دورية أكاديمية
Healthcare costs following falls and cataract surgery in older adults using Australian linked health data from 2012-2019.
| العنوان: | Healthcare costs following falls and cataract surgery in older adults using Australian linked health data from 2012-2019. |
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| المؤلفون: | Huang-Lung J; School of Optometry and Vision Science, Faculty of Medicine and Health, UNSW Sydney, Australia; The George Institute for Global Health, UNSW Sydney, Australia; jessie.huang@unsw.edu.au., Chun Ho K; School of Optometry and Vision Science, Faculty of Medicine and Health, UNSW Sydney, Australia; Discipline of Optometry and Vision Science, Faculty of Health, University of Canberra, ACT, Australia., Lung T; The George Institute for Global Health, UNSW Sydney, Australia; School of Public Health, Faculty of Medicine and Health, University of Sydney, NSW, Australia., Palagyi A; The George Institute for Global Health, UNSW Sydney, Australia., McCluskey P; Save Sight Institute, Faculty of Medicine and Health, University of Sydney, NSW, Australia., White AJ; DSchool of Optometry and Vision Science, Faculty of Medicine and Health, UNSW Sydney, Australia; Centre for Vision Research, Westmead Institute for Medical Research, Sydney, NSW, Australia., Boufous S; Transport and Road Safety Research, School of Aviation, Faculty of Science, UNSW Sydney, Australia., Keay L; School of Optometry and Vision Science, Faculty of Medicine and Health, UNSW Sydney, Australia; The George Institute for Global Health, UNSW Sydney, Australia. |
| المصدر: | Public health research & practice [Public Health Res Pract] 2024 Jun 19; Vol. 34 (2). Date of Electronic Publication: 2024 Jun 19. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Sax Institute Country of Publication: Australia NLM ID: 101648133 Publication Model: Electronic Cited Medium: Internet ISSN: 2204-2091 (Electronic) Linking ISSN: 22042091 NLM ISO Abbreviation: Public Health Res Pract Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Ultimo, NSW : Sax Institute, [2014]- |
| مواضيع طبية MeSH: | Accidental Falls*/statistics & numerical data , Accidental Falls*/economics , Cataract Extraction*/economics , Cataract Extraction*/statistics & numerical data , Health Care Costs*/statistics & numerical data, Humans ; Aged ; Male ; Female ; Prospective Studies ; Aged, 80 and over ; New South Wales ; Australia ; Cataract/economics ; Cohort Studies |
| مستخلص: | Objectives: To investigate publicly funded healthcare costs according to faller status and the periods pre- and post-cataract surgeries, and identify factors associated with higher monthly costs in older people with bilateral cataract. Methods: This prospective cohort study included community-dwelling older people aged 65 and over (between 2012 and 2019); at baseline participants had bilateral cataract and were waiting for cataract surgery in New South Wales (NSW) public hospitals. Participants were followed for 24 months. The study used self-reported and linked data (Medicare Benefits Schedule, Pharmaceutical Benefits Scheme, NSW Admitted Patient and Emergency Department Data Collections) to identify falls, cataract surgeries and healthcare costs incurred by the Australian and NSW Governments, all costs were inflated to 2018-19 Australian dollars (AUD). Median monthly healthcare costs were calculated for faller status (non-faller, non-medically treated faller, medically treated faller) and surgery periods (pre-surgery, post-first surgery, post-second surgery). Costs in the 30 days following a medically treated fall were estimated. A generalised linear model was used to investigate predictors of healthcare costs. Results: During the median follow-up period of 24 months, 274 participants suffered 448 falls, with 95 falls requiring medical treatment. For medically treated falls, the mean cost in the 30 days after treatment was A$3779 (95% confidence interval $2485, $5074). Higher monthly healthcare costs were associated with a higher number of medications, being of the male sex, having one or more medically treated falls and having bilateral cataract surgery. After excluding the cost of cataract surgery, there were no significant differences in healthcare costs between the pre-cataract surgery, post-first eye cataract surgery and post-second eye cataract surgery periods. Conclusions: To our knowledge, this is the first study investigating publicly funded costs related to falls and cataract surgery in older people with bilateral cataract. This information enhances our understanding of healthcare costs in this group. The patterns in costs associated with falls can guide future government healthcare expenditure on falls treatment and prevention, including timely cataract surgery. Competing Interests: None declared. |
| تواريخ الأحداث: | Date Created: 20231113 Date Completed: 20240618 Latest Revision: 20240618 |
| رمز التحديث: | 20240619 |
| DOI: | 10.17061/phrp33342311 |
| PMID: | 37956990 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2204-2091 |
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| DOI: | 10.17061/phrp33342311 |