澳大利亚私人医疗保险公司对整骨疗法的态度:定性研究

IF 1.1 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL International Journal of Osteopathic Medicine Pub Date : 2023-09-23 DOI:10.1016/j.ijosm.2023.100689
Roger Engel , Sandra Grace , Nicole Duncan , Brooke Wade , Josh Paterson-Allsop , Bryce O'Hara , Brett Vaughan
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引用次数: 0

摘要

背景澳大利亚的骨科医生主要在私人诊所工作。绝大多数接受整骨疗法的患者都是自费治疗,其中许多人还能通过私人医疗保险获得回扣。尽管很少有资料描述澳大利亚整骨疗法专业与私人医疗保险公司之间的关系,但这些信息可为保险公司提供机会,通过提高保险福利来改善整骨疗法的覆盖范围:1) 对澳大利亚私人医疗保险公司为骨病治疗提供的保险进行内容分析;2) 利用理论领域框架 (TDF) 对澳大利亚私人医疗保险公司的代表进行访谈。结果 在澳大利亚的 35 家私营医疗保险公司中,有 33 家提供骨病治疗福利。我们与 10 家最大的私人医疗保险公司的代表进行了四次访谈。整骨疗法在这些保险公司的服务项目中所占比例很小。骨科服务的纳入是由市场驱动的。私人医疗保险公司的代表对整骨疗法的认识和理解有限,但他们承认一些会员认为接受整骨疗法治疗很有价值。91.4%的保险公司将整骨疗法与补充及联合医疗服务捆绑在一起。对实践的启示--澳大利亚大多数私人医疗保险公司都涵盖了骨科治疗福利--骨科治疗受到这些保险公司的青睐--本研究的结果将为确保澳大利亚私人医疗保险公司将骨科治疗福利持续纳入其产品提供参考。
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Australian private health insurer attitudes towards osteopathy: A qualitative study

Background

Australian osteopaths predominately work in private practice. The vast majority of patients who present to osteopaths fund their own care, with many receiving a rebate through their private health insurance cover. While there is little that describes the relationship between the Australian osteopathy profession and private health insurers, such information could provide an opportunity for insurers to improve coverage of osteopathy through enhanced benefits.

Objectives

To identify the extent of private health insurance cover available for osteopathy and to explore the attitudes of private health insurers towards the Australian osteopathy profession.

Methods

This qualitative study used: 1) content analysis of Australian private health insurers offerings for osteopathy, and 2) the Theoretical Domains Framework (TDF) to inform interviews with representatives from Australian private health insurers. The interviews were transcribed and coded with respect to the TDF.

Results

Of the 35 private health insurers in Australia, 33 offered benefits for osteopathy. Four interviews were conducted with representatives from the 10 largest private health insurers who provide benefits. Osteopathy represents a very small proportion of their services. The inclusion of osteopathic services is market driven. Private health insurance representatives had limited knowledge and understanding of osteopathy, however, they acknowledged the value that some of their members saw in receiving osteopathic care. Osteopathy is bundled with complementary and allied health services by 91.4% of insurers.

Conclusion

Osteopathy is included in the majority of Australian private health insurers’ offerings because the service value-adds to their products. Further research into the efficacy and cost-effectiveness of osteopathy as well as an educational campaign that provides private health insurers with information about the scope of osteopathy are needed to secure its ongoing inclusion in private health insurance in Australia.

Implications for practice

  • Benefits for osteopathic treatment are covered by most private health insurers in Australia.

  • Osteopathy is viewed favourably by these insurers.

  • The findings from this research will inform strategies to secure the ongoing inclusion of benefits for osteopathic treatment by private health insurers in Australia.

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来源期刊
CiteScore
2.20
自引率
36.80%
发文量
42
审稿时长
3 months
期刊介绍: The International Journal of Osteopathic Medicine is a peer-reviewed journal that provides for the publication of high quality research articles and review papers that are as broad as the many disciplines that influence and underpin the principles and practice of osteopathic medicine. Particular emphasis is given to basic science research, clinical epidemiology and health social science in relation to osteopathy and neuromusculoskeletal medicine. The Editorial Board encourages submission of articles based on both quantitative and qualitative research designs. The Editorial Board also aims to provide a forum for discourse and debate on any aspect of osteopathy and neuromusculoskeletal medicine with the aim of critically evaluating existing practices in regard to the diagnosis, treatment and management of patients with neuromusculoskeletal disorders and somatic dysfunction. All manuscripts submitted to the IJOM are subject to a blinded review process. The categories currently available for publication include reports of original research, review papers, commentaries and articles related to clinical practice, including case reports. Further details can be found in the IJOM Instructions for Authors. Manuscripts are accepted for publication with the understanding that no substantial part has been, or will be published elsewhere.
期刊最新文献
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