IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i15p9736-d882600.html
   My bibliography  Save this article

Households’ Direct Economic Burden Associated with Chronic Non-Communicable Diseases in Saudi Arabia

Author

Listed:
  • Ziyad S. Almalki

    (Department of Clinical Pharmacy, College of Pharmacy, Prince Sattam Bin Abdulaziz University, Riyadh 16278, Saudi Arabia)

  • Abdullah K. Alahmari

    (Department of Clinical Pharmacy, College of Pharmacy, Prince Sattam Bin Abdulaziz University, Riyadh 16278, Saudi Arabia)

  • Nasser Alqahtani

    (Drug & Pharmaceutical Affairs, Riyadh First Health Cluster (C1) at Ministry of Health, Riyadh 12233, Saudi Arabia)

  • Abdulaziz Ibrahim Alzarea

    (Department of Clinical Pharmacy, College of Pharmacy, Jouf University, Sakaka 72388, Saudi Arabia)

  • Ahmed M. Alshehri

    (Department of Clinical Pharmacy, College of Pharmacy, Prince Sattam Bin Abdulaziz University, Riyadh 16278, Saudi Arabia)

  • Abdulrahman M. Alruwaybiah

    (Department of Clinical Pharmacy, College of Pharmacy, Prince Sattam Bin Abdulaziz University, Riyadh 16278, Saudi Arabia)

  • Bader A. Alanazi

    (Department of Clinical Pharmacy, College of Pharmacy, Prince Sattam Bin Abdulaziz University, Riyadh 16278, Saudi Arabia)

  • Abdulhadi M. Alqahtani

    (Research Center, King Fahad Medical City, Clinical Research Department, Riyadh 12231, Saudi Arabia)

  • Nehad J. Ahmed

    (Department of Clinical Pharmacy, College of Pharmacy, Prince Sattam Bin Abdulaziz University, Riyadh 16278, Saudi Arabia)

Abstract

Households’ economic burden associated with chronic non-communicable diseases (NCDs) is a deterrent to healthcare access, adversely impacting patients’ health. Therefore, we investigated the extent of out-of-pocket (OOP) spending among individuals diagnosed with chronic NCDs among household members in Riyadh, Saudi Arabia. Face-to-face interviews were conducted among households in Riyadh Province from the beginning of January 2021 to the end of June 2021. The respondents were asked to record OOP spending throughout the past three months in their health. A generalized linear regression model was used to determine the effects of several factors on the level of OOP spending. A total of 39.6% of the households studied had at least one member with a chronic NCD. Diabetes patients spent an average of SAR 932 (USD 248), hypertension patients SAR 606 (USD 162), and hypothyroid patients SAR 402 (USD 107). It was shown that households with older and more educated members had greater OOP spending. Households with an employed head of household, more family members, higher SES status, health insurance coverage, and urban residency had significantly higher OOP expenditure. The burden of OOP spending for chronic NCD households remains high, with some disparities. The research offers important information for decision making to lower OOP cost among NCD households.

