44 research outputs found
Healthcare expenditure on Indigenous and non-Indigenous Australians at high risk of cardiovascular disease
Background: In spite of bearing a heavier burden of death, disease and disability, there is mixed evidence as to whether Indigenous Australians utilise more or less healthcare services than other Australians given their elevated risk level. This study analyses the Medicare expenditure and its predictors in a cohort of Indigenous and non-Indigenous Australians at high risk of cardiovascular disease. Methods: The healthcare expenditure of participants of the Kanyini Guidelines Adherence with the Polypill (GAP) pragmatic randomised controlled trial was modelled using linear regression methods. 535 adult (48% Indigenous) participants at high risk of cardiovascular disease (CVD) were recruited through 33 primary healthcare services (including 12 Aboriginal Medical Services) across Australia. Results: There was no significant difference in the expenditure of Indigenous and non-Indigenous participants in non-remote areas following adjustment for individual characteristics. Indigenous individuals living in remote areas had lower MBS expenditure (128, p=0.013), being female (102 per 0.1 decrement of utility p=0.004) and a history of diabetes (631, p=0.022), chronic obstructive pulmonary disease (452, p=0.005) or not (887, p=0.002). Conclusion: The findings suggest that for the majority of participants, once individuals are engaged with a primary care provider, factors other than whether they are Indigenous determine the level of Medicare expenditure for each person. Trial Registration: Australian New Zealand Clinical Trials Registry ACTRN 126080005833347
3D analysis of the myenteric plexus of the human bowel by X-ray phase-contrast tomography – a future method?
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Correction for KaramiNejadRanjbar et al., Consequences of resistance evolution in a Cas9-based sex conversion-suppression gene drive for insect pest management.
A previous version of this article listed the name of author Eli M. Carrami as “Mohammad KaramiNejadRanjbar.” The updated author line appears below. The online version has been updated