Assessing horizontal equity in medication treatment among elderly Mexicans: which socioeconomic determinants matter most?

Détails

ID Serval
serval:BIB_FE9A7F558843
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Assessing horizontal equity in medication treatment among elderly Mexicans: which socioeconomic determinants matter most?
Périodique
Health economics
Auteur⸱e⸱s
Maurer J.
ISSN
1057-9230 (Print)
ISSN-L
1057-9230
Statut éditorial
Publié
Date de publication
10/2008
Peer-reviewed
Oui
Volume
17
Numéro
10
Pages
1153-1169
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
Many low- and middle-income countries are currently undergoing a dramatic epidemiological transition, with an increasing disease burden due to degenerative noncommunicable diseases. Inexpensive medication treatment often represents a cost-effective means to prevent, control or cure many of these health conditions. Using micro-data from the 2001 Mexican Health and Aging Study, we assess horizontal inequity in medication treatment among older Mexicans before the introduction of Popular Health Insurance in Mexico. In doing so, we investigate the role of various dimensions of socioeconomic status for obtaining indicated medication treatment within a comparatively fragmented health-care system that features relatively high out-of-pocket expenditures. Our empirical analysis suggests health insurance coverage as a key socioeconomic determinant of indicated medication use with large and statistically significant positive effects on take-up. The effects of insurance status thereby clearly dominate any other possible effects of socioeconomic status on medication treatment. Our results thus highlight the importance of access to reliable health care and comprehensive coverage for rational medication use in the management of degenerative diseases. In light of this evidence, we expect that recent Mexican health-care reforms, which expand health insurance coverage to the previously uninsured population, will alleviate socioeconomic gradients in medication treatment among older people in need.

Mots-clé
Adult, Aged, Delivery of Health Care/economics, Delivery of Health Care/organization & administration, Female, Health Care Reform, Health Expenditures, Health Services Accessibility/economics, Health Surveys, Healthcare Disparities/economics, Humans, Insurance, Health/economics, Insurance, Health/trends, Male, Mexico, Middle Aged, National Health Programs/economics, National Health Programs/organization & administration, Prescription Drugs/economics, Prescription Drugs/supply & distribution, Prescription Drugs/therapeutic use, Social Class
Pubmed
Web of science
Création de la notice
18/08/2011 15:29
Dernière modification de la notice
20/08/2019 16:29
Données d'usage