Out-of-pocket expenditures and care time for children with Down Syndrome: A single-hospital study in Mexico City
| Autor: | Verónica Fabiola Morán-Barroso, Constanza García-Delgado, Filiberto Toledano-Toledano, Ma. Vanessa Aldaz-Rodríguez, Juan Garduño-Espinosa, Silvia Martínez-Valverde, Víctor Granados-García, Ma. Teresa Tiro-Sánchez, Guillermo Salinas-Escudero |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
Mexican People Time Factors Economics Social Sciences Medical care Pediatrics Decile Families Chromosomal Disorders Sociology Mexico city Medicine and Health Sciences Medicine Ethnicities Public and Occupational Health Human Families Child Children 0303 health sciences Family Characteristics Multidisciplinary 030305 genetics & heredity Socioeconomic Aspects of Health Hospitals Medical services Child Preschool Regression Analysis Female 0305 other medical science Research Article Down syndrome Science Disabilities 03 medical and health sciences Health Economics Humans Catastrophic Illness Socioeconomic status Medical expenses Mexico Clinical Genetics 030505 public health Health economics business.industry Infant Newborn Infant Latin American people medicine.disease Health Care Age Groups People and Places Population Groupings Patient Care Down Syndrome Health Expenditures business Demography |
| Zdroj: | PLoS ONE PLoS ONE, Vol 14, Iss 1, p e0208076 (2019) |
| ISSN: | 1932-6203 |
| Popis: | AimTo examine the burden of out-of-pocket household expenditures and time spent on care by families responsible for children with Down Syndrome (DS).MethodsA cross-sectional analysis was performed after surveying families of children with DS. The children all received medical care at the Hospital Infantil de México Federico Gomez (HIMFG), a National Institute of Health. Data were collected on out-of-pocket household expenditures for the medical care of these children. The percentage of such expenditure was calculated in relation to available household expenditure (after subtracting the cost of food/housing), and the percentage of households with catastrophic expenditure. Finally, the time spent on the care of the child was assessed.ResultsThe socioeconomic analysis showed that 67% of the households with children with DS who received medical care in the HIMFG were within the lower four deciles (I-IV) of expenses, indicating a limited ability to pay for medical services. Yearly out-of-pocket expenditures for a child with DS represented 27% of the available household expenditure, which is equivalent to $464 for the United States dollars (USD). On average, 33% of families with DS children had catastrophic expenses, and 46% of the families had to borrow money to pay for medical expenses. The percentage of catastrophic expenditure was greater for a household with children aged five or older compared with households with younger children. The regression analysis revealed that the age of the child is the most significant factor determining the time spent on care.ConclusionsSome Mexican families of children with DS incur substantial out-of-pocket expenditures, which constitute an economic burden for families of children who received medical care at the HIMFG. |
| Databáze: | OpenAIRE |
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