Gasto de bolsillo en salud durante el último año de vida de adultos mayores mexicanos: análisis del Enasem.

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Title: Gasto de bolsillo en salud durante el último año de vida de adultos mayores mexicanos: análisis del Enasem.
Alternate Title: Out of pocket expenditure on health during the last year of life of Mexican elderly: analysis of the Enasem.
Authors: Salinas-Escudero, Guillermo1, Fernanda Carrillo-Vega, María2, Ulises Pérez-Zepeda, Mario2,3, García-Peña, Carmen4 mcgarcia@inger.gob.mx
Source: Salud Pública de México. jul-ago2019, Vol. 61 Issue 4, p504-513. 10p.
Subjects: OLDER people, SOCIAL security, MEDICAL consultation, PUBLIC hospitals, OUTPATIENT medical care
Geographic Terms: MEXICO
Abstract (English): Objective. To estimate the out-of-pocket expenses (OOPE) during the last year of life in Mexican older adults (OA). Materials and methods. Estimation of the OOPE corresponding to the last year of life of OA, adjusting by type of management, affiliation and cause of death. Data from the National Health and Aging Study in Mexico (2012) were used. To calculate the total OOPE, the expenses in the last year were used in: medications, medical consultations and hospitalization. The OOPE was adjusted for inflation and is reported in US dollars 2018. Results. The mean OOPE was $6 255.3±18 500. In the ambulatory care group, the OOPE was $4 134.9±13 631.3. The OOPE in hospitalization was $7 050.6±19 971.0. Conclusions. The probability of incurre in OOPE is lower when hospitalization is not required. With hospitalization, affiliation to social security and attending to public hospitals plays a protective role. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Objetivo. Estimar el gasto de bolsillo (GB) durante el último año de vida en adultos mayores (AM) mexicanos. Material y métodos. Estimación del GB del último año de vida de AM, ajustando por tipo de manejo, afiliación y causa de muerte. Se emplearon datos del Estudio Nacional de Salud y Envejecimiento en México (2012). Los gastos en medicamentos, consultas médicas y hospitalización durante el año previo a la muerte conforman el GB. El GB se ajustó por inflación y se reporta en dólares americanos 2018. Resultados. La media de GB fue $6 255.3±18 500. En el grupo de atención ambulatoria el GB fue $4 134.9±13 631.3. El GB en hospitalización fue $7 050.6±19 971.0. Conclusiones. La probabilidad de incurrir en GB es menor cuando no se requiere hospitalización. Con hospitalización, la afiliación a la seguridad social y atenderse en hospitales públicos juega un papel protector. [ABSTRACT FROM AUTHOR]
Copyright of Salud Pública de México is the property of Instituto Nacional de Salud Publica and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Gasto de bolsillo en salud durante el último año de vida de adultos mayores mexicanos: análisis del Enasem.
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  Data: Out of pocket expenditure on health during the last year of life of Mexican elderly: analysis of the Enasem.
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  Data: <searchLink fieldCode="AR" term="%22Salinas-Escudero%2C+Guillermo%22">Salinas-Escudero, Guillermo</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Fernanda+Carrillo-Vega%2C+María%22">Fernanda Carrillo-Vega, María</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Ulises+Pérez-Zepeda%2C+Mario%22">Ulises Pérez-Zepeda, Mario</searchLink><relatesTo>2,3</relatesTo><br /><searchLink fieldCode="AR" term="%22García-Peña%2C+Carmen%22">García-Peña, Carmen</searchLink><relatesTo>4</relatesTo><i> mcgarcia@inger.gob.mx</i>
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  Data: <searchLink fieldCode="JN" term="%22Salud+Pública+de+México%22">Salud Pública de México</searchLink>. jul-ago2019, Vol. 61 Issue 4, p504-513. 10p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22OLDER+people%22">OLDER people</searchLink><br /><searchLink fieldCode="DE" term="%22SOCIAL+security%22">SOCIAL security</searchLink><br /><searchLink fieldCode="DE" term="%22MEDICAL+consultation%22">MEDICAL consultation</searchLink><br /><searchLink fieldCode="DE" term="%22PUBLIC+hospitals%22">PUBLIC hospitals</searchLink><br /><searchLink fieldCode="DE" term="%22OUTPATIENT+medical+care%22">OUTPATIENT medical care</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22MEXICO%22">MEXICO</searchLink>
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: Objective. To estimate the out-of-pocket expenses (OOPE) during the last year of life in Mexican older adults (OA). Materials and methods. Estimation of the OOPE corresponding to the last year of life of OA, adjusting by type of management, affiliation and cause of death. Data from the National Health and Aging Study in Mexico (2012) were used. To calculate the total OOPE, the expenses in the last year were used in: medications, medical consultations and hospitalization. The OOPE was adjusted for inflation and is reported in US dollars 2018. Results. The mean OOPE was $6 255.3±18 500. In the ambulatory care group, the OOPE was $4 134.9±13 631.3. The OOPE in hospitalization was $7 050.6±19 971.0. Conclusions. The probability of incurre in OOPE is lower when hospitalization is not required. With hospitalization, affiliation to social security and attending to public hospitals plays a protective role. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Objetivo. Estimar el gasto de bolsillo (GB) durante el último año de vida en adultos mayores (AM) mexicanos. Material y métodos. Estimación del GB del último año de vida de AM, ajustando por tipo de manejo, afiliación y causa de muerte. Se emplearon datos del Estudio Nacional de Salud y Envejecimiento en México (2012). Los gastos en medicamentos, consultas médicas y hospitalización durante el año previo a la muerte conforman el GB. El GB se ajustó por inflación y se reporta en dólares americanos 2018. Resultados. La media de GB fue $6 255.3±18 500. En el grupo de atención ambulatoria el GB fue $4 134.9±13 631.3. El GB en hospitalización fue $7 050.6±19 971.0. Conclusiones. La probabilidad de incurrir en GB es menor cuando no se requiere hospitalización. Con hospitalización, la afiliación a la seguridad social y atenderse en hospitales públicos juega un papel protector. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Salud Pública de México is the property of Instituto Nacional de Salud Publica and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.21149/10146
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        Text: Spanish
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        PageCount: 10
        StartPage: 504
    Subjects:
      – SubjectFull: OLDER people
        Type: general
      – SubjectFull: SOCIAL security
        Type: general
      – SubjectFull: MEDICAL consultation
        Type: general
      – SubjectFull: PUBLIC hospitals
        Type: general
      – SubjectFull: OUTPATIENT medical care
        Type: general
      – SubjectFull: MEXICO
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    Titles:
      – TitleFull: Gasto de bolsillo en salud durante el último año de vida de adultos mayores mexicanos: análisis del Enasem.
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            NameFull: Salinas-Escudero, Guillermo
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            NameFull: Fernanda Carrillo-Vega, María
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            NameFull: Ulises Pérez-Zepeda, Mario
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            NameFull: García-Peña, Carmen
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              Text: jul-ago2019
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              Y: 2019
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