• Farhat Yusuf and Stephen R Leeder.
• Menzies Centre for Health Policy, Sydney School of Public Health, University of Sydney, Sydney, NSW, Australia. farhat.yusuf@sydney.edu.au.
• Med. J. Aust.. 2013 Oct 7;199(7):475-8.

ObjectiveTo analyse the annual out-of-pocket (OOP) expenditure on health care as directly reported by Australian households grouped into older households (those with a reference person aged ≥ 65 years) and younger households (those with a reference person aged < 65 years).DesignDescriptive analysis of statutory data collected by the Australian Bureau of Statistics.Setting And ParticipantsProbability sample of 9774 households across all states and territories.Main Outcome MeasuresOOP expenditure on health care.ResultsThe mean annual OOP expenditure on health care among the older households was estimated as $3585 ± $686 (9.4% of the total expenditure on all goods and services), and among the younger households, it was $3377 ± $83 (4.7% of the total expenditure on all goods and services). Cost of medicines (mainly non-prescription drugs and to a lesser extent the copayments for Pharmaceutical Benefits Scheme scripts) was the biggest item of expenditure for the older households, and the cost of private health insurance (PHI) was the most expensive item for the younger households. Overall, the OOP expenditure, as reported by the Australian households, was $28.7 ± $1.3 billion compared with $21.2 billion as reported by the Australian Institute of Health and Welfare. Unlike our estimate, the Institute's figure was based on statutory data collections and did not include the cost of PHI premiums.ConclusionsOOP expenses account for almost a quarter (22%) of the total health care costs in Australia. The mean annual OOP expenditure was slightly higher for the older households compared with the younger households, despite the fact that the older households had significantly lower income and had greater access to health care cards, which were used to defray additional health care costs associated with age.

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