IDEAS home Printed from https://ideas.repec.org/a/bla/ijhplm/v36y2021i6p2129-2144.html
   My bibliography  Save this article

The out‐of‐pocket medication burden: Which health problems impact the Czech population aged 50+?

Author

Listed:
  • Veronika Kočiš Krůtilová

Abstract

Adults 50‐years‐old and greater form the group most vulnerable to a high burden from payments for medication. These Czech older adults devote around 60% of out‐of‐pocket payments for medication, which might influence their consumption patterns and access to health care. This paper extends the empirical evidence of the out‐of‐pocket burden and catastrophic payments by addressing the consumption of medication among the Czech population aged 50 and higher. Data from the Survey of Health, Ageing and Retirement in Europe, wave 6, is used. A generalised linear model is applied for estimating the out‐of‐pocket medication burden; a binary logistic regression is used for the investigation of catastrophic medication expenditure. The results showed that medications for pain, joint pain/joint inflammation, anxiety and depression, heart diseases and high blood pressure are robust predictors for the medication burden and risk factors for catastrophic payments. Special attention should also be paid to medications for suppressing inflammation and sleep problems. Despite universal coverage in the Czech Republic, taking medications for specific health problems, especially those related to the nervous system, influences the well‐being of older individuals. Policy makers should revise the prescription practice and related reimbursement policies and reconsider current protection from the high medication burden.

Suggested Citation

  • Veronika Kočiš Krůtilová, 2021. "The out‐of‐pocket medication burden: Which health problems impact the Czech population aged 50+?," International Journal of Health Planning and Management, Wiley Blackwell, vol. 36(6), pages 2129-2144, November.
    • Handle: RePEc:bla:ijhplm:v:36:y:2021:i:6:p:2129-2144
    DOI: 10.1002/hpm.3281
    as

