Catastrophic long-term care expenditure: associated socio demographic and economic factors

Objective An increasing number of persons across the world require long-term care (LTC). In Spain, access to LTC involves individuals incurring out-of-pocket (OOP) expenditure. There is a large body of literature on the incidence of catastrophic OOP payments in access and participation in health sys...

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Detalles Bibliográficos
Autores: Pozo Rubio, Raúl del, Mínguez Salido, Román, Pardo García, Isabel, Escribano Sotos, Francisco
Tipo de recurso: artículo
Fecha de publicación:2019
País:España
Institución:Universidad de Castilla-La Mancha
Repositorio:RUIdeRA. Repositorio Institucional de la UCLM
OAI Identifier:oai:ruidera.uclm.es:10578/30557
Acceso en línea:http://hdl.handle.net/10578/30557
Access Level:acceso abierto
Palabra clave:Catastrophic
Long-term care
Out-of pocket
Dependence
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spelling Catastrophic long-term care expenditure: associated socio demographic and economic factorsPozo Rubio, Raúl delMínguez Salido, RománPardo García, IsabelEscribano Sotos, FranciscoCatastrophicLong-term careOut-of pocketDependenceObjective An increasing number of persons across the world require long-term care (LTC). In Spain, access to LTC involves individuals incurring out-of-pocket (OOP) expenditure. There is a large body of literature on the incidence of catastrophic OOP payments in access and participation in health systems, but not in the field of LTC nor the determinants of these expenses. Our aim was to analyse the socio-demographic and economic factors associated with different levels of catastrophic LTC expenditure in the form of private out-of-pocket payments among dependent persons in Spain. Materials and methods The study used the Spanish Disability and Dependency Survey (SDDS) conducted by the Spanish National Statistics Institute to obtain the socioeconomic, demographic and health profiles. The households were classified into those below the poverty threshold and those above the threshold of catastrophe, using measures of impoverishment and catastrophe. We estimated two logistic regression models, one binary (impoverishment) and one ordinal (catastrophe). Results The results show that OOP expenditure on LTC increases the probability of impoverishment by 18.90%. The factors associated with higher probability of experiencing catastrophe were age, being single, widowed or separated, lower levels of household income and education, higher level of dependence and living in an autonomous community with lower per capita income. Conclusions These findings highlight the need to include exemptions or insurance in the design of LTC policies to protect dependent persons from the risk of financial burden.Springer202220222019info:eu-repo/semantics/articleapplication/pdfapplication/pdfhttp://hdl.handle.net/10578/30557reponame:RUIdeRA. Repositorio Institucional de la UCLMinstname:Universidad de Castilla-La ManchaInglésinfo:eu-repo/semantics/openAccessoai:ruidera.uclm.es:10578/305572026-05-27T07:36:41Z
dc.title.none.fl_str_mv Catastrophic long-term care expenditure: associated socio demographic and economic factors
title Catastrophic long-term care expenditure: associated socio demographic and economic factors
spellingShingle Catastrophic long-term care expenditure: associated socio demographic and economic factors
Pozo Rubio, Raúl del
Catastrophic
Long-term care
Out-of pocket
Dependence
title_short Catastrophic long-term care expenditure: associated socio demographic and economic factors
title_full Catastrophic long-term care expenditure: associated socio demographic and economic factors
title_fullStr Catastrophic long-term care expenditure: associated socio demographic and economic factors
title_full_unstemmed Catastrophic long-term care expenditure: associated socio demographic and economic factors
title_sort Catastrophic long-term care expenditure: associated socio demographic and economic factors
dc.creator.none.fl_str_mv Pozo Rubio, Raúl del
Mínguez Salido, Román
Pardo García, Isabel
Escribano Sotos, Francisco
author Pozo Rubio, Raúl del
author_facet Pozo Rubio, Raúl del
Mínguez Salido, Román
Pardo García, Isabel
Escribano Sotos, Francisco
author_role author
author2 Mínguez Salido, Román
Pardo García, Isabel
Escribano Sotos, Francisco
author2_role author
author
author
dc.subject.none.fl_str_mv Catastrophic
Long-term care
Out-of pocket
Dependence
topic Catastrophic
Long-term care
Out-of pocket
Dependence
description Objective An increasing number of persons across the world require long-term care (LTC). In Spain, access to LTC involves individuals incurring out-of-pocket (OOP) expenditure. There is a large body of literature on the incidence of catastrophic OOP payments in access and participation in health systems, but not in the field of LTC nor the determinants of these expenses. Our aim was to analyse the socio-demographic and economic factors associated with different levels of catastrophic LTC expenditure in the form of private out-of-pocket payments among dependent persons in Spain. Materials and methods The study used the Spanish Disability and Dependency Survey (SDDS) conducted by the Spanish National Statistics Institute to obtain the socioeconomic, demographic and health profiles. The households were classified into those below the poverty threshold and those above the threshold of catastrophe, using measures of impoverishment and catastrophe. We estimated two logistic regression models, one binary (impoverishment) and one ordinal (catastrophe). Results The results show that OOP expenditure on LTC increases the probability of impoverishment by 18.90%. The factors associated with higher probability of experiencing catastrophe were age, being single, widowed or separated, lower levels of household income and education, higher level of dependence and living in an autonomous community with lower per capita income. Conclusions These findings highlight the need to include exemptions or insurance in the design of LTC policies to protect dependent persons from the risk of financial burden.
publishDate 2019
dc.date.none.fl_str_mv 2019
2022
2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/10578/30557
url http://hdl.handle.net/10578/30557
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Springer
publisher.none.fl_str_mv Springer
dc.source.none.fl_str_mv reponame:RUIdeRA. Repositorio Institucional de la UCLM
instname:Universidad de Castilla-La Mancha
instname_str Universidad de Castilla-La Mancha
reponame_str RUIdeRA. Repositorio Institucional de la UCLM
collection RUIdeRA. Repositorio Institucional de la UCLM
repository.name.fl_str_mv
repository.mail.fl_str_mv
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