{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T13:35:01Z","timestamp":1784208901452,"version":"3.55.0"},"reference-count":30,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,10,7]],"date-time":"2021-10-07T00:00:00Z","timestamp":1633564800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Birth"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>The purpose of this study was to identify differences in health service expenditure on Indigenous and non\u2010Indigenous women who experience a stillbirth, women's out\u2010of\u2010pocket costs, and health service use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The project used a whole\u2010of\u2010population linked data set called \u201cMaternity1000,\u201d which includes all women who gave birth in Queensland, Australia, between July 1, 2012, and June 30, 2018 (n\u00a0=\u00a0396\u00a0158). Multivariable analysis was undertaken to assess differences in mean health service expenditure; and number of health care services accessed between Indigenous and non\u2010Indigenous women who had a stillbirth from birth to twelve months postpartum. Costs are presented in 2019\/20 Australian dollars.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There was a total of 1864 babies stillborn to women in Queensland between July 1, 2012, and June 30, 2018, with 135 being born to Indigenous women and 1729 born to non\u2010Indigenous women. There was significantly lower total expenditure per woman for Indigenous women compared with non\u2010Indigenous women ($16\u00a0083 and $18\u00a0811, respectively). This was consistent across public hospital inpatient ($12\u00a0564 compared with $14\u00a0075), outpatient ($1127 compared with $1470), community\u2010based services ($198 compared with $313), pharmaceuticals ($8 compared with $22), private hospital ($434 compared with $1265), and for individual out\u2010of\u2010pocket fees ($21 compared with $86). Mean expenditure on emergency department services per woman was higher for Indigenous women compared with non\u2010Indigenous women ($947 compared with $643). Indigenous women who experienced a stillbirth accessed fewer general practitioners, allied health, specialist, obstetrics, and outpatient services, and fewer pathology and diagnostic test than their non\u2010Indigenous counterparts.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Inequities in access to health services exist between Indigenous and non\u2010Indigenous women who experience a stillbirth.<\/jats:p><\/jats:sec>","DOI":"10.1111\/birt.12593","type":"journal-article","created":{"date-parts":[[2021,10,9]],"date-time":"2021-10-09T06:14:42Z","timestamp":1633760082000},"page":"194-201","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Inequitable use of health services for Indigenous mothers who experience stillbirth in Australia"],"prefix":"10.1111","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7233-6804","authenticated-orcid":false,"given":"Emily","family":"Callander","sequence":"first","affiliation":[{"name":"School of Public Health and Preventive Medicine Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haylee","family":"Fox","sequence":"additional","affiliation":[{"name":"School of Medicine and Dentistry Griffith University  Gold Coast Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyly","family":"Mills","sequence":"additional","affiliation":[{"name":"School of Medicine and Dentistry Griffith University  Gold Coast Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deanna","family":"Stuart\u2010Butler","sequence":"additional","affiliation":[{"name":"Stillbirth Centre of Research Excellence Mater Research  South Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippa","family":"Middleton","sequence":"additional","affiliation":[{"name":"South Australian Health &amp; Medical Research Institute Women and Kids  Adelaide South Australia Australia"},{"name":"The University of Adelaide  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4512-6443","authenticated-orcid":false,"given":"David","family":"Ellwood","sequence":"additional","affiliation":[{"name":"School of Medicine and Dentistry Griffith University  Gold Coast Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Thomas","sequence":"additional","affiliation":[{"name":"Centre for Health Economics Research and Evaluation University of Technology Sydney  Ultimo New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vicki","family":"Flenady","sequence":"additional","affiliation":[{"name":"Stillbirth Centre of Research Excellence Mater Research  South Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,10,7]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)00954-X"},{"key":"e_1_2_7_3_1","volume-title":"Stillbirths and Neonatal Deaths in Australia","author":"Australian Institute of Health and Welfare","year":"2020"},{"key":"e_1_2_7_4_1","volume-title":"Mothers and Babies, 