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Out-of-pocket and catastrophic expenses in households of patients with schizophrenia lacking social security.

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Title: Out-of-pocket and catastrophic expenses in households of patients with schizophrenia lacking social security.
Alternate Title: Gastos de bolsillo y catastróficos en hogares de pacientes con esquizofrenia sin seguridad social.
Authors: Cabello-Rangel, Héctor1, Reyes-Morales, Hortensia2 hortensia.reyes@insp.mx, Medina-Mora, María Elena3, Arredondo-López, Armando2
Source: Salud Pública de México. Jul/Aug2021, Vol. 63 Issue 4, p547-553. 7p.
Subjects: PEOPLE with schizophrenia, SOCIAL security, HOUSEHOLDS, COST, PSYCHIATRIC hospitals
Abstract (English): 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. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Objetivo. Estimar la magnitud del gasto de bolsillo y catastrófico en salud, así como el empobrecimiento experimentado por hogares de pacientes con esquizofrenia que carecen de cobertura en seguridad social. Material y métodos. Se hizo un estudio transversal de 96 pacientes tratados en consulta externa entre febrero y diciembre de 2018, en un hospital psiquiátrico. Resultados. Todos los hogares soportaron gastos de bolsillo (GB), la mediana fue 510 USD (IC95%: 456-628). Los GB representan 28 y 4% de la capacidad de pago de los hogares pobres y ricos respectivamente. El 16% de los hogares incurrió en gastos catastróficos y 6.6% tiene empobrecimiento por motivos de salud. Conclusiones. Los resultados muestran que los gastos de bolsillo y gastos catastróficos en pacientes con esquizofrenia son mayores que los reportados para población general, por lo que es necesario repensar las políticas de protección financiera dirigidas a pacientes con esquizofrenia y sus hogares. [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.)
Database: MedicLatina
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  Data: Out-of-pocket and catastrophic expenses in households of patients with schizophrenia lacking social security.
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  Data: Gastos de bolsillo y catastróficos en hogares de pacientes con esquizofrenia sin seguridad social.
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  Data: <searchLink fieldCode="JN" term="%22Salud+Pública+de+México%22">Salud Pública de México</searchLink>. Jul/Aug2021, Vol. 63 Issue 4, p547-553. 7p.
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  Data: <searchLink fieldCode="DE" term="%22PEOPLE+with+schizophrenia%22">PEOPLE with schizophrenia</searchLink><br /><searchLink fieldCode="DE" term="%22SOCIAL+security%22">SOCIAL security</searchLink><br /><searchLink fieldCode="DE" term="%22HOUSEHOLDS%22">HOUSEHOLDS</searchLink><br /><searchLink fieldCode="DE" term="%22COST%22">COST</searchLink><br /><searchLink fieldCode="DE" term="%22PSYCHIATRIC+hospitals%22">PSYCHIATRIC hospitals</searchLink>
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: 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. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Objetivo. Estimar la magnitud del gasto de bolsillo y catastrófico en salud, así como el empobrecimiento experimentado por hogares de pacientes con esquizofrenia que carecen de cobertura en seguridad social. Material y métodos. Se hizo un estudio transversal de 96 pacientes tratados en consulta externa entre febrero y diciembre de 2018, en un hospital psiquiátrico. Resultados. Todos los hogares soportaron gastos de bolsillo (GB), la mediana fue 510 USD (IC95%: 456-628). Los GB representan 28 y 4% de la capacidad de pago de los hogares pobres y ricos respectivamente. El 16% de los hogares incurrió en gastos catastróficos y 6.6% tiene empobrecimiento por motivos de salud. Conclusiones. Los resultados muestran que los gastos de bolsillo y gastos catastróficos en pacientes con esquizofrenia son mayores que los reportados para población general, por lo que es necesario repensar las políticas de protección financiera dirigidas a pacientes con esquizofrenia y sus hogares. [ABSTRACT FROM AUTHOR]
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  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: 10.21149/12252
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        Text: Multiple languages
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        StartPage: 547
    Subjects:
      – SubjectFull: PEOPLE with schizophrenia
        Type: general
      – SubjectFull: SOCIAL security
        Type: general
      – SubjectFull: HOUSEHOLDS
        Type: general
      – SubjectFull: COST
        Type: general
      – SubjectFull: PSYCHIATRIC hospitals
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      – TitleFull: Out-of-pocket and catastrophic expenses in households of patients with schizophrenia lacking social security.
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            NameFull: Cabello-Rangel, Héctor
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            NameFull: Reyes-Morales, Hortensia
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            NameFull: Medina-Mora, María Elena
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            NameFull: Arredondo-López, Armando
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              M: 07
              Text: Jul/Aug2021
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              Y: 2021
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