Out-of-pocket and catastrophic expenses in households of patients with schizophrenia lacking social security
Objective. To estimate the magnitude of out-of-pocket (OOP) and catastrophic health expenses as well as impoverishment experienced by households of schizophrenia patients lacking social security coverage. Materials and methods. We conducted a cross-sectional study of 96 individuals treated outpatie...
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| Format: | Article |
| Language: | English |
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Instituto Nacional de Salud Pública
2021-06-01
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| Series: | Salud Pública de México |
| Subjects: | |
| Online Access: | https://www.saludpublica.mx/index.php/spm/article/view/12252 |
| _version_ | 1811271488575111168 |
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| author | Hortensia Reyes-Morales Héctor Cabello-Rangel María Elena Medina-Mora Armando Arredondo-López |
| author_facet | Hortensia Reyes-Morales Héctor Cabello-Rangel María Elena Medina-Mora Armando Arredondo-López |
| author_sort | Hortensia Reyes-Morales |
| collection | DOAJ |
| description | Objective. To estimate the magnitude of out-of-pocket (OOP) and catastrophic health expenses as well as impoverishment experienced by households of schizophrenia patients lacking social security coverage. Materials and methods. We conducted a cross-sectional study of 96 individuals treated outpatient consultation between February and December 2018, in a psychiatric hospital. Results. All households sustained OOP health expenses; the median was 510 USD (95%CI: 456-628). The OOP expenses represented 28 and 4% of the capacity to pay of poor and rich households, respectively. The 16% of households incurred catastrophic expenses and 6.6% have impoverishment for health reasons. Conclusions. Our results illustrate that pocket expenses and catastrophic expenses in patients with schizophrenia are higher than those reported for the general population. Therefore, it is necessary to rethink the financial protection policies aimed at patients with schizophrenia and their households. |
| first_indexed | 2024-04-12T22:21:49Z |
| format | Article |
| id | doaj.art-709c8748c7dd465b96843b59cf6e984f |
| institution | Directory Open Access Journal |
| issn | 0036-3634 |
| language | English |
| last_indexed | 2024-04-12T22:21:49Z |
| publishDate | 2021-06-01 |
| publisher | Instituto Nacional de Salud Pública |
| record_format | Article |
| series | Salud Pública de México |
| spelling | doaj.art-709c8748c7dd465b96843b59cf6e984f2022-12-22T03:14:21ZengInstituto Nacional de Salud PúblicaSalud Pública de México0036-36342021-06-0163454755310.21149/1225211137Out-of-pocket and catastrophic expenses in households of patients with schizophrenia lacking social securityHortensia Reyes-Morales0Héctor Cabello-Rangel1María Elena Medina-Mora2Armando Arredondo-López3Centro de Investigación en Sistemas de Salud, Instituto Nacional de Salud Pública. Cuernavaca, Morelos, Mexico.Programa de Maestría y Doctorado en Ciencias Médicas, Odontológicas y de la Salud. Universidad Nacional Autónoma de México. Mexico City, Mexico.Centro de Investigación en Salud Mental Global, Instituto Nacional de Psiquiatría. Mexico City, Mexico.Centro de Investigación en Sistemas de Salud, Instituto Nacional de Salud Pública. Cuernavaca, Morelos, Mexico.Objective. To estimate the magnitude of out-of-pocket (OOP) and catastrophic health expenses as well as impoverishment experienced by households of schizophrenia patients lacking social security coverage. Materials and methods. We conducted a cross-sectional study of 96 individuals treated outpatient consultation between February and December 2018, in a psychiatric hospital. Results. All households sustained OOP health expenses; the median was 510 USD (95%CI: 456-628). The OOP expenses represented 28 and 4% of the capacity to pay of poor and rich households, respectively. The 16% of households incurred catastrophic expenses and 6.6% have impoverishment for health reasons. Conclusions. Our results illustrate that pocket expenses and catastrophic expenses in patients with schizophrenia are higher than those reported for the general population. Therefore, it is necessary to rethink the financial protection policies aimed at patients with schizophrenia and their households.https://www.saludpublica.mx/index.php/spm/article/view/12252out-of-pocket expensescatastrophic expensesimpoverishmentschizophrenia |
| spellingShingle | Hortensia Reyes-Morales Héctor Cabello-Rangel María Elena Medina-Mora Armando Arredondo-López Out-of-pocket and catastrophic expenses in households of patients with schizophrenia lacking social security Salud Pública de México out-of-pocket expenses catastrophic expenses impoverishment schizophrenia |
| title | Out-of-pocket and catastrophic expenses in households of patients with schizophrenia lacking social security |
| title_full | Out-of-pocket and catastrophic expenses in households of patients with schizophrenia lacking social security |
| title_fullStr | Out-of-pocket and catastrophic expenses in households of patients with schizophrenia lacking social security |
| title_full_unstemmed | Out-of-pocket and catastrophic expenses in households of patients with schizophrenia lacking social security |
| title_short | Out-of-pocket and catastrophic expenses in households of patients with schizophrenia lacking social security |
| title_sort | out of pocket and catastrophic expenses in households of patients with schizophrenia lacking social security |
| topic | out-of-pocket expenses catastrophic expenses impoverishment schizophrenia |
| url | https://www.saludpublica.mx/index.php/spm/article/view/12252 |
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