Trends in Out-of-Pocket Burden in United States Adults with Kidney Disease: 2002-2011. Am J Med Sci 2019 Aug;358(2):149-158
Date
07/25/2019Pubmed ID
31331452Pubmed Central ID
PMC6927549DOI
10.1016/j.amjms.2019.05.005Scopus ID
2-s2.0-85068842566 (requires institutional sign-in at Scopus site) 3 CitationsAbstract
BACKGROUND: High out-of-pocket (OOP) cost is a barrier to healthcare access and treatment compliance. Our study examined high OOP healthcare cost and burden trends in adults with kidney disease (KD).
METHODS: Using Medical Expenditure Survey 2002-2011 data, we examined the proportion of people greater than 17 years old with KD whose OOP burden was high. Trends by insurance status (private, public or none) and trends by income level (poor, low, middle or high income) were also examined in this study.
RESULTS: Approximately 16% of people with KD faced high OOP burden in 2011. The proportion of adults with high OOP burden between 2002 and 2011 fell by 9.7 percentage points. The proportion of privately insured adults facing high OOP burden decreased by 4.7, those who were publicly insured 22.4, and those who were uninsured, 3.1 percentage points. The proportion of those facing high OOP burden who were poor/near poor fell by 26.5, those who had low income 13.4, and those who had middle income, 9 percentage points.
CONCLUSIONS: Though high OOP burden declined between 2002 and 2011 in the US population with KD, most of the decline was among the publicly insured, so the uninsured populations with KD remain vulnerable. Providers and policy makers should be aware of the vulnerability of uninsured individuals with KD to high OOP burden.
Author List
Ozieh MN, Bishu KG, Dismuke CE, Egede LEAuthors
Leonard E. Egede MD Center Director, Chief, Professor in the Medicine department at Medical College of WisconsinMukoso Nwamaka Ozieh MD Assistant Professor in the Medicine department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
AdolescentAdult
Cost of Illness
Female
Health Expenditures
Humans
Income
Kidney Diseases
Male
Middle Aged
Models, Economic
Regression Analysis
United States
Young Adult
