[Out-of-pocket expenditure by elderly adults enrolled in a public health insurance programme in Mexico].

Autor:	Pavón-León P; Doctorado en Ciencias de la Salud, Instituto de Ciencias de la Salud, Universidad Veracruzana, Xalapa, Veracruz, México. Electronic address: ppavon@uv.mx., Reyes-Morales H; Dirección de Investigación, Hospital Infantil de México Federico Gómez, Ciudad de México, México., Martínez AJ; Instituto de Neuroetología, Universidad Veracruzana, Xalapa, Veracruz, México., Méndez-Maín SM; Instituto de Investigaciones Histórico-Sociales, Universidad Veracruzana, Xalapa, Veracruz, México., Gogeascoechea-Trejo MDC; Doctorado en Ciencias de la Salud, Instituto de Ciencias de la Salud, Universidad Veracruzana, Xalapa, Veracruz, México., Blázquez-Morales MSL; Instituto de Ciencias de la Salud, Universidad Veracruzana, Xalapa, Veracruz, México.
Jazyk:	Spanish; Castilian
Zdroj:	Gaceta sanitaria [Gac Sanit] 2017 Jul - Aug; Vol. 31 (4), pp. 286-291. Date of Electronic Publication: 2017 Feb 27.
DOI:	10.1016/j.gaceta.2016.12.015
Abstrakt:	Objective: To identify the association between various sociodemographic variables and out-of-pocket expenditure on health by elderly people enrolled in Seguro Popular (SP). Method: 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. Results: 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). Conclusions: 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. (Copyright © 2017 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze:	MEDLINE
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