Family out-of-pocket expenditure for type 2 diabetes mellitus care and percentage of family income




Juan C. Martínez-Ramírez, Servicio de Medicina Familiar, Unidad de Medicina Familiar 9 Querétaro, Instituto Mexicano del Seguro Social, Santiago de Querétaro, Querétaro, México
Enrique Villarreal-Ríos, Unidad de Investigación Epidemiológica y en Servicios de Salud Querétaro, Instituto Mexicano del Seguro Social, Santiago de Querétaro, Querétaro, México
Blanca I. García-Díaz, Servicio de Medicina Familiar, Unidad de Medicina Familiar 7 Querétaro, Instituto Mexicano del Seguro Social, San Juan del Río. Querétaro, México
Liliana Galicia-Rodríguez, Unidad de Investigación Epidemiológica y en Servicios de Salud Querétaro, Instituto Mexicano del Seguro Social, Santiago de Querétaro, Querétaro, México


Background: Type 2 diabetes has economic implications involving family income and out-of-pocket spending. Objective: Determine family out-of-pocket expenditure for type 2 diabetes mellitus care and percentage of family income. Material and methods: Study of family out-of-pocket spending in families with patients with type 2 diabetes treated at primary care level. Out-of-pocket expenses included expenses for transportation, food-drinks, and external medications. Family income corresponded to the total economic income contributed by family members. The percentage of out-of-pocket spending in relation to family income was identified with the relationship between these two variables. Statistical analysis included averages and percentages. Results: The annual family out-of-pocket expenditure on transportation was $2,621.24, the family out-of-pocket expenditure on food and beverages was $1,075.67, and the family out-of-pocket expenditure on external medications was $722.08. The total annual family out-of-pocket expense was $4,418.89 and corresponds to 4.73% of family income. Conclusion: The family out-of-pocket expense in the family with a patient with diabetes mellitus 2 was $4,418.89 and represents 4.73% of the family income.



Keywords: Type 2 diabetes mellitus. Out-of-pocket spending. Health spending. Family income.




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