Guillermo Salinas-Escudero1, María Fernanda Carrillo-Vega2, Mario Ulises Pérez-Zepeda2,3, Carmen García-Peña4. 1. Centro de Estudios Económicos y Sociales en Salud, Hospital Infantil de México Federico Gómez. México. 2. Departamento de Epidemiología Geriátrica, Dirección de Investigación, Instituto Nacional de Geriatría. México. 3. Instituto de Envejecimiento, Facultad de Medicina, Pontificia Universidad Javeriana. Bogotá, Colombia. 4. Dirección de Investigación, Instituto Nacional de Geriatría. México.
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.
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.
Entities:
Keywords:
Mexico; elderly population; end of life care; out-of-pocket expenditures; social security
Authors: Guillermo Salinas-Escudero; María Fernanda Carrillo-Vega; Carmen García-Peña; Silvia Martínez-Valverde; Luis David Jácome-Maldonado; Matteo Cesari; Mario Ulises Pérez-Zepeda Journal: J Appl Gerontol Date: 2021-06-28