Health expenditure on alcohol and other drug treatment in Australia (2012/2013).
OBJECTIVE
Analysis of the health expenditure on alcohol and other drug (AOD) treatment provides important information regarding the funding sources and distribution of AOD treatment funds. This study aimed to provide an estimate of annual health expenditure on AOD treatment in Australia and document a methodology for future estimates.


METHODS
The study followed international standards for health accounts and calculated health expenditure for the federal government, state/territory governments and private expenditure for the year 2012/2013. Multiple data sources were used to generate the estimates.


RESULTS
The total expenditure was estimated at AUD$1.2 billion in 2012/2013. The states/territories account for 51% of this total, the Commonwealth 31% and private sources 18%. In 2012/2013, AOD treatment represented 0.8% of total health-care spending.


CONCLUSIONS
The higher proportion of expenditure in AOD treatment programs outside hospitals is consistent with the community-focused models of care for AOD treatment. The Commonwealth's investment in AOD treatment funding resides predominantly in its dedicated AOD treatment grant programs. The analysis of health expenditure does not tell us whether the investment mix is effective in reducing AOD-related harm and producing positive health outcomes, but it provides the basis for analysis of the distributions of expenditure between funding sources and assessment of AOD treatment spending relative to all health areas, and creates a base for tracking trends over time.
Drug Policy Modelling Program, National Drug and Alcohol Research Centre, University of New South Wales, Sydney, Australia.
Alison
A
Ritter
Drug Policy Modelling Program, National Drug and Alcohol Research Centre, University of New South Wales, Sydney, Australia.
Jenny
J
Chalmers
Drug Policy Modelling Program, National Drug and Alcohol Research Centre, University of New South Wales, Sydney, Australia.
Lynda
L
Berends
D000437:Alcoholism / Q000191:economics / Q000534:rehabilitation*; D001315:Australia; D003153:Community Health Services / Q000191:economics; D005102:Health Expenditures / Q000706:statistics & numerical data*; D006801:Humans; D017063:Outcome Assessment, Health Care; D019966:Substance-Related Disorders / Q000191:economics / Q000534:rehabilitation*
alcohol and other drug treatment spending; health expenditure