Table 3.
Resource utilization, government costs and out of pocket costs by cost category for a 12-month period for persons with IPF in Australia
| Resource utilisation | Costs | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Total (n) | Mean per person (95% CI) | Range per person | Mean government costs per person (95% CI) ($) | Mean OOP costs per person (95% CI) ($) | Overall mean costs per person (95% CI) ($) | Total government burden (95% CI) ($ millions) | Total OOP burden (95% CI) ($ millions)) | Total overall burden (95% CI) ($ millions) | |
| Medical services | |||||||||
| Medication (prescriptions) | |||||||||
| Antifibrotic | 1010 | 6 (5–7) | 1–22 | 19,255 (16,158–22,715) | 86 (65–116) | 19,340 (16,238–22,809) | 182 (153–215) | 0.8 (0.6–1.0) | 183 (154–216) |
| Other respiratory | 548 | 3 (2–5) | 1–51 | 199 (114–472) | 32 (21–50) | 232 (144–516) | 1.8 (1.1–4.5) | 0.3 (0.2–0.5) | 2.2 (1.4–4.9) |
| Medications for comorbidities | 7763 | 48 (42–54) | 2–172 | 1,755 (1,235–2,760) | 391 (331–472) | 2,146 (1,602–3,214) | 16.6 (11.7–26.1) | 3.7 (3.1–4.5) | 20.3 (15.2–30.4) |
| Non-prescription | 138 | 1 (0–1) | 1–7 | – | 148 (101–236) | 148 (101–236) | – | 1.4 (1.0–2.2) | 1.4 (1.0–2.2) |
| Healthcare professionals (visits) | |||||||||
| General practitioners | 2704 | 17 (15–19) | 3–63 | 952 (845–1,072) | 65 (52–91) | 1,021 (917–1,140) | 9.0 (8.0–10.1) | 0.6 (0.5–0.9) | 9.7 (8.7–10.8) |
| Specialists | 1397 | 9 (7–13) | 1–176 | 820 (576–1,873) | 261 (208–353) | 1,081 (798–2,079) | 7.7 (5.4–17.7) | 2.5 (2.0–3.3) | 10.2(7.5–19.7) |
| Nursing services | 186 | 1 (1–2) | 1–11 | 15 (11–19) | – | 15 (11–19) | 0.1 (0.1–0.2) | – | 0.1 (0.1–0.2) |
| Allied professionals | 316 | 2 (1–3) | 1–19 | 94 (71–128) | 17 (9–35) | 138 (100–200) | 0.8 (0.6–1.2) | 0.2 (0.1–0.3) | 1.3 (0.9–1.9) |
|
Medical tests and procedures (tests/procedures) |
|||||||||
| Diagnostic tests | 4812 | 30 (26–36) | 1–302 | 543 (466–707) | 71 (44–118) | 614 (517–805) | 5.1 (4.4–6.7) | 0.7(0.4–1.1) | 5.8(4.9–7.6) |
| IPF diagnostics and procedures | 394 | 2 (2–3) | 1–13 | 290 (252–334) | 17 (10–28) | 306 (267–352) | 2.7 (2.4–3.2) | 0.2 (0.1–0.3) | 2.9 (2.5–3.3) |
| Non-IPF diagnostics and procedures | 721 | 4 (4–5) | 1–30 | 482 (392–627) | 54 (36–91) | 536 (436–708) | 4.6 (3.7–5.9) | 0.5(0.3–0.9) | 5.1(4.1–6.7) |
| Hospital (visits/admissions) | |||||||||
| Emergency department | 75 | 1 (0–1) | 1–8 | 429 (295–642) | – | 429 (295–642) | 4.1 (2.8–6.1) | – | 4.1 (2.8–6.1) |
| Admissions | 106 | 1 (0–1) | 1–10 | 3,491 (2,199–5,871) | 535 (298–1,073) | 4,026 (2,590–6,483) | 33.0 (20.8–55.5) | 5.1 (2.8–10.2) | 38.1 (24.5–61.3) |
| Equipment | 80 | 1 (0–1) | 1–16 | 484 (197–1,258) | 649 (364–1,138) | 1,134 (676–2,025) | 4.6 (1.9–11.9) | 6.1 (3.4–10.8) | 10.7(6.4–19.2) |
| Total | 28,836 (25,144–32,913) | 2,182 (1,708–2,869) | 31,018 (27,260–35,283) | 273 (238–311) | 20.6 (16.2–27.1) | 293 (258–334) | |||
| Non-medical services | |||||||||
| Community services (hours) | 76 | 1 (0–1) | 1–16 | 132 (79–239) | 157 (93–290) | 289 (173–529) | 1.2 (0.7–26.1) | 1.5(0.9–2.7) | 2.7(1.6–5.0) |
| Transportation (km) | 10,275 | 64 (41–104) | 5–1,420 | – | 347 (197–786) | 347 (197–786) | – | 3.3 (1.9–7.4) | 3.3 (1.9–7.4) |
| Total | 132 (79–239) | 505 (325–951) | 637 (420–1,101) | 1.2 (0.7–26.1) | 4.8 (3.1–9.0) | 6.0 (4.0–10.4) | |||
| Overall total costs | 28,968 (25.238–33,084) | 2,687 (2,148–3,478) | 31,655 (27,723–35,757) | 274 (239–313) | 25.4 (20.3–32.9) | 299 (262–338) | |||
n number, SD Standard deviation, IQR interquartile range, CI confidence intervals, OOP out of pocket, $ Australian dollars, km kilometers