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Page 31
December 03-04, 2018 | Lisbon, Portugal
Public Health, Women's Health, Nursing and Hospital Management
Joint Event
Journal of Community Medicine & Health Education | ISSN : 2161-0711 | Volume 08
Predictors of out of pocket expenditure on health incurred by elderly persons
residing in a rural, Indian community-implication for insurance programme
Almost 8.6% of India’s 1.2 billion population are elderly, who spent considerable money from out-of-pocket (OOP)
for healthcare. Any policy for elderly should encompass financial protection from illness expenditure. However, lack
of comprehensive information on OOP expenditure and its determinants, precludes such action. We studied a sample of 400
community-dwelling elderly in rural India, to assess cost incurred on outpatient and inpatient services, along with information
on socio-demographics (individual-characteristics), morbidity (motivation for seeking-care), and social-engagement (health-
seeking). Lubben Social Network Scale (LSNS) was used to assess the degree of social isolation. Multimorbidity was measured
by Cumulative Illness Rating Scale for Geriatrics (CIRS-G). Mental health status was measured by the SF-12 mental component
summary (MCS) score. The mean (95%CI) annual OOP expenditure was USD 156.3 (IQR, USD 103.0-209.5) with a median
of USD 35.7 (IQR, USD18.2 -90.3), being explained significantly by sex, statuses of morbidity, social engagement, and mental
health. In developing countries like India, information regarding different sub-headings of out of pocket expenditure on health
(expenditure during visit to a formal doctor / non-formal doctor, over the counter purchase of medicine, medical aid purchase) is
the basic input of targetted policy intervention whose evidences are provided in the present study. We recommend that the policy
for health of elderly persons in India should take into account of financial protection. The policy should consider pre-payment
mechanism like health insurance, as one of the components for providing financial protection.
Biography
Vineet Kumar Pathak has completed his MBBS (2013 batch) from MGM, Medical College, MP, India with
distinction Gold Medal in Paediatrics. Then he joined All India of Medical Sciences, New Delhi in 2015 as
post-graduate student in Centre for Community Medicine. Currently he is working as Senior Resident in
department of Community and Family Medicine at All India Institute of Medical Sciences, Chhatisgarh, India.
Vineet Kumar Pathak
All India Institiue of Medical Sciences, India
Vineet Kumar Pathak, J Community Med Health Educ 2018, Volume:8
DOI: 10.4172/2161-0711-C7-050