Health Care Expenditures and Utilization Among Older Mexican Adults

Jaqueline C. Avila, Sapna Kaul, Rebeca Wong

Research output: Contribution to journalArticle

Abstract

Objectives: Examine differences in health care utilization and out-of-pocket (OOP) expenditures among older Mexican adults in 2001 and 2012, and identify individual characteristics associated with utilization and expenditures in both years. Method: Data from the 2001 and 2012 cross-sections of the Mexican Health and Aging Study were utilized. Outcomes included nights spent in the hospital, medical/outpatient procedures, and OOP expenditures with these services. Covariates included demographics and comorbidities. Two-part regression models were used to identify covariates associated with utilization and expenditures in each year. Results: The proportion of those who spent at least one night in the hospital or had at least one medical/outpatient visit was higher in 2012 than in 2001, while the proportion of individuals with OOP expenditures decreased between the years. Those with more comorbidities had the highest OOP expenditures in both years. Discussion: Although the population paying for health care services OOP was lower in 2012, there is persistent inequality in expenditures across population groups.

Original languageEnglish (US)
JournalJournal of Aging and Health
DOIs
StateAccepted/In press - Jan 1 2018

Fingerprint

Patient Acceptance of Health Care
Health Expenditures
expenditures
utilization
health care
comorbidity
Comorbidity
Outpatients
population group
health care services
Population Groups
Health Services
Demography
Delivery of Health Care
regression
Health

Keywords

  • health care expenditures
  • health care utilization
  • Mexico

ASJC Scopus subject areas

  • Health(social science)
  • Sociology and Political Science
  • Gerontology
  • Community and Home Care
  • Geriatrics and Gerontology
  • Life-span and Life-course Studies

Cite this

Health Care Expenditures and Utilization Among Older Mexican Adults. / Avila, Jaqueline C.; Kaul, Sapna; Wong, Rebeca.

In: Journal of Aging and Health, 01.01.2018.

Research output: Contribution to journalArticle

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