Socioeconomic determinants of out-of-pocket pharmaceutical expenditure among middle-aged and elderly adults based on the China Health and Retirement Longitudinal Survey

Jinglin Du · Xue Yang · Mingsheng Chen · Zhonghua Wang

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Abstract

OBJECTIVE: Out-of-pocket pharmaceutical expenditure (OOPPE) is a considerable burden for middle-aged and elderly adults due to their high prevalence of diseases, insufficient income and absence of medical insurance in China. The objective of this study was to assess the determinants of OOPPE among Chinese middle-aged and elderly adults. METHODS: This is a cross-sectional study based on the China Health and Retirement Longitudinal Survey conducted in 2015. The Andersen behavioural health model was used to select the factors. Binary multivariable logistic and generalised linear regressions were both applied to examine the determinants of OOPPE. RESULTS: Of the respondents, 15.28%, 5.20% and 51.35% reported an OOPPE for outpatient services, inpatient services and self-medication, respectively. The OOPPE for outpatient services, inpatient services and self-medication was US$6.66, US$17.93 and US$15.32, respectively. Increased age significantly influenced the likelihood of OOPPE, and older people (aged >65 years) had lower OOPPE for outpatient services. Having health insurance significantly reduced the likelihood of OOPPE for outpatient and inpatient services but increased OOPPE for self-medication. In general, compared with the low-income group, higher income groups had a significantly lower likelihood of having an OOPPE, and when they did the amounts were less. Generally, middle-aged and elderly people with poor self-reported health status, limitation of daily activities, and critical or chronic diseases had a significantly higher likelihood of having an OOPPE and at a significantly higher amount. CONCLUSION: Policy-making efforts should focus on reducing self-medication OOPPE and alleviating its associated socioeconomic determinants to ease the economic burden of diseases among middle-aged and elderly adults in China.

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2012Early appraisal of China's huge and complex health-care reforms 2005What are the economic consequences for households of illness and of paying for health care in low- and middle-income country contexts?2003The Distributional Impact of Health Financing in Europe: A Review 2009Health insurance for the poor: impact on catastrophic and out-of-pocket health expenditures in Mexico 2015Catastrophic health expenditures and its inequality in elderly households with chronic disease patients in China 2012State health insurance and out-of-pocket health expenditures in Andhra Pradesh, India 2018Social health insurance, healthcare utilization, and costs in middle-aged and elderly community-dwelling adults in China 2011Equity in the delivery of community healthcare to older people: findings from 10/66 Dementia Research Group cross-sectional surveys in Latin America, China, India and Nigeria

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