Out-of-Pocket Healthcare Expenditures in Dependent Older Adults: Results From an Economic Evaluation Study in Mexico

Salinas‐Rodríguez, Aarón; Manrique‐Espinoza, Betty; Mussot, Irina Torres; Montañez-Hernández, Julio César

doi:10.3389/fpubh.2020.00329

Cited by 16 publications

(16 citation statements)

References 26 publications

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“…As CF syndrome increases the possibility of getting disabilities, such a condition will increase the elderly’s dependency on others [ 88 ]. It is worth noting that elderly dependence increases the burden on individuals, families, and health care systems [ 89 ]. In a cost wise expression, it also suggests the presence of further additional undetected health burdens of CF syndrome on patients, families and health care systems.…”

Section: Discussionmentioning

confidence: 99%

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Health Care Utilization and Out-of-Pocket Payments among Elderly with Cognitive Frailty in Malaysia

Alkhodary

Aljunid

Ismail

et al. 2022

IJERPH

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Background: Cognitive frailty (CF) as a potential risk factor for dementia, functional disability, poor quality of life, and mortality. The aim of this study was to explore the health care-related utilization and out-of-pocket (OOP) expenditures, sociodemographic characteristics, and comorbidities among elderly Malaysians with CF. Methods: A cross-sectional study targeting elderly Malaysian aged ≥65 years was conducted. The study included all participants of the fourth phase of the Malaysian representative Long-Term-Research-Grant-Scheme Towards-Useful-Aging (LRGS-TUA) community-based study. A structured and validated interview questionnaire was used. Results: In total, 1006 elderly were interviewed, with a 66.18% response rate. Only 730 respondents met the inclusion criteria. Of the eligible respondents, the CF prevalence was 4.5%. Around 60.6% of the participants with CF had utilized outpatient care at government clinics within the past 6 months. The estimated mean total OOP payments for CF during the past 6 months was 84 Malaysian Ringgit (RM) (SD 96.0). Conclusions: CF among elderly Malaysians is within the internationally recognized range of prevalence. The OOP payments for seeking health care among CF elderly are not different from that of other elderly categories. There is a high possibility of underutilization of the health care services of CF cases while they are still needy.

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Section: Discussionmentioning

confidence: 99%

“…This means that there will be lost or reduced productivity of the patients or family members; this will incur higher health care related costs for all of them [ 106 ]. So, elderly dependence is associated with increased OOP payments and burden on individuals, families, and health care systems [ 89 ].…”

Section: Discussionmentioning

confidence: 99%

Health Care Utilization and Out-of-Pocket Payments among Elderly with Cognitive Frailty in Malaysia

Alkhodary

Aljunid

Ismail

et al. 2022

IJERPH

View full text Add to dashboard Cite

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“…The introduction of new treatments for Alzheimer's disease, for example, was followed by a rapid increase in research on the costs and quality of life associated with the disease, much of which relies on proxy respondents [44]. In other studies, caregivers as key informants were asked about OOP expenditures in cases of patients who suffered from memory problems [45] and cancer [46].…”

Section: Discussionmentioning

confidence: 99%

Out-of-Pocket Spending for Cancer Medication, Financial Burden, and Cost Communication with Oncologists in the Last Six Months of Life in Israel

2021

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Honest communication between oncologists and patients is important in alleviating the financial burden of cancer care. This study explored patient–relative–oncologist communication regarding the affordability of out-of-pocket (OOP) medication and the extent to which this communication addresses itself to the families’ financial burden. A cross-sectional survey was conducted among primary caregivers of deceased cancer patients. About 43% of relatives said that they and/or the patients had paid out of pocket for medications during the last six months of the patient’s life. Most (73%) oncologists suggested an OOP medication without asking about financial ability, 43% hardly explained the advantages of an OOP medication, and 52% hardly explained any treatment alternatives. Older age and female gender were related to less communication about an OOP medication, and better education, greater affluence, and having private health insurance were related to more communication. About 56% of relatives said that OOP payment for medications inflicted a very heavy or heavy financial burden on patients and their households. Physicians’ interest in financial ability and giving explanation lightened the burden. Given the difficulty of explaining the complex interactions of cost and clinical outcomes, oncologists need to be better educated in skills that would enable them to communicate costs more openly and should consider the cost of a treatment when prescribing it.

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“…En México, se ha reportado que el 21.7% de los adultos mayores tiene limitaciones en actividades básicas de la vida diaria, mientras que el 5.1% vive con dependencia (Salinas- Rodríguez et al, 2020). Según la Organización Panamericana de la Salud (OPS, 2019), el número de personas de 60 años o más que requieren atención a largo plazo en América, se triplicará dentro de las siguientes tres décadas, de un aproximado de 8 millones a 27 millones para el 2050.…”

Section: Envejecimiento Demográfico Cada Vez Más Adultos Mayoresunclassified

“…A nivel familiar, hay un reajuste en los roles asignados para el cuidado. Socialmente, aumenta la demanda de servicios de salud y sus costos para personas dependientes (Salinas- Rodríguez et al, 2020).…”

Section: Envejecimiento Demográfico Cada Vez Más Adultos Mayoresunclassified

Investigaciones y reflexiones en salud y vulnerabilidad. Del sujeto a la problemática social

2022

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Out-of-Pocket Healthcare Expenditures in Dependent Older Adults: Results From an Economic Evaluation Study in Mexico

Cited by 16 publications

References 26 publications

Health Care Utilization and Out-of-Pocket Payments among Elderly with Cognitive Frailty in Malaysia

Health Care Utilization and Out-of-Pocket Payments among Elderly with Cognitive Frailty in Malaysia

Out-of-Pocket Spending for Cancer Medication, Financial Burden, and Cost Communication with Oncologists in the Last Six Months of Life in Israel

Investigaciones y reflexiones en salud y vulnerabilidad. Del sujeto a la problemática social

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