Centre for Rural Development and Innovative Sustainable Technology, Indian Institute of Technology Kharagpur, Kharagpur, West Bengal, India.
Int J Health Plann Manage. 2023 Sep;38(5):1464-1482. doi: 10.1002/hpm.3673. Epub 2023 Jun 20.
India is presently undergoing a rapid demographic transition and experiencing a gradual increase in an ageing population. As a result, the households were continuously exposed to catastrophic economic impacts, ultimately influencing the healthcare utilisation of older people. The study examined the gender differentials in the choice of in-patient private and public hospitalisation among Indian elderly using Andersen's Health Behaviour Model. The database was acquired from the nationally representative cross-sectional survey (NSSO, 2017-18). Bivariate chi-square and binomial logistic regression techniques were used to fulfill the objective. In addition, the poor-rich ratio and concentration index was used to understand the inherent socioeconomic inequalities in healthcare preferences. The findings suggest that aged men were 27 percent more prone to avail private healthcare facilities than aged women. Further, older adults, who are married, belong to the upper caste, have higher education and gone through surgery, and primarily reside in an affluent society were more likely to prefer private in-patient hospitalisation. It represents negligence of older women in access to better healthcare who had financial strain and economically dependent. The study can be used to reframe existing public health policies and programs, particularly focusing on the older women, to avail cost-effective treatment.
印度目前正在经历快速的人口结构转变,人口老龄化逐渐加剧。因此,家庭不断面临灾难性的经济影响,最终影响老年人的医疗保健利用。本研究利用安德森健康行为模型,考察了印度老年人选择住院私人和公立医院的性别差异。数据库来自全国代表性的横断面调查(NSSO,2017-18)。使用双变量卡方检验和二项逻辑回归技术来实现目标。此外,还使用贫富比和集中指数来了解医疗保健偏好中的内在社会经济不平等。研究结果表明,男性老年人比女性老年人更倾向于选择私人医疗保健设施,比例为 27%。此外,已婚、属于上层种姓、受过高等教育、接受过手术、主要居住在富裕社会的老年人更有可能选择私人住院治疗。这代表了经济拮据和经济上依赖他人的老年女性在获得更好医疗保健方面的疏忽。该研究可用于重新制定现有的公共卫生政策和计划,特别是关注老年女性,以提供具有成本效益的治疗。