Profile of and expenditure on morbidity and hospitalizations among elderly—Analysis of a nationally representative sample survey in India

Jeyashree, Kathiresan; Abdulkader, Rizwan Suliankatchi; Kathirvel, Soundappan; Chinnakali, Palanivel; Mv, Ajay Kumar

doi:10.1016/j.archger.2017.09.007

Cited by 9 publications

(2 citation statements)

References 12 publications

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“…Esto coincide con otros trabajos 28,29 que reportan que cuando se necesita hospitalización los AM que cuentan con SS prefieren acudir a los servicios privados. 30 Lo anterior no necesariamente se explica por la pertenecía a un mejor estrato socioeconómico 31 y puede estar relacionado con la existencia de problemas de asequibilidad y accesibilidad. 32 Como previamente se ha reportado, algunos de los factores que pueden determinar la preferencia por los servicios privados son los tiempos de espera prolongados, el pobre equipamiento y las deficiencias en la infraestructura en los SS.…”

Section: Artículo Originalunclassified

Gasto de bolsillo en salud durante el último año de vida de adultos mayores mexicanos: análisis del Enasem

Salinas-Escudero¹,

Carrillo-Vega²,

Pérez‐Zepeda³

et al. 2019

Salud Publica Mex

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ResumenObjetivo. Estimar el gasto de bolsillo (GB) durante el último año de vida en adultos mayores (AM) mexicanos. Material y métodos. Estimación del GB del último año de vida de AM, ajustando por tipo de manejo, afiliación y causa de muerte. Se emplearon datos del Estudio Nacional de Salud y Envejecimiento en México (2012). Los gastos en medicamentos, consultas médicas y hospitalización durante el año previo a la muerte conforman el GB. El GB se ajustó por inflación y se reporta en dólares americanos 2018. Resultados. La media de GB fue $6 255.3±18 500. En el grupo de atención ambulatoria el GB fue $4 134.9±13 631.3. El GB en hospitalización fue $7 050.6±19 971.0. Conclusiones. La probabilidad de incurrir en GB es menor cuando no se requiere hospitalización. Con hospitalización, la afiliación a la seguridad social y atenderse en hospitales públicos juega un papel protector. Abstract Objective. To estimate the out-of-pocket expenses (OOPE) during the last year of life in Mexican older adults (OA). Materials and methods. Estimation of the OOPE corresponding to the last year of life of OA, adjusting by type of management, affiliation and cause of death. Data from the National Health and Aging Study in Mexico (2012) were used. To calculate the total OOPE, the expenses in the last year were used in: medications, medical consultations and hospitalization. The OOPE was adjusted for inflation and is reported in US dollars 2018. Results. The mean OOPE was $6 255.3±18 500. In the ambulatory care group, the OOPE was $4 134.9±13 631.3. The OOPE in hospitalization was $7 050.6±19 971.0. Conclusions. The probability of incurre in OOPE is lower when hospitalization is not required. With hospitalization, affiliation to social security and attending to public hospitals plays a protective role.

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Section: Artículo Originalunclassified

Gasto de bolsillo en salud durante el último año de vida de adultos mayores mexicanos: análisis del Enasem

Salinas-Escudero¹,

Carrillo-Vega²,

Pérez‐Zepeda³

et al. 2019

Salud Publica Mex

View full text Add to dashboard Cite

show abstract

“…Variation in healthcare expenditure by gender is due to differences in demographic, socio-economic, and healthcare factors between males and females and the effect of these characteristics on health care spending. This variation suggests less expenditure on female health care assuming female health is not as important as male's health, i.e., the role of gender in health spending (Jeyashree et al, 2018;Saikia et al, 2016). Studies state that married people are healthier than the non-married, similar among widowed older adults compared with the non-widowed and widowers with worse health status (Ho, 2015;Onah & Govender, 2014).…”

Section: Introductionmentioning

confidence: 99%

Multi-Layered Catastrophic Health Spending of Inpatient Women by Broad Group of Diseases in India

Swargiary

Lhungdim

Bharadwaz³

2021

JPSS

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Healthcare for Indian women needs prioritizing, as they continue to face social and economic discrimination over their healthcare, often with high out-of-pocket payments. The study examines the amount inpatient women have to pay for treatment of major diseases, re-classified into four groups as infectious, reproductive, non-communicable diseases (NCDs), and disabilities & injuries, across the country to comprehend the extent of catastrophic health spending (CHS) they experienced. The study is based on India’s 75th round of the National Sample Survey (NSS), i.e., Household Social Consumption: Health (2017-2018), consisting of 26,938 inpatient women aged 12 and above from India's urban and rural areas. We examine the prevalence of the four categories of diseases by individual, household, community, and healthcare characteristics. Expenditure estimates were derived from cross-tabulation, followed by binary logistic regression to assess the association between covariates and inpatient expenditures for the diseases. Indian women are more likely to be hospitalized for infectious diseases (43%), but the burden of CHS (overall) is highest for disabilities and injuries (INR 24,414), followed by NCDs (INR 23,053). Duration of hospitalization and possession of health insurance by women indicate maximum variation with medical spending. Almost 97% of women have incurred out-of-pocket expenditure on hospitalization, from which we identify three layers of CHS. A substantial proportion of women (23 to 50%) experienced CHS, i.e., up to 0-10%, 11-30%, and >30%, which varies distinctively by place of residence and across the six regions. Covariates like age, economic status, and healthcare are highly significant and associated with disease-wise CHS thresholds. Women in India face divergent financial hardships for healthcare. Given the heterogeneity of morbidities and socio-economic characteristics, the need for women-sensitive public health services and interventions are evident.

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Are Informal Older Workers Utilizing Less Healthcare Services? Evidence from the Longitudinal Ageing Study in India, Wave-1

Chowdhury,

Singh

2024

Population Ageing

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India’s informal sector employs many workers without social security benefits, such as pension support and health insurance. Many older workers continue to work in this sector beyond the retirement age (60 + years) due to financial and health needs. Given the vulnerable position of informal older workers in terms of their social and economic stature, as well as the increasing burden of non-communicable diseases, it becomes important to study healthcare utilization. The present research aims to investigate variations in healthcare visits by type of work in India for older workers. The first wave of LASI (2017-18) data has been used in this study. The overall healthcare visits, consisting of inpatient and outpatient care, are considered as the outcome variable for the analysis. Zero-inflated Poisson regression is applied to study the relationship between type of work and healthcare visits while controlling for other covariates. The results of zero-inflated Poisson regression shows that informal workers have fewer healthcare visits than formal workers (P < 0.01). However, the relationship between type of work and healthcare visits is influenced by health conditions, including chronic health conditions (CHC), depression as well as both CHC and depression. Informal workers with depression visit 0.892 times less (P < 0.05) than formal workers with depression. Informal workers with CHC and depression visit 0.847 times less (P < 0.0001) than formal workers with CHC and depression. The present study underscores the importance of proper economic support and healthcare provision to financially encourage older workers belonging to poor social-economic status to seek for healthcare services.

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Profile of and expenditure on morbidity and hospitalizations among elderly—Analysis of a nationally representative sample survey in India

Cited by 9 publications

References 12 publications

Gasto de bolsillo en salud durante el último año de vida de adultos mayores mexicanos: análisis del Enasem

Gasto de bolsillo en salud durante el último año de vida de adultos mayores mexicanos: análisis del Enasem

Multi-Layered Catastrophic Health Spending of Inpatient Women by Broad Group of Diseases in India

Are Informal Older Workers Utilizing Less Healthcare Services? Evidence from the Longitudinal Ageing Study in India, Wave-1

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