ArticleBMJ global health2019
The effect of old-age pensions on health care utilization patterns and insurance uptake in Mexico.
Article in BMJ global health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 18 papers.
What it found
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Who cites it
18 citing papers in PubMed.
- The impact of a randomized cash transfer intervention on mortality of adult household members in rural South Africa, 2011-2022.Social science & medicine (1982) · 2023Trial
- Assessing intervention effects on healthcare-related financial protection in low- and middle-income countries: a rapid evidence review.Health policy and planning · 2026Review
- Out-of-pocket healthcare expenditures in older Mexican people based on their social security status.Health policy and planning · 2026Article
- Influence of Social Determinants on Physical Performance and Geriatric Syndromes in Community-Dwelling Older Adults.International journal of environmental research and public health · 2025Observational
- Determinants of frailty among hospitalized older adults across various wards in a tertiary care hospital in Nepal.Aging clinical and experimental research · 2025Article
- Article
- The impact of medical insurance and old-age security on the utilization of medical services by the older population with disabilities.BMC health services research · 2024Article
- Current and Projected Mortality and Hospitalization Rates Associated With Conditional Cash Transfer, Social Pension, and Primary Health Care Programs in Brazil, 2000-2030.JAMA network open · 2024Article
- Physical activity's impact on rural older adult health: The multiple mediating effects of education, income, and psychological capital.Frontiers in public health · 2023Article
- Does social pension buy improved mental health and mortality outcomes for senior citizens? Evidence from South Africa's 2008 pension reform.Preventive medicine reports · 2022Article
- Article
- Pension exposure and health: Evidence from a longitudinal study in South Africa.Journal of the economics of ageing · 2022Article
- Predictors of Healthcare Utilization Among Older Adults with Moderate to Severe Cognitive Limitations in Ghana: A Cross-Sectional Analysis of the WHO Study on Global Ageing and Adult Health (SAGE) Wave 1.Current Alzheimer research · 2022Article
- Effect of Health Insurance Policy on the Health Outcomes of the Middle-Aged and Elderly: Progress Toward Universal Health Coverage.Frontiers in public health · 2022Article
- Lifetime socioeconomic determinants of health trajectories among older adults.Advances in life course research · 2021Article
- Retirement and Supplemental Income Programs for Low-Income Older Mexican-Origin Adults in the United States and Mexico.The Public policy and aging report · 2021Article
- Measurement and Evaluation of the Operating Efficiency of China's Basic Pension Insurance: Based on Three-Stage DEA Model.Risk management and healthcare policy · 2021Article
- Supplemental income program design: A cluster-randomized controlled trial to examine the health and wellbeing effects on older adults by gender, duration, and payment frequency.Social science & medicine (1982) · 2020Article
Corrections and comments
- Erratum issued
Authors and funding
2 authors.
Funding
Abstract
introductionAs old-age pensions continue to expand around the world in response to population ageing, policymakers increasingly wish to understand their impact on healthcare demand. In this paper, we examine the effects of supplemental income to older adults on healthcare use patterns, expenditures and insurance uptake in Yucatan, Mexico.
methodWe use a longitudinal survey for individuals aged 70 or older and an individual fixed-effects difference-in-difference approach to understand the effect of an income supplement on healthcare use patterns, out-of-pocket expenditures and health insurance uptake patterns.
resultsThe implementation of the old-age pension was associated with increased use of healthcare with nuanced effects on the type of care. Old-age pensions increase the use of formal healthcare by 15 percentage points (95% CI 6.1 to 23.9) for those with healthcare use at baseline and by 7.5 percentage points (95% CI 3.7 to 11.3) for those without healthcare use at baseline. We find no evidence of greater out-of-pocket expenditures, likely because old-age pensions were associated with a 4.2 percentage point (95% CI 1.5 to 6.9) increase in use of public health insurance.
conclusionOld-age pensions can shift healthcare demand towards formal services and eliminate financial barriers to basic care. Pension benefits can also increase the uptake of insurance programmes. These results demonstrate how social programmes can complement each other This highlights the potential role of old-age pensions in achieving universal health coverage for individuals at older ages.
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