Real price of health-experiences of out-of-pocket costs in Australia: protocol for a systematic review
Introduction Australians have substantial out-of-pocket (OOP) health costs compared with other developed nations, even with universal health insurance coverage. This can significantly affect access to care and subsequent well-being, especially for priority populations including those on lower income...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2022-12-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/12/e065932.full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849314077394862080 |
|---|---|
| author | Anne Parkinson Danielle Butler Jane Desborough Vanessa Fanning Shelley Ting-Li Wang Hsei Di Law |
| author_facet | Anne Parkinson Danielle Butler Jane Desborough Vanessa Fanning Shelley Ting-Li Wang Hsei Di Law |
| author_sort | Anne Parkinson |
| collection | DOAJ |
| description | Introduction Australians have substantial out-of-pocket (OOP) health costs compared with other developed nations, even with universal health insurance coverage. This can significantly affect access to care and subsequent well-being, especially for priority populations including those on lower incomes or with multimorbidity and chronic illness. While it is known that high OOP healthcare costs may contribute to poorer health outcomes, it is not clear exactly how these expenses are experienced by people with chronic illnesses. Understanding this may provide critical insights into the burden of OOP costs among this population group and may highlight policy gaps.Method and analysis A systematic review of qualitative studies will be conducted using Pubmed, CINAHL Complete (EBSCO), Cochrane Library, PsycINFO (Ovid) and EconLit from date of inception to June 2022. Primary outcomes will include people’s experiences of OOP costs such as their preferences, priorities, trade-offs and other decision-making considerations. Study selection will follow the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and methodological appraisal of included studies will be assessed using the Critical Appraisal Skills Programme. A narrative synthesis will be conducted for all included studies.Ethics and dissemination Ethics approval was not required given this is a systematic review that does not include human recruitment or participation. The study’s findings will be disseminated through conferences and symposia and shared with consumers, policymakers and service providers, and published in a peer-reviewed journal.PROSPERO registration number CRD42022337538. |
| format | Article |
| id | doaj-art-bdc6fa94f3a54d5ba55772bbb67d0eb9 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2022-12-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-bdc6fa94f3a54d5ba55772bbb67d0eb92025-08-20T03:52:33ZengBMJ Publishing GroupBMJ Open2044-60552022-12-01121210.1136/bmjopen-2022-065932Real price of health-experiences of out-of-pocket costs in Australia: protocol for a systematic reviewAnne Parkinson0Danielle Butler1Jane Desborough2Vanessa Fanning3Shelley Ting-Li Wang4Hsei Di Law5National Centre for Epidemiology and Population Health, College of Health and Medicine, Australian National University, Canberra, Australian Capital Territory, Australiasenior research and policy officer4 Research School of Population Health, College of Health and Medicine, Australian National University, Canberra, Australian Capital Territory, Australia1 National Centre for Epidemiology and Population Health, College of Health and Medicine, Australian National University, Canberra, Australian Capital Territory, AustraliaSchool of Medicine and Psychology, Australian National University College of Health and Medicine, Canberra, Australian Capital Territory, AustraliaNational Centre for Epidemiology and Population Health, Australian National University College of Health and Medicine, Canberra, Australian Capital Territory, AustraliaIntroduction Australians have substantial out-of-pocket (OOP) health costs compared with other developed nations, even with universal health insurance coverage. This can significantly affect access to care and subsequent well-being, especially for priority populations including those on lower incomes or with multimorbidity and chronic illness. While it is known that high OOP healthcare costs may contribute to poorer health outcomes, it is not clear exactly how these expenses are experienced by people with chronic illnesses. Understanding this may provide critical insights into the burden of OOP costs among this population group and may highlight policy gaps.Method and analysis A systematic review of qualitative studies will be conducted using Pubmed, CINAHL Complete (EBSCO), Cochrane Library, PsycINFO (Ovid) and EconLit from date of inception to June 2022. Primary outcomes will include people’s experiences of OOP costs such as their preferences, priorities, trade-offs and other decision-making considerations. Study selection will follow the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and methodological appraisal of included studies will be assessed using the Critical Appraisal Skills Programme. A narrative synthesis will be conducted for all included studies.Ethics and dissemination Ethics approval was not required given this is a systematic review that does not include human recruitment or participation. The study’s findings will be disseminated through conferences and symposia and shared with consumers, policymakers and service providers, and published in a peer-reviewed journal.PROSPERO registration number CRD42022337538.https://bmjopen.bmj.com/content/12/12/e065932.full |
| spellingShingle | Anne Parkinson Danielle Butler Jane Desborough Vanessa Fanning Shelley Ting-Li Wang Hsei Di Law Real price of health-experiences of out-of-pocket costs in Australia: protocol for a systematic review BMJ Open |
| title | Real price of health-experiences of out-of-pocket costs in Australia: protocol for a systematic review |
| title_full | Real price of health-experiences of out-of-pocket costs in Australia: protocol for a systematic review |
| title_fullStr | Real price of health-experiences of out-of-pocket costs in Australia: protocol for a systematic review |
| title_full_unstemmed | Real price of health-experiences of out-of-pocket costs in Australia: protocol for a systematic review |
| title_short | Real price of health-experiences of out-of-pocket costs in Australia: protocol for a systematic review |
| title_sort | real price of health experiences of out of pocket costs in australia protocol for a systematic review |
| url | https://bmjopen.bmj.com/content/12/12/e065932.full |
| work_keys_str_mv | AT anneparkinson realpriceofhealthexperiencesofoutofpocketcostsinaustraliaprotocolforasystematicreview AT daniellebutler realpriceofhealthexperiencesofoutofpocketcostsinaustraliaprotocolforasystematicreview AT janedesborough realpriceofhealthexperiencesofoutofpocketcostsinaustraliaprotocolforasystematicreview AT vanessafanning realpriceofhealthexperiencesofoutofpocketcostsinaustraliaprotocolforasystematicreview AT shelleytingliwang realpriceofhealthexperiencesofoutofpocketcostsinaustraliaprotocolforasystematicreview AT hseidilaw realpriceofhealthexperiencesofoutofpocketcostsinaustraliaprotocolforasystematicreview |