Borboa Jesús Daniel Zazueta, Chande Roberto Ham
Netherlands Interdisciplinary Demographic Institute.
Departamento de Estudio de Población del El Colegio de la Frontera Norte.
Papeles Poblac. 2020 Jul-Sep;26(105):11-38. doi: 10.22185/24487147.2020.105.20. Epub 2021 May 6.
During the last year of life of the elderly health deteriorates the most, thus becoming the period of time when needs of medical services, personal care requirements and related costs are at highest. Using the Mexican Health and Aging Study, differences by sex in the determinants for out-of-pocket health expenditures during the last year of life of people 50 and over are discussed. Three levels of out-of-pocket expenses disbursement are contemplated: none, medium-low, and high. Controlling by sociodemographic variables, findings suggest that the number of hospital nights is the main determinant of health expenses, even above those related to diseases that are regarded as main causes of death. This fact impacts both out-of-pocket expences and the costs for medical institution. It is another issue in the over-hauling of the public health system.
在老年人生命的最后一年，健康状况恶化最为严重，因此这一时期对医疗服务的需求、个人护理需求以及相关费用都处于最高水平。利用墨西哥健康与老龄化研究，本文讨论了50岁及以上人群生命最后一年自付医疗费用决定因素中的性别差异。考虑了三个自付费用支出水平：无、中低和高。在控制社会人口统计学变量的情况下，研究结果表明，住院天数是医疗费用的主要决定因素，甚至高于那些被视为主要死因的疾病相关因素。这一事实既影响自付费用，也影响医疗机构的成本。这是公共卫生系统全面改革中的另一个问题。
