Title |
Gasto de bolsillo en adultos mayores afiliados a un seguro público de salud en México
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Published in |
Gaceta Sanitaria, July 2017
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DOI | 10.1016/j.gaceta.2016.12.015 |
Pubmed ID | |
Authors |
Patricia Pavón-León, Hortensia Reyes-Morales, Armando J. Martínez, Silvia María Méndez-Maín, María del Carmen Gogeascoechea-Trejo, María Sobeida L. Blázquez-Morales |
Abstract |
To identify the association between various sociodemographic variables and out-of-pocket expenditure on health by elderly people enrolled in Seguro Popular (SP). Analytical cross-sectional study. An in-person survey was administered to users of three outpatient clinics in the state of Veracruz: a health centre (first level), regional hospital (second level) and highly specialised hospital. The out-of-pocket expenditure on health was analysed using a generalised linear model. The sample consisted of 1,049 beneficiaries of SP over age 60 with a response rate of 97.7%. The monthly out-of-pocket expenditure on health was $64.80 (95% confidence interval [95% CI]: 59.90-69.80). The highest expense category was drugs that are included in the SP ($28.80; 95% CI: 25.80-31.70) and drugs that are not covered by the SP ($8.00; 95% CI: 6.70-9.20). People over age 60 enrolled in SP pay out of their pocket to meet their health needs, despite having public health insurance. This represents an inequity in access, especially for the most vulnerable such as the rural population. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Mexico | 3 | 75% |
Unknown | 1 | 25% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 4 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 95 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 19 | 20% |
Student > Bachelor | 12 | 13% |
Researcher | 8 | 8% |
Professor | 6 | 6% |
Other | 5 | 5% |
Other | 13 | 14% |
Unknown | 32 | 34% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 16 | 17% |
Economics, Econometrics and Finance | 12 | 13% |
Social Sciences | 9 | 9% |
Nursing and Health Professions | 8 | 8% |
Environmental Science | 2 | 2% |
Other | 11 | 12% |
Unknown | 37 | 39% |