ArticleBMC public health2019
Equity in distribution of public subsidy for noncommunicable diseases among the elderly in India: an application of benefit incidence analysis.
Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.
- Out-of-pocket expenditure on medicine for chronic patients and its economic impact on Indian households: a systematic review and meta-analysis.Frontiers in medicine · 2026Pooled it
- Understanding out-of-pocket expenditure in India: a systematic review.Frontiers in public health · 2025Pooled it
- Evaluating the Zero-Markup Drug Policy's Effects on Financial Burden and Pharmaceutical Channel Migration: A Structural Variation and Interrupted Time Series Analysis from Hubei, China.Journal of healthcare leadership · 2026Article
- Are institutional deliveries equitable in the southern states of India? A benefit incidence analysis.International journal for equity in health · 2024Article
- Towards the Future of Public Health: Roadmapping Trends and Scenarios in the Post-COVID Healthcare Era.Healthcare (Basel, Switzerland) · 2023Article
- Wealth Status and Health Insurance Enrollment in India: An Empirical Analysis.Healthcare (Basel, Switzerland) · 2023Article
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- The economics of healthcare access: a scoping review on the economic impact of healthcare access for vulnerable urban populations in low- and middle-income countries.International journal for equity in health · 2022Article
- Burden of communicable and non-communicable diseases-related inequalities among older adults in India: a study based on LASI survey.BMC geriatrics · 2022Article
- Are cesarean deliveries equitable in India: assessment using benefit incidence analysis.BMC health services research · 2022Article
- Inequity and benefit incidence analysis in healthcare use among Syrian refugees in Egypt.Conflict and health · 2021Article
- Did the poor gain from India's health policy interventions? Evidence from benefit-incidence analysis, 2004-2018.International journal for equity in health · 2021Article
- Impact of Economic Accessibility on Realized Utilization of Home-Based Healthcare Services for the Older Adults in China.Healthcare (Basel, Switzerland) · 2021Article
- Understanding equity of institutional delivery in public health centre by level of care in India: an assessment using benefit incidence analysis.International journal for equity in health · 2020Article
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRapid ageing of the population and increasing non-communicable diseases (NCDs) among the elderly is one of the major public health challenges in India. To achieve the Universal Health Coverage, ever-growing elderly population should have access to needed healthcare, and they should not face any affordability related challenge. As most of the elderly suffers from NCDs and achieving health-equity is a priority, this paper aims to - study the utilization pattern of healthcare services for treatment of NCDs among the elderly; estimate the burden of out-of-pocket expenditure for the treatment of NCDs among the elderly and analyze the extent of equity in distribution of public subsidy for the NCDs among the elderly.
methodsNational Sample Survey data (71st round) has been used for the study. Exploratory data analysis and benefit incidence analysis have been applied to estimate the utilization, out-of-pocket expenditure and distribution of public subsidy among economic classes. Concentration curves and indices are also estimated.
resultsResults show that public-sector hospitalization for NCDs among the elderly has a pro-rich trend in rural India. However, in urban sector, for both inpatient and outpatient care the poorest class has substantial share in utilization of public facilities. Same result is also observed for rural outpatient care. Analysis shows that out-of-pocket expenditure is very high for both medicine and medical care even in public facilities for all economic groups. It is also observed that medicine has the highest share in total medical expenses during treatment of NCDs among the elderly in both the region. Benefit incidence analysis shows that the public subsidy has a pro-rich distribution for inpatient care treatment in both the sectors. In case of outpatient care, subsidy share is the maximum among the richest in the urban sector and in the rural region the poorest class gets the maximum subsidy benefit.
conclusionsIt is evident that a substantial share of the public subsidies is still going to the richer sections for the treatment of NCDs among the elderly. Evidences also suggest that procuring medicines and targeted policies for the elderly are needed to improve utilization and equity in the public healthcare system.
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