Callander Emily J, Fox Haylee
Australian Institute of Tropical Health and Medicine (AITHM), James Cook University, Townsville, Queensland, Australia.
BMJ Open. 2018 Feb 6;8(2):e017816. doi: 10.1136/bmjopen-2017-017816.
The current literature in Australia demonstrates that there are variations in access and outcomes in perinatal care based on socioeconomic factors. However, little has been done looking at the level of out-of-pocket healthcare costs associated with perinatal care. The primary aim of this project will be to quantify health service use and out-of-pocket healthcare expenditure associated with childbearing and early childhood in Queensland, Australia.
This project will build Australia's first model (called Maternal & Child Cost MOD) of out-of-pocket healthcare expenditure by using administrative data from the Queensland Perinatal Data Collection, of all childbearing women and their resultant children, who gave birth in Queensland between 1 July 2012 and 30 June 2016.The current costs to the health system and out-of-pocket health care expenditure of patients associated with maternity and early childhood health care will be identified. The differences in costs based on indigenous identification, socioeconomic status and geographic location will be assessed using linear regression modelling and counterfactual modelling techniques.
Human Research Ethics approval has been obtained from Townsville Hospital and Health Service Human Research Ethics Committee (HREC) (HREC Reference number: HREC/16/QTHS/223). Consent will not be sought from participants whose de-identified data will be used in this study. Permission to waive consent has been gained from Queensland Health under the Public Health Act 2005.The results of this study will be disseminated through publications in peer-reviewed journals and through presentations at conferences, regionally and nationally. Our target audience is clinicians, health professionals and health policy-makers.
澳大利亚当前的文献表明，基于社会经济因素，围产期护理在可及性和结果方面存在差异。然而，对于与围产期护理相关的自付医疗费用水平的研究却很少。本项目的主要目的是量化澳大利亚昆士兰州与生育和幼儿期相关的医疗服务使用情况及自付医疗支出。
本项目将利用昆士兰围产期数据收集的行政数据，构建澳大利亚首个自付医疗支出模型（称为母婴成本模型），该数据涵盖了2012年7月1日至2016年6月30日期间在昆士兰州分娩的所有生育妇女及其所生孩子。将确定卫生系统的当前成本以及与孕产妇和幼儿期医疗保健相关的患者自付医疗支出。将使用线性回归模型和反事实建模技术评估基于原住民身份、社会经济地位和地理位置的成本差异。
已获得汤斯维尔医院和卫生服务人类研究伦理委员会（HREC）的人类研究伦理批准（HREC参考编号：HREC/16/QTHS/223）。对于本研究中使用其去识别数据的参与者，将不寻求其同意。根据2005年《公共卫生法》，已获得昆士兰州卫生部放弃同意的许可。本研究结果将通过在同行评审期刊上发表以及在地区和全国性会议上进行报告的方式进行传播。我们的目标受众是临床医生、卫生专业人员和卫生政策制定者。
