Table 5.
Adjusted and unadjusted mean out-of-pocket payment (in ₹) for breast cancer treatment at TMC, Mumbai.
| SES characteristics | Adjusted OOP (in ₹) |
Unadjusted OOP (in ₹) |
||
|---|---|---|---|---|
| Mean | 95% CI | Mean | 95% CI | |
| Age of patients | ||||
| Up to 45 years | 184,686 | [160,444, 208,927] | 188,367 | [161,950, 214,784] |
| Over 45 years | 192,660 | [169,007, 216,313] | 184,765 | [157,948, 211,582] |
| Marital status | ||||
| Others | 175,919 | [141,987, 209,850] | 124,540 | [96,088, 152,993] |
| Currently married | 190,168 | [170,473, 209,863] | 197,120 | [175,791, 218,449] |
| Location of residence | ||||
| Urban | 170,817 | [146,730, 194,904] | 131,193 | [110,802, 151,584] |
| Rural | 198,348 | [175,631, 221,065] | 232,953 | [204,088, 261,818] |
| Education level | ||||
| Never attended | 178,103 | [148,014, 208,192] | 166,617 | [136,225, 197,009] |
| Primary | 158,774 | [116,543, 201,006] | 176,455 | [106,896, 246,014] |
| Secondary | 182,539 | [157,280, 207,798] | 141,081 | [120,760, 161,401] |
| Higher secondary | 187,841 | [150,360, 225,323] | 214,277 | [156,430, 272,124] |
| Above HS | 215,471 | [176,608, 254,335] | 297,013 | [229,610, 364,417] |
| Religion | ||||
| Hindu | 185,915 | [165,792, 206,038] | 189,326 | [167,232, 211,421] |
| Muslim | 202,814 | [166,814, 238,815] | 193,549 | [153,028, 234,070] |
| Others | 174,479 | [101,775, 247,182] | 97,149 | [44,797, 149,501] |
| Caste | ||||
| General | 187,182 | [164,219, 210,145] | 214,131 | [184,973, 243,289] |
| OBC | 198,823 | [170,438, 227,207] | 168,999 | [140,702, 197,297] |
| SC/ST/Other | 167,290 | [131,086, 203,493] | 122,299 | [88,868, 155,730] |
| Distance to Mumbai | ||||
| <500 kms | 134,055 | [109,552, 158,557] | 95,887 | [80,337, 111,437] |
| 501–1500 kms | 208,742 | [174,152, 243,333] | 290,706 | [230,106, 351,306] |
| >1500 kms | 213,587 | [189,068, 238,106] | 243,534 | [211,893, 275,176] |
| Income source | ||||
| Agriculture | 210,442 | [170,178, 250,707] | 214,717 | [171,665, 257,770] |
| Labour | 192,860 | [159,770, 225,949] | 150,144 | [123,667, 176,620] |
| Self-employed | 190,780 | [152,429, 229,130] | 230,801 | [168,221, 293,382] |
| Service | 180,268 | [157,630, 202,905] | 183,007 | [154,103, 211,911] |
| MPCE | ||||
| Poorest | 111,003 | [89,752, 132,254] | 90,430 | [72,868, 107,993] |
| Poorer | 144,909 | [117,291, 172,526] | 115,596 | [89,997, 141,196] |
| Middle | 188,945 | [156,284, 221,606] | 152,673 | [125,935, 179,412] |
| Richer | 177,612 | [150,478, 204,746] | 215,062 | [166,951, 263,173] |
| Richest | 263,544 | [227,612, 299,477] | 341,569 | [288,275, 394,863] |
| Type of insurance | ||||
| Social health insurance | 143,041 | [117,509, 168,574] | 88,275 | [74,516, 102,034] |
| Employee health insurance | 122,682 | [69,179, 176,184] | 139,551 | [65,120, 213,982] |
| Private health insurance | 130,019 | [69,044, 190,994] | 231,558 | [59,926, 403,190] |
| Trust and other | 161,473 | [139,628, 183,318] | 169,940 | [146,374, 193,507] |
| No insurance | 267,036 | [236,175, 297,896] | 335,229 | [289,397, 381,061] |
| Type of patient | ||||
| General | 164,067 | [147,932, 180,203] | 149,315 | [135,179, 163,451] |
| Private | 283,897 | [228,486, 339,308] | 414,910 | [331,623, 498,197] |
| Stage of cancer | ||||
| Early stage (I/II) | 166,050 | [143,449, 188,651] | 164,721 | [136,915, 192,527] |
| Advance stage (III/IV) | 200,312 | [177,373, 223,251] | 198,759 | [173,880, 223,639] |
| Comorbidities | ||||
| No comorbidity | 190,653 | [169,407, 211,898] | 182,909 | [173,880, 223,639] |
| At least 1 comorbidity | 184,574 | [157,102, 212,045] | 194,367 | [162,108, 203,710] |
| Place of treatment | ||||
| TMC | 203,004 | [178,060, 227,947] | 148,239 | [125,711, 170,767] |
| At least one outside TMC | 173,350 | [150,795, 195,906] | 236,397 | [205,794, 267,000] |
| Duration of treatment | ||||
| <9 M | 161,312 | [141,224, 181,400] | 156,228 | [134,364, 178,092] |
| 9 M−12 M | 196,092 | [170,784, 221,401] | 196,180 | [166,389, 225,971] |
| 12 M | 293,824 | [232,568, 355,080] | 303,018 | [208,908, 397,128] |
| Total | 188,666 | [169,526, 207,805] | 186,461 | [167,666, 205,257] |