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. 2018 Mar;201:136–147. doi: 10.1016/j.socscimed.2018.01.031

Table 3.

Determinants of out-of-pocket payments for hospitalisation as a share of household consumption expenditure for the older population in India, NSS 1995–96, NSS 2004 and NSS 2014.

Background variables Average partial effects (95% CI)
βNSS 2014 - βNSS 1995–96 p-Value for Wald test (βNSS 2014 - βNSS 1995–96)
NSS 1995–96 NSS 2004 NSS 2014
MPCE quintile (ref. = Richest)
Poorest −0.052 (−0.083,−0.020) 0.122 (0.086,0.159) 0.122 (0.071,0.173) 1.322 <0.001
Poor −0.073 (−0.092,−0.055) 0.075 (0.046,0.103) 0.013 (−0.033,0.058) 0.973 <0.001
Middle −0.014 (−0.068,0.040) 0.038 (0.015,0.061) 0.029 (−0.009,0.066) 0.337 0.261
Rich −0.034 (−0.054,−0.014) 0.019 (−0.001,0.039) 0.007 (−0.027,0.041) 0.385 0.018
Age (years) −0.001 (−0.002,0.001) −0.001 (−0.002,0.000) −0.001 (−0.003,0.000) −0.002 0.821
Gender (ref. = Male)
Female −0.031 (−0.055,−0.007) −0.011 (−0.030,0.009) −0.032 (−0.053,−0.012) 0.107 0.459
Marital status (ref. = Married)
Single −0.005 (−0.024,0.014) −0.011 (−0.031,0.008) 0.004 (−0.022,0.031) 0.084 0.543
Social group (ref. = Non-SC/STs)
SC/STs 0.003 (−0.024,0.030) −0.033 (−0.053,−0.013) −0.032 (−0.051,−0.012) −0.258 0.102
Education (ref. = Literate)
Illiterate 0.007 (−0.022,0.035) −0.031 (−0.050,−0.012) −0.016 (−0.037,0.005) −0.178 0.285
Place of residence (ref. = Urban)
Rural 0.018 (0.003,0.033) 0.006 (−0.013,0.024) −0.013 (−0.038,0.012) −0.283 0.018
State group (ref. = More developed states)
Less developed states 0.007 (−0.015,0.028) 0.033 (0.016,0.050) 0.069 (0.033,0.105) 0.389 0.014
Whether hospitalised more than once (ref. = No)
Yes 0.032 (0.000,0.064) 0.027 (0.000,0.055) 0.033 (0.004,0.061) −0.088 0.618
Duration of stay in hospital (days) 0.000 (0.000,0.001) 0.005 (0.004,0.006) 0.006 (0.005,0.007) 0.040 <0.001
Whether hospitalised for NCDs (ref. = No)
Yes 0.028 (0.007,0.049) 0.038 (0.021,0.055) 0.074 (0.055,0.094) 0.267 0.048
Whether hospitalised in private hospital (ref. = No)
Yes 0.070 (0.050,0.089) 0.141 (0.126,0.155) 0.180 (0.157,0.202) 0.656 <0.001
N 3,139 4,913 7,062

OOPP: Out-of-pocket payments; NSS: National Sample Survey; CI: Confidence interval; MPCE: Monthly per capita consumption expenditure; SC/STs: Schedules castes and scheduled tribes; NCDs: Non-communicable diseases and injuries.