Out-of-pocket and catastrophic expenses in households of patients with schizophrenia lacking social security

Objective. To estimate the magnitude of out-of-pocket (OOP) and catastrophic health expenses as well as impo­verishment experienced by households of schizophrenia patients lacking social security coverage. Materials and methods. We conducted a cross-sectional study of 96 individuals treated outpatie...

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Bibliographic Details
Main Authors: Hortensia Reyes-Morales (Author), Héctor Cabello-Rangel (Author), María Elena Medina-Mora (Author), Armando Arredondo-López (Author)
Format: Book
Published: Instituto Nacional de Salud Pública, 2021-06-01T00:00:00Z.
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Summary:Objective. To estimate the magnitude of out-of-pocket (OOP) and catastrophic health expenses as well as impo­verishment experienced by households of schizophrenia patients lacking social security coverage. Materials and methods. We conducted a cross-sectional study of 96 individuals treated outpatient consultation between February and December 2018, in a psychiatric hospital. Results. All households sustained OOP health expenses; the median was 510 USD (95%CI: 456-628). The OOP expenses represented 28 and 4% of the capacity to pay of poor and rich households, respectively. The 16% of households incurred catastrophic expenses and 6.6% have impoverishment for health reasons. Conclusions. Our results illustrate that pocket expenses and catastrophic expenses in patients with schizophrenia are higher than those reported for the general population. There­fore, it is necessary to rethink the financial protection policies aimed at patients with schizophrenia and their households.
Item Description:0036-3634
10.21149/12252