Out-of-pocket Expenditure on Health Care Among Elderly and Non-elderly Households in India
Using the consumption expenditure data, National Sample Survey, 2009–2010, this paper test the hypothesis that the monthly per capita household health spending of elderly households is significantly higher than non-elderly households in India. The households are classified into three mutually exclus...
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| Veröffentlicht in: | Social indicators research 2014-02, Vol.115 (3), p.1137-1157 |
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| creator | Mohanty, Sanjay K. Chauhan, Rajesh K. Mazumdar, Sumit Srivastava, Akanksha |
| description | Using the consumption expenditure data, National Sample Survey, 2009–2010, this paper test the hypothesis that the monthly per capita household health spending of elderly households is significantly higher than non-elderly households in India. The households are classified into three mutually exclusive groups; households with only elderly members (elderly households), households with elderly and non-elderly members and households without any elderly member. The health spending include the institutional (hospitalization) and non-institutional health expenditure of the households, standardized for 30 days. Descriptive statistics and a two part model are used to understand the differentials in health expenditures across households. Results indicate that the monthly per capita health spending increases with economic status, occupation, age and educational attainment of the head of the household. The monthly per capita health spending of elderly households is 3.8 times higher than that of non-elderly households. While the health spending accounts 13 % of total consumption expenditure for elderly households, it was 7 % among households with elderly and non-elderly members, and 5 % among non-elderly households. Controlling for socio-economic and demographic correlates, the per-capita household health spending among elderly households and among household with elderly and non-elderly members was significantly higher than non-elderly households. The health expenditure is catastrophic for poorer households, casual labourer and households with elderly members. Based on the finding we suggest to increased access to health insurance and public spending on geriatric care to reduce the out-of-pocket expenditure on health care in India. |
| doi_str_mv | 10.1007/s11205-013-0261-7 |
| format | Article |
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The households are classified into three mutually exclusive groups; households with only elderly members (elderly households), households with elderly and non-elderly members and households without any elderly member. The health spending include the institutional (hospitalization) and non-institutional health expenditure of the households, standardized for 30 days. Descriptive statistics and a two part model are used to understand the differentials in health expenditures across households. Results indicate that the monthly per capita health spending increases with economic status, occupation, age and educational attainment of the head of the household. The monthly per capita health spending of elderly households is 3.8 times higher than that of non-elderly households. While the health spending accounts 13 % of total consumption expenditure for elderly households, it was 7 % among households with elderly and non-elderly members, and 5 % among non-elderly households. Controlling for socio-economic and demographic correlates, the per-capita household health spending among elderly households and among household with elderly and non-elderly members was significantly higher than non-elderly households. The health expenditure is catastrophic for poorer households, casual labourer and households with elderly members. Based on the finding we suggest to increased access to health insurance and public spending on geriatric care to reduce the out-of-pocket expenditure on health care in India.</description><identifier>ISSN: 0303-8300</identifier><identifier>EISSN: 1573-0921</identifier><identifier>DOI: 10.1007/s11205-013-0261-7</identifier><identifier>CODEN: SINRDZ</identifier><language>eng</language><publisher>Dordrecht: Springer</publisher><subject>Age ; Aged ; Aging (Individuals) ; Aging problems. Death ; Biological and medical sciences ; Birth rates ; Child Health ; Communicable Diseases ; Consumer spending ; Consumption ; Cost control ; Developed Nations ; Developing countries ; Economic Status ; Economics ; Educational Attainment ; Elderly ; Expenditures ; Fertility ; GDP ; Government (Administrative Body) ; Government Spending ; Gross Domestic Product ; Health ; Health care ; Health Care Costs ; Health care economics ; Health care expenditures ; Health Care Services ; Health care surveys ; Health expenditure ; Health expenditures ; Health insurance ; Health Needs ; Household consumption ; Households ; Human Geography ; Hypotheses ; India ; Industrialized nations ; Labor Supply ; LDCs ; Maternal & child health ; Medical sciences ; Microeconomics ; Older adults ; Older people ; Per capita ; Planning Commissions ; Population ; Public expenditure ; Public finance ; Public Health ; Public health. Hygiene-occupational medicine ; Quality of Life Research ; Social Sciences ; Socioeconomics ; Sociology ; Sociology of health and medicine ; Sociology of the family. Age groups ; Statistical analysis</subject><ispartof>Social indicators research, 2014-02, Vol.115 (3), p.1137-1157</ispartof><rights>Springer Science+Business Media Dordrecht 2013</rights><rights>2015 INIST-CNRS</rights><rights>Springer Science+Business Media Dordrecht 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c419t-d2e0946f21eeb33b8d4e59023f486acba88b674dd4e2331a449467cb9243a8ec3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/24720452$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/24720452$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,776,780,799,27321,27901,27902,33751,33752,41464,42533,51294,57992,58225</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=28602118$$DView record in Pascal Francis$$Hfree_for_read</backlink></links><search><creatorcontrib>Mohanty, Sanjay K.</creatorcontrib><creatorcontrib>Chauhan, Rajesh K.</creatorcontrib><creatorcontrib>Mazumdar, Sumit</creatorcontrib><creatorcontrib>Srivastava, Akanksha</creatorcontrib><title>Out-of-pocket Expenditure on Health Care Among Elderly and Non-elderly Households in India</title><title>Social indicators research</title><addtitle>Soc Indic Res</addtitle><description>Using the consumption expenditure data, National Sample Survey, 2009–2010, this paper test the hypothesis that the monthly per capita household health spending of elderly households is significantly higher than non-elderly households in India. The households are classified into three mutually exclusive groups; households with only elderly members (elderly households), households with elderly and non-elderly members and households without any elderly member. The health spending include the institutional (hospitalization) and non-institutional health expenditure of the households, standardized for 30 days. Descriptive statistics and a two part model are used to understand the differentials in health expenditures across households. Results indicate that the monthly per capita health spending increases with economic status, occupation, age and educational attainment of the head of the household. The monthly per capita health spending of elderly households is 3.8 times higher than that of non-elderly households. While the health spending accounts 13 % of total consumption expenditure for elderly households, it was 7 % among households with elderly and non-elderly members, and 5 % among non-elderly households. Controlling for socio-economic and demographic correlates, the per-capita household health spending among elderly households and among household with elderly and non-elderly members was significantly higher than non-elderly households. The health expenditure is catastrophic for poorer households, casual labourer and households with elderly members. Based on the finding we suggest to increased access to health insurance and public spending on geriatric care to reduce the out-of-pocket expenditure on health care in India.</description><subject>Age</subject><subject>Aged</subject><subject>Aging (Individuals)</subject><subject>Aging problems. Death</subject><subject>Biological and medical sciences</subject><subject>Birth rates</subject><subject>Child Health</subject><subject>Communicable Diseases</subject><subject>Consumer spending</subject><subject>Consumption</subject><subject>Cost control</subject><subject>Developed Nations</subject><subject>Developing countries</subject><subject>Economic Status</subject><subject>Economics</subject><subject>Educational Attainment</subject><subject>Elderly</subject><subject>Expenditures</subject><subject>Fertility</subject><subject>GDP</subject><subject>Government (Administrative Body)</subject><subject>Government Spending</subject><subject>Gross Domestic Product</subject><subject>Health</subject><subject>Health care</subject><subject>Health Care Costs</subject><subject>Health care economics</subject><subject>Health care expenditures</subject><subject>Health Care Services</subject><subject>Health care surveys</subject><subject>Health expenditure</subject><subject>Health expenditures</subject><subject>Health insurance</subject><subject>Health Needs</subject><subject>Household consumption</subject><subject>Households</subject><subject>Human Geography</subject><subject>Hypotheses</subject><subject>India</subject><subject>Industrialized nations</subject><subject>Labor Supply</subject><subject>LDCs</subject><subject>Maternal & child health</subject><subject>Medical sciences</subject><subject>Microeconomics</subject><subject>Older adults</subject><subject>Older people</subject><subject>Per capita</subject><subject>Planning Commissions</subject><subject>Population</subject><subject>Public expenditure</subject><subject>Public finance</subject><subject>Public Health</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Quality of Life Research</subject><subject>Social Sciences</subject><subject>Socioeconomics</subject><subject>Sociology</subject><subject>Sociology of health and medicine</subject><subject>Sociology of the family. 