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. 2013 Jan 10:14:5.
doi: 10.1186/1471-2369-14-5.

How are patients managing with the costs of care for chronic kidney disease in Australia? A cross-sectional study

Beverley M Essue  1 , Germaine Wong, Jeremy Chapman, Qiang Li, Stephen Jan
Affiliations

How are patients managing with the costs of care for chronic kidney disease in Australia? A cross-sectional study

Beverley M Essue et al. BMC Nephrol. .

Abstract

Background: Chronic kidney disease (CKD) poses a financial burden on patients and their households. This descriptive study measures the prevalence of economic hardship and out-of-pocket costs in an Australian CKD population.

Methods: A cross-sectional study of patients receiving care for CKD (stage III-V) in Western Sydney, Australia using a structured questionnaire. Data collection occurred between November 2010 and April 2011. Multivariate analyses assessed the relationships between economic hardship and individual, household and health system characteristics.

Results: The study included 247 prevalent CKD patients. A mean of AUD$907 per three months was paid out-of-pocket resulting in 71% (n=153) of participants experiencing financial catastrophe (out-of-pocket costs exceeding 10% of household income). Fifty-seven percent (n=140) of households reported economic hardship. The adjusted risk factors that decreased the likelihood of hardship included: home ownership (OR: 0.32, 95% CI: 0.14-0.71), access to financial resources (OR: 0.24, 95% CI: 0.11-0.50) and quality of life (OR: 0.12, 95% CI: 0.02-0.56). The factors that increased the likelihood of hardship included if income was negatively impacted by CKD (OR: 4.80, 95% CI: 2.17-10.62) and concessional status (i.e. receiving government support) (OR: 3.09, 95% CI: 1.38-6.91). Out-of-pocket costs and financial catastrophe were not found to be significantly associated with hardship in this analysis.

Conclusions: This study describes the poorer economic circumstances of households affected by CKD and reinforces the inter-relationships between chronic illness, economic well-being and quality of life for this patient population.

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Figures

Figure 1
Figure 1
Flow of participants into the study.
Figure 2
Figure 2
Proportion of participants reporting each indicator of hardship.
Figure 3
Figure 3
Mean out-of-pocket costs in the previous three months for each medical and health-related expense category by stage of illness.
See this image and copyright information in PMC

References

    1. Australian Institute of Health and Welfare. Health care expenditure on chronic kidney disease in Australia. Canberra: AIHW; 2009. p. 117. Cat. no. PHE.
    1. Baboolal K, McEwan P, Sondhi S. The cost of renal dialysis in a UK setting—a multicentre study. Nephrol Dial Transplant. 2008;23:1982–1989. doi: 10.1093/ndt/gfm870. - DOI - PubMed
    1. Zelmer JL. The economic burden of end-stage renal disease in Canada. Kidney Int. 2007;72:1122–1129. doi: 10.1038/sj.ki.5002459. - DOI - PubMed
    1. Australian Institute of Health and Welfare. Health expenditure Australia: 2010–11. Health and welfare expenditure series no. 47. Cat. no. HWE 56. Canberra: AIHW; 2012.
    1. Australian Institute of Health and Welfare. Dialysis and kidney transplantation in Australia: 1991–2010. Canberra: AIHW; 2012. Cat. no. PHE 162.

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