The Determinants of Out-of-Pocket Expenditure in IBD Italian Patients. Results from the Amici Survey
Bibliographic Data
| ID | 15512186 |
|---|---|
| Authors | Matteo Ruggeri (0000-0002-5703-7424, Istituto Superiore di Sanità, corresponding author), Carlo Drago (0000-0002-3920-0267, University Niccolò Cusano), Chiara Cadeddu (0000-0003-0149-1078, Università Cattolica del Sacro Cuore), Alessandro Armuzzi (0000-0003-1572-0118, Università Cattolica del Sacro Cuore), Salvatore Leone (0000-0003-1690-8147, Associazione Italiana Vulvodinia Onlus), Marco Marchetti (0000-0002-7236-1417, Istituto Superiore di Sanità) |
| Year | 2020 |
| Volume | 17 |
| Issue | 21 |
| Pages | 8156-8156 |
| Publication date | 2020-11-04 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph17218156 |
| PMID | 33158223 |
| OpenAlex | W3096166223 |
| Language | EN |
| References cited | 14 |
Decision makers are used to consider Out-of-Pocket Expenditure (OOPE) within a health technology assessment framework in order to account for an indicator relying on the level of fairness and on the quality of care of a health system. In this paper, we provide estimates on the determinants of OOPE in Italy by using data coming from an observational cross-sectional study that enrolled a sample of 2526 patients suffering from inflammatory bowel diseases. We explore the association between OOPE and: (1) geographical location; (2) income effects; (3) performances in delivering healthcare. A regression model was used. Individuals' age were in the range of 18-88 (mean 44 ± 14.55). Forty-six percent were females, 54% were married and 19% held a bachelor degree. Ninety-six percent of respondents declared an OOPE >0 whose mean value was €960 ± €950. Individuals belonging to low-income and low-performance regions were more likely to declare an OOPE >0 (99%). Regression findings suggest that increases in OOPE could be considered as a response from patients aiming to compensate for lacks and inefficiencies in the public healthcare offers. Policymakers should consider increases in OOPE in patients with Inflammatory Bowel Diseases (IBDs) as an indicator of poor quality of care and poor fairness
Bachelor degree · Cross-sectional study · Economics · Health care · Observational study · Demography · Global Health Care Issues · Health Systems, Economic Evaluations, Quality of Life · Healthcare Systems and Reforms · Medicine · Nursing · Internal Medicine
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| Citation velocity | historical |
|---|---|
| Highly cited | No |