Please use this identifier to cite or link to this item:
https://hdl.handle.net/2440/139284
Citations | ||
Scopus | Web of Science® | Altmetric |
---|---|---|
?
|
?
|
Type: | Journal article |
Title: | Economic and cost considerations of delivering and using mobile X-ray services in residential aged care facilities: A qualitative study |
Author: | Dollard, J. Edwards, J. Yadav, L. Gaget, V. Tivey, D. Inacio, M.C. Maddern, G.J. Visvanathan, R. |
Citation: | Australasian Journal on Ageing, 2023; 42(4):710-719 |
Publisher: | Wiley |
Issue Date: | 2023 |
ISSN: | 1440-6381 1741-6612 |
Statement of Responsibility: | Joanne Dollard, Jane Edwards, Lalit Yadav, Virginie Gaget, David Tivey, Maria C. Inacio, Guy J. Maddern, Renuka Visvanathan |
Abstract: | Objective: To describe the economic and cost considerations of mobile X-ray services (MXS) in residential aged care facilities (RACFs), according to stakeholders (involved in residents' healthcare), residents living in RACFs and informal carers (ICs) of residents. Methods: Semistructured interviews were conducted with 20 residents and 27 ICs recruited from six RACFs across metropolitan Adelaide (South Australia, Australia), and 22 stakeholders, on their perspectives of using MXS in RACFs. Data relating to economic and cost considerations were extracted and analysed using thematic analysis. Results: Residents' mean age was 85 years, 60% were women and 40% had experienced an MXS in the last 12 months. Most ICs were daughters (70%) and wives (11%) and 30% had a family member who had experienced an MXS in the last 12 months. Stakeholders included RACF staff, GPs, a hospital avoidance program clinician, paramedics, emergency department clinicians, MXS radiographers and manager, and a radiologist. Four themes were presented: (1) business considerations, where private providers found it necessary to charge residents a co-payment to deliver MXS; (2) cost and payment process as a potential barrier to using MXS, with varied willingness and ability to pay for an MXS co-payment, and equity concerns; (3) overcoming cost and payment barriers, with staff and consumers sometimes using strategies to overcome cost barriers; and (4) perceived cost benefits of MXS to the healthcare system, residents and ICs. Conclusions: Mobile X-ray services providers charge residents an upfront co-payment for business viability, which can be a barrier to some residents wishing to access MXS. |
Keywords: | mobile health units/economics; mobile health units; nursing homes; qualitative research; X-rays |
Description: | First published: 30 July 2023 |
Rights: | © 2023 The Authors. Australasian Journal on Ageing published by John Wiley & Sons Australia, Ltd on behalf of AJA Inc’. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
DOI: | 10.1111/ajag.13228 |
Grant ID: | http://purl.org/au-research/grants/nhmrc/1183855 http://purl.org/au-research/grants/nhmrc/GNT119378 |
Published version: | http://dx.doi.org/10.1111/ajag.13228 |
Appears in Collections: | Medicine publications |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
hdl_139284.pdf | Published version | 286.93 kB | Adobe PDF | View/Open |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.