Open AccessMicroeconomic Costs, Insurance, and Catastrophic Health Spending Among Patients With Acute Myocardial Infarction in India
Author(s) -
P.P. Mohanan,
Mark D. Huffman,
Abigail S. Baldridge,
Raji Devarajan,
Dimple Kondal,
Lihui Zhao,
Mumtaj Ali,
Johny Joseph,
Koshy Eapen,
Mangalath Narayanan Krishnan,
Jaideep Me,
Manoj A. Thomas,
Donald M. LloydJones,
S Harikrishnan,
Dorairaj Prabhakaran
Publication year - 2019
Publication title -
jama network open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.278
H-Index - 39
ISSN - 2574-3805
DOI - 10.1001/jamanetworkopen.2019.3831
Subject(s) - myocardial infarction , health spending , health insurance , medicine , actuarial science , business , economics , cardiology , intensive care medicine , medical emergency , health care , economic growth
Key Points Question What are the costs and risks of impoverishment for patients with acute myocardial infarction and their families in Kerala, India, and how do these factors vary by health insurance status? Findings In this prespecified cross-sectional substudy of a randomized clinical trial, 2114 respondents reported $480 international dollars in out-of-pocket costs per acute myocardial infarction, with $400 international dollars in higher costs among individuals without insurance vs those with insurance. Catastrophic health spending was also higher among individuals without insurance (58.1% vs 39.9%) as was distress financing (9.7% vs 3.1%). Meaning Survivors of acute myocardial infarction in Kerala may face high costs and risk for impoverishment, and expansion of insurance access and coverage should be considered for financial risk protection.
Accelerating Research
Robert Robinson Avenue,
Oxford Science Park, Oxford
OX4 4GP, United Kingdom
Address
John Eccles HouseRobert Robinson Avenue,
Oxford Science Park, Oxford
OX4 4GP, United Kingdom