Health care utilization in the elderly Mexican population: Expenditures and determinants
Health care utilization in the elderly Mexican population: Expenditures and determinants
复制标题
DOI：
10.1186/1471-2458-11-192
复制
发表时间：
2011-03-29
影响因子：
4.5
通讯作者：
Garcia-Pena, Carmen
中科院分区：
文献类型：
--
作者：
Gonzalez-Gonzalez, Cesar;Sanchez-Garcia, Sergio;Garcia-Pena, Carmen
背景资料：世界人口老龄化被认为是最重要的人口现象之一，经常被认为是卫生费用和支出的决定因素。这些成本要么是老龄化过程本身（社会）的影响，要么是由于年龄增长带来的增加（个人）.目的：分析卫生支出及其决定因素在墨西哥人口的样本，三个维度的急性发病率，门诊护理和住院治疗，侧重于不同年龄组，特别是老年人.对2006年墨西哥全国健康和营养调查进行了二次分析。进行了描述性分析，以建立社会人口特征的健康概况。估计Logistic回归模型以确定急性发病率、门诊护理、住院和年龄组之间的关系;确定60岁及以上人群住院的决定因素;并确定按年龄划分的住院费用。报告有健康问题的老年人比例较高，家庭平均住院费用为240.6美元，而只有长者的住户，每日每日生活津贴的开支为308.9元，是所有年龄组别中最高的。多因素分析显示老年人住院的可能性更高，但急性发病率和门诊护理的风险并不高。在老年人中，年龄较大，是男性或生活在城市或在市区意味着更高的概率住院治疗在过去的一年中，慢性病发挥了关键作用，在hospitalization.Conclusions：与年龄相关的条件，如慢性病，有较高的权重比年龄本身，因此，他们是负责较高的支出报告。结论指出，根据年龄，保健服务的使用和强度有所不同。预计这一群体的住院和保健需求将增加，需要立即予以关注。
Background: Worldwide population aging has been considered one of the most important demographic phenomena, and is frequently referred as a determinant of health costs and expenditures. These costs are an effect either of the aging process itself (social) or because of the increase that comes with older age (individual).Objective: To analyze health expenditures and its determinants in a sample of Mexican population, for three dimensions acute morbidity, ambulatory care and hospitalization focusing on different age groups, particularly the elderly.Methods: A secondary analysis of the Mexican National Health and Nutrition Survey (ENSANUT), 2006 was conducted. A descriptive analysis was performed to establish a health profile by socio-demographic characteristics. Logistic regression models were estimated to determine the relation between acute morbidity, ambulatory care, hospitalization and age group; to establish the determinants of hospitalization among the population 60 years and older; and to determine hospitalization expenditures by age.Results: Higher proportion of elderly reporting health problems was found. Average expenditures of hospitalization in households were $240.6 am dlls, whereas in households exclusively with elderly the expenditure was $308.9 am dlls, the highest among the considered age groups. The multivariate analysis showed higher probability of being hospitalized among the elderly, but not for risks for acute morbidity and ambulatory care. Among the elderly, older age, being male or living in a city or in a metro area implied a higher probability of hospitalization during the last year, with chronic diseases playing a key role in hospitalization.Conclusions: The conditions associated with age, such as chronic diseases, have higher weight than age itself; therefore, they are responsible for the higher expenditures reported. Conclusions point towards a differentiated use and intensity of health services depending on age. The projected increase in hospitalization and health care needs for this group requires immediate attention.