months after stroke.ResultsOf 414 participants, 254 (61%) used some rehabilitation in the 12 months post stroke. The strongest predictor of use of these rehabilitation services was dependency at 28 days, as assessed by need for assistance in activities of daily living (OR=33.1; p<0.0001). Other significant variables were two dimensions of social capital - an individuals’ ability to make important decisions, which had a negative relationship (OR = 0.43; p=0.04) and number of close friends (OR= 1.042; p=0.02).ConclusionThese findings demonstrate that socio-demographic factors exert little influence on the use of rehabilitation services in working age stroke patients and that the use of such services is primarily determined by 'need’. Such findings suggest that services are being provided equitably.Trial registrationANZCTRN12608000459325

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How Are Household Economic Circumstances Affected After a Stroke? The Psychosocial Outcomes In StrokE (POISE) Study

Abstract: Higher prestroke income did not buffer hardship after stroke nor did clinical, health service, or disability factors. Policies to reduce inequalities after stroke would be best aimed at socioeconomic targets.

Cited by 21 publications

References 9 publications

Financial catastrophe, treatment discontinuation and death associated with surgically operable cancer in South-East Asia: Results from the ACTION Study

Financial catastrophe, treatment discontinuation and death associated with surgically operable cancer in South-East Asia: Results from the ACTION Study

Co-payments for health care: what is their real cost?

Are rehabilitation services following stroke accessed equitably in Australia?: findings from the psychosocial outcomes in stroke (POISE) cohort study

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