Out-of-pocket expenditures and care time for children with Down Syndrome: A single-hospital study in Mexico City
| العنوان: | Out-of-pocket expenditures and care time for children with Down Syndrome: A single-hospital study in Mexico City |
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| المؤلفون: | Verónica Fabiola Morán-Barroso, Constanza García-Delgado, Filiberto Toledano-Toledano, Ma. Vanessa Aldaz-Rodríguez, Juan Garduño-Espinosa, Silvia Martínez-Valverde, Víctor Granados-García, Ma. Teresa Tiro-Sánchez, Guillermo Salinas-Escudero |
| المصدر: | PLoS ONE PLoS ONE, Vol 14, Iss 1, p e0208076 (2019) |
| بيانات النشر: | Public Library of Science, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Male, Mexican People, Time Factors, Economics, Social Sciences, Medical care, Pediatrics, Decile, Families, Chromosomal Disorders, Sociology, Mexico city, Medicine and Health Sciences, Medicine, Ethnicities, Public and Occupational Health, Human Families, Child, Children, 0303 health sciences, Family Characteristics, Multidisciplinary, 030305 genetics & heredity, Socioeconomic Aspects of Health, Hospitals, Medical services, Child, Preschool, Regression Analysis, Female, 0305 other medical science, Research Article, Down syndrome, Science, Disabilities, 03 medical and health sciences, Health Economics, Humans, Catastrophic Illness, Socioeconomic status, Medical expenses, Mexico, Clinical Genetics, 030505 public health, Health economics, business.industry, Infant, Newborn, Infant, Latin American people, medicine.disease, Health Care, Age Groups, People and Places, Population Groupings, Patient Care, Down Syndrome, Health Expenditures, business, Demography |
| الوصف: | AimTo examine the burden of out-of-pocket household expenditures and time spent on care by families responsible for children with Down Syndrome (DS).MethodsA cross-sectional analysis was performed after surveying families of children with DS. The children all received medical care at the Hospital Infantil de México Federico Gomez (HIMFG), a National Institute of Health. Data were collected on out-of-pocket household expenditures for the medical care of these children. The percentage of such expenditure was calculated in relation to available household expenditure (after subtracting the cost of food/housing), and the percentage of households with catastrophic expenditure. Finally, the time spent on the care of the child was assessed.ResultsThe socioeconomic analysis showed that 67% of the households with children with DS who received medical care in the HIMFG were within the lower four deciles (I-IV) of expenses, indicating a limited ability to pay for medical services. Yearly out-of-pocket expenditures for a child with DS represented 27% of the available household expenditure, which is equivalent to $464 for the United States dollars (USD). On average, 33% of families with DS children had catastrophic expenses, and 46% of the families had to borrow money to pay for medical expenses. The percentage of catastrophic expenditure was greater for a household with children aged five or older compared with households with younger children. The regression analysis revealed that the age of the child is the most significant factor determining the time spent on care.ConclusionsSome Mexican families of children with DS incur substantial out-of-pocket expenditures, which constitute an economic burden for families of children who received medical care at the HIMFG. |
| اللغة: | English |
| تدمد: | 1932-6203 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::015dda9b944ede65f672c5100ce4a52aTest http://europepmc.org/articles/PMC6328117Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....015dda9b944ede65f672c5100ce4a52a |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19326203 |
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