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Women’s uptake of Medicare Benefits Schedule mental health items for general practitioners, psychologists and other allied mental health professionals

Julie E Byles, Xenia Dolja-Gore, Deborah J Loxton, Lynne Parkinson and Jennifer A Stewart Williams
Med J Aust 2011; 194 (4): 175-179.

Summary

Objective: To quantify women’s uptake of Medicare Benefits Schedule mental health items, compare characteristics of women by mental health service use, and investigate the impact on Medicare costs.

Design, setting and participants: Analysis of linked survey data and Medicare records (November 2006 – December 2007) of 14 911 consenting participants of the Australian Longitudinal Study on Women’s Health (ALSWH) across three birth cohorts (1921–1926 [“older cohort”], 1946–1951 [“mid-age cohort”], and 1973–1978 [“younger cohort”]).

Main outcome measures: Uptake of mental health items; 36-Item Short Form Health Survey (SF-36) Mental Health Index scores from ALSWH surveys; and patient (out-of-pocket) and benefit (government) costs from Medicare data.

Results: A large proportion of women who reported mental health problems made no mental health claims (on the most recent survey, 88%, 90% and 99% of the younger, mid-age and older cohorts, respectively). Socioeconomically disadvantaged women were less likely to use the services. SF-36 Mental Health Index scores among women in the younger and mid-age cohorts were lowest for women who had accessed mental health items or self-reported a recent mental health condition. Mental health items are associated with higher costs to women and government.

Conclusion: Although there has been rapid uptake of mental health items, uptake by women with mental health needs is low and there is potential socioeconomic inequity.

  • Julie E Byles1
  • Xenia Dolja-Gore2
  • Deborah J Loxton3
  • Lynne Parkinson4
  • Jennifer A Stewart Williams5

  • Research Centre for Gender, Health and Ageing, University of Newcastle, Newcastle, NSW.


Acknowledgements: 

The ALSWH was funded by the Australian Government Department of Health and Ageing. This study was supported by a grant from Australian Rotary Health.

Competing interests:

None identified.

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