2016","author":"Australian Institute of Health & Welfare","year":"2018"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja2.50498"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-12-151"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/105413730000800302"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-13-236"},{"key":"e_1_2_7_9_1","first-page":"34","volume-title":"Australia's Mothers and Babies 2016 \u2010 in Brief","author":"Australian Institute of Health and Welfare","year":"2018"},{"issue":"9","key":"e_1_2_7_10_1","first-page":"554","article-title":"Financing maternity and early childhood healthcare in the australian healthcare system: costs to funders in private and public hospitals over the first 1000 days","volume":"10","author":"Callander E","year":"2021","journal-title":"Int J Health Policy Manage"},{"key":"e_1_2_7_11_1","volume-title":"Aboriginal and Torres Strait Islander Health Expenditure Estimates 2010\u201311 to 2016\u201317","author":"Australian Institute of Health and Welfare","year":"2021"},{"key":"e_1_2_7_12_1","volume-title":"Aboriginal and Torres Strait ISlander Health Performance Framework 2017 Report","author":"Australian Health Ministers' Advisory Council","year":"2017"},{"key":"e_1_2_7_13_1","volume-title":"Closing the Gap. Department of the Prime Minister and Cabinet","author":"Australian Government","year":"2017"},{"key":"e_1_2_7_14_1","first-page":".","volume-title":"Perinatal Deaths in Australia: 2013\u20102014","author":"Australian Institute of Health and Welfare","year":"2018"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/birt.12469"},{"key":"e_1_2_7_16_1","volume-title":"Social Determinants of Health","author":"World Health Organisation","year":"2009"},{"key":"e_1_2_7_17_1","volume-title":"The Health and Welfare of Australia's Aboriginal and Torres Strait Islander peoples, 2015","author":"Australian Institute of Health and Welfare","year":"2015"},{"key":"e_1_2_7_18_1","volume-title":"Queensland Mothers and Babies, 2014 and 2015. Report of the Queensland Maternal and Perinatal Quality Council 2017","author":"Queensland Government","year":"2017"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.12760"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-017816"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.13117"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.12563"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(71)92410-X"},{"key":"e_1_2_7_24_1","unstructured":"Department of Health. (2018a).\"The Closing the Gap \u2010 PBS Co\u2010payment Measure.\" The Pharmaceutical Benefits Scheme. Accessed January 19 2018.http:\/\/www.pbs.gov.au\/info\/publication\/factsheets\/closing\u2010the\u2010gap\u2010pbs\u2010co\u2010payment\u2010measure"},{"key":"e_1_2_7_25_1","unstructured":"Department of Health. (2018b). \"Medicare Safety Net Arrangements \u2010 1 January 2017.\" Medicare Benefits Schedule Accessed January 19 2018.http:\/\/www.mbsonline.gov.au\/internet\/mbsonline\/publishing.nsf\/Content\/Factsheet\u2010ExtendedMedicareSafetyNet+\u2010+Jan2017"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2003.tb05102.x"},{"key":"e_1_2_7_27_1","volume-title":"Practice Guideline for Care Around Stillbirth and Neonatal Death","author":"Perinatal Society of Australia and New Zealand and Stillbirth Centre for Research Excellence","year":"2018"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2007.tb01109.x"},{"key":"e_1_2_7_29_1","volume-title":"Submission to the Senate Select Committee on Stillbirth Research and Education","year":"2018"},{"key":"e_1_2_7_30_1","volume-title":"Census of Population and Housing: Characteristics of Aboriginal and Torres Strait Islander Australians, 2011","author":"Australian Bureau of Statistics","year":"2011"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1071\/PY16005"}],"container-title":["Birth"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/birt.12593","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/birt.12593","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/birt.12593","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,24]],"date-time":"2023-08-24T00:54:17Z","timestamp":1692838457000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/birt.12593"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10,7]]},"references-count":30,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022,6]]}},"alternative-id":["10.1111\/birt.12593"],"URL":"https:\/\/doi.org\/10.1111\/birt.12593","archive":["Portico"],"relation":{},"ISSN":["0730-7659","1523-536X"],"issn-type":[{"value":"0730-7659","type":"print"},{"value":"1523-536X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,10,7]]},"assertion":[{"value":"2020-09-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-09-10","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-10-07","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}