The out-of-pocket burden of chronic diseases: the cases of Belgian, Czech and German older adults
Abstract Background Out-of-pocket payments have a diverse impact on the burden of those with a higher morbidity or the chronically ill. As the prevalence of chronic diseases increases with age, older adults are a vulnerable group. The paper aims to evaluate the impact of chronic diseases on the out-...
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| Format: | Article |
| Language: | English |
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BMC
2021-03-01
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| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12913-021-06259-w |
| _version_ | 1819119947706531840 |
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| author | Veronika Kočiš Krůtilová Lewe Bahnsen Diana De Graeve |
| author_facet | Veronika Kočiš Krůtilová Lewe Bahnsen Diana De Graeve |
| author_sort | Veronika Kočiš Krůtilová |
| collection | DOAJ |
| description | Abstract Background Out-of-pocket payments have a diverse impact on the burden of those with a higher morbidity or the chronically ill. As the prevalence of chronic diseases increases with age, older adults are a vulnerable group. The paper aims to evaluate the impact of chronic diseases on the out-of-pocket payments burden of the 50+ populations in Belgium, the Czech Republic and Germany. Methods Data from the sixth wave of the Survey of Health, Ageing and Retirement in Europe is used. A two-part model with a logit model in the first part and a generalised linear model in the second part is applied. Results The diseases increasing the burden in the observed countries are heart attacks, high blood pressure, cancer, emotional disorders, rheumatoid arthritis and osteoarthritis. Reflecting country differences Parkinson’s disease and its drug burden is relevant in Belgium, the drugs burden related to heart attack and outpatient care burden to chronic kidney disease in the Czech Republic and the outpatient care burden of cancer and chronic lung disease in Germany. In addition, we confirm the regressive character of out-of-pocket payments. Conclusions We conclude that the burden is not equitably distributed among older adults with chronic diseases. Identification of chronic diseases with a high burden can serve as a supplementary protective feature. |
| first_indexed | 2024-12-22T06:12:52Z |
| format | Article |
| id | doaj.art-af2346152ee549ab9b335d99ed8060be |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-12-22T06:12:52Z |
| publishDate | 2021-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-af2346152ee549ab9b335d99ed8060be2022-12-21T18:36:11ZengBMCBMC Health Services Research1472-69632021-03-0121111310.1186/s12913-021-06259-wThe out-of-pocket burden of chronic diseases: the cases of Belgian, Czech and German older adultsVeronika Kočiš Krůtilová0Lewe Bahnsen1Diana De Graeve2Faculty of Business and Economics, Mendel University in BrnoInstitute for Public Finance and Social Policy, Albert-Ludwigs-University of FreiburgFaculty of Business and Economics, University of AntwerpAbstract Background Out-of-pocket payments have a diverse impact on the burden of those with a higher morbidity or the chronically ill. As the prevalence of chronic diseases increases with age, older adults are a vulnerable group. The paper aims to evaluate the impact of chronic diseases on the out-of-pocket payments burden of the 50+ populations in Belgium, the Czech Republic and Germany. Methods Data from the sixth wave of the Survey of Health, Ageing and Retirement in Europe is used. A two-part model with a logit model in the first part and a generalised linear model in the second part is applied. Results The diseases increasing the burden in the observed countries are heart attacks, high blood pressure, cancer, emotional disorders, rheumatoid arthritis and osteoarthritis. Reflecting country differences Parkinson’s disease and its drug burden is relevant in Belgium, the drugs burden related to heart attack and outpatient care burden to chronic kidney disease in the Czech Republic and the outpatient care burden of cancer and chronic lung disease in Germany. In addition, we confirm the regressive character of out-of-pocket payments. Conclusions We conclude that the burden is not equitably distributed among older adults with chronic diseases. Identification of chronic diseases with a high burden can serve as a supplementary protective feature.https://doi.org/10.1186/s12913-021-06259-wOut-of-pocket burdenChronic diseasesOlder adultsBelgiumCzech RepublicGermany |
| spellingShingle | Veronika Kočiš Krůtilová Lewe Bahnsen Diana De Graeve The out-of-pocket burden of chronic diseases: the cases of Belgian, Czech and German older adults BMC Health Services Research Out-of-pocket burden Chronic diseases Older adults Belgium Czech Republic Germany |
| title | The out-of-pocket burden of chronic diseases: the cases of Belgian, Czech and German older adults |
| title_full | The out-of-pocket burden of chronic diseases: the cases of Belgian, Czech and German older adults |
| title_fullStr | The out-of-pocket burden of chronic diseases: the cases of Belgian, Czech and German older adults |
| title_full_unstemmed | The out-of-pocket burden of chronic diseases: the cases of Belgian, Czech and German older adults |
| title_short | The out-of-pocket burden of chronic diseases: the cases of Belgian, Czech and German older adults |
| title_sort | out of pocket burden of chronic diseases the cases of belgian czech and german older adults |
| topic | Out-of-pocket burden Chronic diseases Older adults Belgium Czech Republic Germany |
| url | https://doi.org/10.1186/s12913-021-06259-w |
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