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Death</topic><topic>Biological and medical sciences</topic><topic>Birth rates</topic><topic>Child Health</topic><topic>Communicable Diseases</topic><topic>Consumer spending</topic><topic>Consumption</topic><topic>Cost control</topic><topic>Developed Nations</topic><topic>Developing countries</topic><topic>Economic Status</topic><topic>Economics</topic><topic>Educational Attainment</topic><topic>Elderly</topic><topic>Expenditures</topic><topic>Fertility</topic><topic>GDP</topic><topic>Government (Administrative Body)</topic><topic>Government Spending</topic><topic>Gross Domestic Product</topic><topic>Health</topic><topic>Health care</topic><topic>Health Care Costs</topic><topic>Health care economics</topic><topic>Health care expenditures</topic><topic>Health Care Services</topic><topic>Health care surveys</topic><topic>Health expenditure</topic><topic>Health expenditures</topic><topic>Health insurance</topic><topic>Health Needs</topic><topic>Household consumption</topic><topic>Households</topic><topic>Human Geography</topic><topic>Hypotheses</topic><topic>India</topic><topic>Industrialized nations</topic><topic>Labor Supply</topic><topic>LDCs</topic><topic>Maternal & child health</topic><topic>Medical sciences</topic><topic>Microeconomics</topic><topic>Older adults</topic><topic>Older people</topic><topic>Per capita</topic><topic>Planning Commissions</topic><topic>Population</topic><topic>Public expenditure</topic><topic>Public finance</topic><topic>Public Health</topic><topic>Public health. 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The households are classified into three mutually exclusive groups; households with only elderly members (elderly households), households with elderly and non-elderly members and households without any elderly member. The health spending include the institutional (hospitalization) and non-institutional health expenditure of the households, standardized for 30 days. Descriptive statistics and a two part model are used to understand the differentials in health expenditures across households. Results indicate that the monthly per capita health spending increases with economic status, occupation, age and educational attainment of the head of the household. The monthly per capita health spending of elderly households is 3.8 times higher than that of non-elderly households. While the health spending accounts 13 % of total consumption expenditure for elderly households, it was 7 % among households with elderly and non-elderly members, and 5 % among non-elderly households. Controlling for socio-economic and demographic correlates, the per-capita household health spending among elderly households and among household with elderly and non-elderly members was significantly higher than non-elderly households. The health expenditure is catastrophic for poorer households, casual labourer and households with elderly members. Based on the finding we suggest to increased access to health insurance and public spending on geriatric care to reduce the out-of-pocket expenditure on health care in India.</abstract><cop>Dordrecht</cop><pub>Springer</pub><doi>10.1007/s11205-013-0261-7</doi><tpages>21</tpages></addata></record> |
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| source | Jstor Complete Legacy; Sociological Abstracts; SpringerLink Journals - AutoHoldings |
| subjects | Age Aged Aging (Individuals) Aging problems. Death Biological and medical sciences Birth rates Child Health Communicable Diseases Consumer spending Consumption Cost control Developed Nations Developing countries Economic Status Economics Educational Attainment Elderly Expenditures Fertility GDP Government (Administrative Body) Government Spending Gross Domestic Product Health Health care Health Care Costs Health care economics Health care expenditures Health Care Services Health care surveys Health expenditure Health expenditures Health insurance Health Needs Household consumption Households Human Geography Hypotheses India Industrialized nations Labor Supply LDCs Maternal & child health Medical sciences Microeconomics Older adults Older people Per capita Planning Commissions Population Public expenditure Public finance Public Health Public health. Hygiene-occupational medicine Quality of Life Research Social Sciences Socioeconomics Sociology Sociology of health and medicine Sociology of the family. Age groups Statistical analysis |
| title | Out-of-pocket Expenditure on Health Care Among Elderly and Non-elderly Households in India |
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