The economic burden of cancers on Indian households.

We assessed the burden of cancer on households' out-of-pocket health spending, non-medical consumption, workforce participation, and debt and asset sales using data from a nationally representative health and morbidity survey in India for 2004 of nearly 74 thousand households. Propensity scores...

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Autores principales:	Ajay Mahal, Anup Karan, Victoria Y Fan, Michael Engelgau
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2013
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/6b695d6ded0a47558bebb623f91958c1
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spelling	oai:doaj.org-article:6b695d6ded0a47558bebb623f91958c12021-11-18T09:00:04ZThe economic burden of cancers on Indian households.1932-620310.1371/journal.pone.0071853https://doaj.org/article/6b695d6ded0a47558bebb623f91958c12013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23951258/?tool=EBIhttps://doaj.org/toc/1932-6203We assessed the burden of cancer on households' out-of-pocket health spending, non-medical consumption, workforce participation, and debt and asset sales using data from a nationally representative health and morbidity survey in India for 2004 of nearly 74 thousand households. Propensity scores were used to match households containing a member diagnosed with cancer (i.e. cancer-affected households) to households with similar socioeconomic and demographic characteristics (controls). Our estimates are based on data from 1,645 households chosen through matching. Cancer-affected households experienced higher levels of outpatient visits and hospital admissions and increased out-of-pocket health expenditures per member, relative to controls. Cancer-affected households spent between Indian Rupees (INR) 66 and INR 85 more per member on healthcare over a 15-day reference period, than controls and additional expenditures (per member) incurred on inpatient care by cancer-affected households annually is equivalent to 36% to 44% of annual household expenditures of matched controls. Members without cancer in cancer-affected households used less health-care and spent less on healthcare. Overall, adult workforce participation rates were lower by between 2.4 and 3.2 percentage points compared to controls; whereas workforce participation rates among adult members without cancer were higher than in control households. Cancer-affected households also had significantly higher rates of borrowing and asset sales for financing outpatient care that were 3.3% to 4.0% higher compared to control households; and even higher for inpatient care.Ajay MahalAnup KaranVictoria Y FanMichael EngelgauPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 8, p e71853 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Ajay Mahal Anup Karan Victoria Y Fan Michael Engelgau The economic burden of cancers on Indian households.
description	We assessed the burden of cancer on households' out-of-pocket health spending, non-medical consumption, workforce participation, and debt and asset sales using data from a nationally representative health and morbidity survey in India for 2004 of nearly 74 thousand households. Propensity scores were used to match households containing a member diagnosed with cancer (i.e. cancer-affected households) to households with similar socioeconomic and demographic characteristics (controls). Our estimates are based on data from 1,645 households chosen through matching. Cancer-affected households experienced higher levels of outpatient visits and hospital admissions and increased out-of-pocket health expenditures per member, relative to controls. Cancer-affected households spent between Indian Rupees (INR) 66 and INR 85 more per member on healthcare over a 15-day reference period, than controls and additional expenditures (per member) incurred on inpatient care by cancer-affected households annually is equivalent to 36% to 44% of annual household expenditures of matched controls. Members without cancer in cancer-affected households used less health-care and spent less on healthcare. Overall, adult workforce participation rates were lower by between 2.4 and 3.2 percentage points compared to controls; whereas workforce participation rates among adult members without cancer were higher than in control households. Cancer-affected households also had significantly higher rates of borrowing and asset sales for financing outpatient care that were 3.3% to 4.0% higher compared to control households; and even higher for inpatient care.
format	article
author	Ajay Mahal Anup Karan Victoria Y Fan Michael Engelgau
author_facet	Ajay Mahal Anup Karan Victoria Y Fan Michael Engelgau
author_sort	Ajay Mahal
title	The economic burden of cancers on Indian households.
title_short	The economic burden of cancers on Indian households.
title_full	The economic burden of cancers on Indian households.
title_fullStr	The economic burden of cancers on Indian households.
title_full_unstemmed	The economic burden of cancers on Indian households.
title_sort	economic burden of cancers on indian households.
publisher	Public Library of Science (PLoS)
publishDate	2013
url	https://doaj.org/article/6b695d6ded0a47558bebb623f91958c1
work_keys_str_mv	AT ajaymahal theeconomicburdenofcancersonindianhouseholds AT anupkaran theeconomicburdenofcancersonindianhouseholds AT victoriayfan theeconomicburdenofcancersonindianhouseholds AT michaelengelgau theeconomicburdenofcancersonindianhouseholds AT ajaymahal economicburdenofcancersonindianhouseholds AT anupkaran economicburdenofcancersonindianhouseholds AT victoriayfan economicburdenofcancersonindianhouseholds AT michaelengelgau economicburdenofcancersonindianhouseholds
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The economic burden of cancers on Indian households.

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