    Download full text from publisher

    File URL: https://doi.org/10.1002/hpm.3281
    Download Restriction: no
    File URL: https://libkey.io/10.1002/hpm.3281?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Alice Sanwald & Engelbert Theurl, 2017. "Out-of-pocket expenditures for pharmaceuticals: lessons from the Austrian household budget survey," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 18(4), pages 435-447, May.
    2. Valérie Paris & Emily Hewlett & Ane Auraaen & Jan Alexa & Lisa Simon, 2016. "Health care coverage in OECD countries in 2012," OECD Health Working Papers 88, OECD Publishing.
    3. Grossman, Michael, 1972. "On the Concept of Health Capital and the Demand for Health," Journal of Political Economy, University of Chicago Press, vol. 80(2), pages 223-255, March-Apr.
    4. Jelena Arsenijevic & Milena Pavlova & Bernd Rechel & Wim Groot, 2016. "Catastrophic Health Care Expenditure among Older People with Chronic Diseases in 15 European Countries," PLOS ONE, Public Library of Science, vol. 11(7), pages 1-18, July.
    5. Sam Caldbick & Xiaojing Wu & Tom Lynch & Naser Al-Khatib & Mustafa Andkhoie & Marwa Farag, 2015. "The financial burden of out of pocket prescription drug expenses in Canada," International Journal of Health Economics and Management, Springer, vol. 15(3), pages 329-338, September.
    6. Michael Drummond & Adrian Towse, 2012. "Is it time to reconsider the role of patient co-payments for pharmaceuticals in Europe?," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 13(1), pages 1-5, February.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Chun-Chih Chen & Yen-Ju Lin & Ying-Tzu Lin, 2013. "Awareness and utilization of preventive care services among the elderly under National Health Insurance," International Journal of Health Economics and Management, Springer, vol. 13(3), pages 247-260, December.
    2. Aleksandra Kolasa & Ewa Weychert, 2024. "The causal effect of catastrophic health expenditure on poverty in Poland," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 25(2), pages 193-206, March.
    3. Eric French & Elaine Kelly & Richard Cookson & Carol Propper & Miqdad Asaria & Rosalind Raine, 2016. "Socio‐Economic Inequalities in Health Care in England," Fiscal Studies, Institute for Fiscal Studies, vol. 37, pages 371-403, September.
    4. Rana Ejaz Ali Khan & Muhammad Ali Raza, 2017. "Utilization of Quality Source of Prenatal-Care in India: An Evidence from IDHS," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 131(3), pages 1163-1178, April.
    5. Ana Llena‐Nozal & Maarten Lindeboom & France Portrait, 2004. "The effect of work on mental health: does occupation matter?," Health Economics, John Wiley & Sons, Ltd., vol. 13(10), pages 1045-1062, October.
    6. Spiteri, Jonathan & von Brockdorff, Philip, 2019. "Economic development and health outcomes: Evidence from cardiovascular disease mortality in Europe," Social Science & Medicine, Elsevier, vol. 224(C), pages 37-44.
    7. Anura Amarasinghe & Gerard D'Souza & Cheryl Brown & Tatiana Borisova, 2006. "A Spatial Analysis of Obesity in West Virginia," Working Papers Working Paper 2006-13, Regional Research Institute, West Virginia University.
    8. Mathilde Godard, 2017. "Gaining weight through retirement? Results from the SHARE survey," Working Papers halshs-01525000, HAL.
    9. David Cantarero & Marta Pascual & Jose Maria Sarabia, 2004. "Can income inequality contribute to understand inequalities in health? An empirical approach based on the European Community Household Panel," ERSA conference papers ersa04p230, European Regional Science Association.
    10. Zakir Husain & Mousumi Dutta & Nidhi Chowdhary, 2014. "Is Health Wealth? Results of a Panel Data Analysis," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 117(1), pages 121-143, May.
    11. Maruyama, Shiko & Yin, Qing, 2012. "The opportunity cost of exercise: Do higher-earning Australians exercise longer, harder, or both?," Health Policy, Elsevier, vol. 106(2), pages 187-194.
    12. Kristina Burström & Magnus Johannesson & Finn Diderichsen, 2003. "The value of the change in health in Sweden 1980/81 to 1996/97," Health Economics, John Wiley & Sons, Ltd., vol. 12(8), pages 637-654, August.
    13. Mohamed Ali Ben Halima & Camille Ciriez & Malik Koubi & Ali Skalli, 2021. "Retarder l’âge d’ouverture des droits à la retraite provoque-t-il un déversement de l’assurance-retraite vers l’assurance-maladie ? L’effet de la réforme des retraites de 2010 sur l’absence-maladie," Working Papers hal-03507914, HAL.
    14. Richard Blundell & Jack Britton & Monica Costa Dias & Eric French, 2023. "The Impact of Health on Labor Supply near Retirement," Journal of Human Resources, University of Wisconsin Press, vol. 58(1), pages 282-334.
    15. Joshua Aurand & Yu-Jui Huang, 2020. "Mortality and Healthcare: a Stochastic Control Analysis under Epstein-Zin Preferences," Papers 2003.01783, arXiv.org, revised Jul 2021.
    16. Ana Balsa, 2016. "Peer effects vs. parental influence in the development of capabilities in adolescence," Documentos de Trabajo/Working Papers 1609, Facultad de Ciencias Empresariales y Economia. Universidad de Montevideo..
    17. Robert Kaestner, 1995. "The Effects of Cocaine and Marijuana Use on Marriage and Marital Stability," NBER Working Papers 5038, National Bureau of Economic Research, Inc.
    18. Martin Fischer & Martin Karlsson & Therese Nilsson, 2013. "Effects of Compulsory Schooling on Mortality: Evidence from Sweden," IJERPH, MDPI, vol. 10(8), pages 1-23, August.
    19. Tavares, Aida Isabel, 2015. "Telework and health effects review, anda a research framework proposal," MPRA Paper 71648, University Library of Munich, Germany.
    20. Tansel, Aysit & Keskin, Halil Ibrahim, 2017. "Education Effects on Days Hospitalized and Days out of Work by Gender: Evidence from Turkey," IZA Discussion Papers 11210, Institute of Labor Economics (IZA).

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:bla:ijhplm:v:36:y:2021:i:6:p:2129-2144. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: http://www.blackwellpublishing.com/journal.asp?ref=0749-6753 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.