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Clinical Variation in Common Surgical Procedures in Australia: Implications for Health Expenditure

Rawlings, Louise; O'Shaughnessy, Pauline; Robson, Stephen

Description

Payments for surgical procedures through the Australian Medical Benefits Scheme (MBS) have a large effect on health budgets. We sought to evaluate the magnitude of surgical variation in five common surgical procedures: endometrial ablation; tonsillectomy in children; laparoscopic herniorraphy; cholecystectomy; and, knee arthroscopy. Methods: The MBS funds only a proportion of treatment costs affecting the potential affordability of surgery according to socio-economic factors. We hypothesised...[Show more]

dc.contributor.authorRawlings, Louise
dc.contributor.authorO'Shaughnessy, Pauline
dc.contributor.authorRobson, Stephen
dc.date.accessioned2021-05-24T23:30:46Z
dc.date.available2021-05-24T23:30:46Z
dc.identifier.issn2578-9295
dc.identifier.urihttp://hdl.handle.net/1885/233755
dc.description.abstractPayments for surgical procedures through the Australian Medical Benefits Scheme (MBS) have a large effect on health budgets. We sought to evaluate the magnitude of surgical variation in five common surgical procedures: endometrial ablation; tonsillectomy in children; laparoscopic herniorraphy; cholecystectomy; and, knee arthroscopy. Methods: The MBS funds only a proportion of treatment costs affecting the potential affordability of surgery according to socio-economic factors. We hypothesised that lower rates of unemployment, higher average weekly earnings, a higher proportion of the population with private health insurance, and a higher percentage of the population in higher socio-economic brackets would be associated with a higher uptake of the procedures. Since surgery is more likely to be accessible in capital cities or larger regional centres, we also hypothesised that geographical isolation would be associated with lower access to surgical procedures. The relationship between surgical uptake and socio-economic factors was examined using linear regression and double bootstrap was used for statistical inference in an assumption-lean regression setting. Conclusion: We identified clinical variation in four of the five procedures studied. This variation was not associated with affordability or geographical access factors.
dc.format.mimetypeapplication/pdf
dc.language.isoen_AU
dc.publisherScience Publishing Group
dc.rights© 2017 The Author(s)
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.sourceInternational Journal of Health Economics and Policy
dc.subjectJournal confirmed as having a peer review process but not an ISSN.
dc.titleClinical Variation in Common Surgical Procedures in Australia: Implications for Health Expenditure
dc.typeJournal article
local.description.notesImported from ARIES
local.identifier.citationvolume2
dc.date.issued2017
local.identifier.absfor111404 - Reproduction
local.identifier.ariespublicationu4860843xPUB413
local.publisher.urlhttp://www.sciencepublishinggroup.com/journal/index?journalid=288
local.type.statusPublished Version
local.contributor.affiliationRawlings, Louise, College of Asia and the Pacific, ANU
local.contributor.affiliationO'Shaughnessy (Ding), Yao (Pauline), College of Science, ANU
local.contributor.affiliationRobson, Stephen, College of Health and Medicine, ANU
local.identifier.essn2578-9309
local.bibliographicCitation.issue2
local.bibliographicCitation.startpage72
local.bibliographicCitation.lastpage81
local.identifier.doi10.11648/j.hep.20170202.15
dc.date.updated2022-03-13T07:17:42Z
dcterms.accessRightsOpen Access
dc.provenanceThis article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
dc.rights.licenseCreative Commons Attribution License
CollectionsANU Research Publications

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