Suggested Citation

  • Ziyad S. Almalki & Abdullah K. Alahmari & Nasser Alqahtani & Abdulaziz Ibrahim Alzarea & Ahmed M. Alshehri & Abdulrahman M. Alruwaybiah & Bader A. Alanazi & Abdulhadi M. Alqahtani & Nehad J. Ahmed, 2022. "Households’ Direct Economic Burden Associated with Chronic Non-Communicable Diseases in Saudi Arabia," IJERPH, MDPI, vol. 19(15), pages 1-14, August.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:15:p:9736-:d:882600
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/15/9736/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/19/15/9736/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Yardim, Mahmut Saadi & Cilingiroglu, Nesrin & Yardim, Nazan, 2010. "Catastrophic health expenditure and impoverishment in Turkey," Health Policy, Elsevier, vol. 94(1), pages 26-33, January.
    2. Asankha Pallegedara, 2018. "Impacts of chronic non-communicable diseases on households’ out-of-pocket healthcare expenditures in Sri Lanka," International Journal of Health Economics and Management, Springer, vol. 18(3), pages 301-319, September.
    3. Patrick Bajari & Christina Dalton & Han Hong & Ahmed Khwaja, 2014. "Moral hazard, adverse selection, and health expenditures: A semiparametric analysis," RAND Journal of Economics, RAND Corporation, vol. 45(4), pages 747-763, December.
    4. Nadeem A. Burney & Mohammad Alenezi & Nadia Al-Musallam & Ahmed Al-Khayat, 2016. "The demand for medical care services: evidence from Kuwait based on households’ out-of-pocket expenses," Applied Economics, Taylor & Francis Journals, vol. 48(28), pages 2636-2650, June.
    5. Xuedan You & Yasuki Kobayashi, 2011. "Determinants of out-of-pocket health expenditure in China," Applied Health Economics and Health Policy, Springer, vol. 9(1), pages 39-49, January.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Yağmur TOKATLIOĞLU & İbrahim TOKATLIOĞLU, 2018. "Türkiye’de Katastrofik Sağlık Harcamaları ve Bu Harcamaları Belirleyen Faktörler: 2002-2014 Dönemi," Sosyoekonomi Journal, Sosyoekonomi Society, issue 26(35).
    2. Micheal Kofi Boachie & K. Ramu & Tatjana Põlajeva, 2018. "Public Health Expenditures and Health Outcomes: New Evidence from Ghana," Economies, MDPI, vol. 6(4), pages 1-25, October.
    3. Kuangnan Fang & BenChang Shia & Shuangge Ma, 2012. "Health Insurance Coverage and Impact: A Survey in Three Cities in China," PLOS ONE, Public Library of Science, vol. 7(6), pages 1-8, June.
    4. Mariacristina De Nardi & Eric French & John Bailey Jones, 2016. "Medicaid Insurance in Old Age," American Economic Review, American Economic Association, vol. 106(11), pages 3480-3520, November.
    5. Kuangnan Fang & Yefei Jiang & BenChang Shia & Shuangge Ma, 2012. "Impact of Illness and Medical Expenditure on Household Consumptions: A Survey in Western China," PLOS ONE, Public Library of Science, vol. 7(12), pages 1-8, December.
    6. Minke Remmerswaal & Jan Boone & Rudy Douven, 2019. "Selection and moral hazard effects in healthcare," CPB Discussion Paper 393.rdf, CPB Netherlands Bureau for Economic Policy Analysis.
    7. Songul Cinaroglu, 2020. "Modelling unbalanced catastrophic health expenditure data by using machine‐learning methods," Intelligent Systems in Accounting, Finance and Management, John Wiley & Sons, Ltd., vol. 27(4), pages 168-181, October.
    8. Maryam Bigdeli & Bart Jacobs & Chean Rithy Men & Kristine Nilsen & Wim Van Damme & Bruno Dujardin, 2016. "Access to Treatment for Diabetes and Hypertension in Rural Cambodia: Performance of Existing Social Health Protection Schemes," PLOS ONE, Public Library of Science, vol. 11(1), pages 1-18, January.
    9. Tobias J. Klein & Christian Lambertz & Konrad O. Stahl, 2016. "Market Transparency, Adverse Selection, and Moral Hazard," Journal of Political Economy, University of Chicago Press, vol. 124(6), pages 1677-1713.
    10. Reona Hagiwara, 2022. "Welfare Effects of Health Insurance Reform: The Role of Elastic Medical Demand," IMES Discussion Paper Series 22-E-05, Institute for Monetary and Economic Studies, Bank of Japan.
    11. Keane, Michael & Stavrunova, Olena, 2016. "Adverse selection, moral hazard and the demand for Medigap insurance," Journal of Econometrics, Elsevier, vol. 190(1), pages 62-78.
    12. Philippe De Donder & Marie‐Louise Leroux, 2021. "Long term care insurance with state‐dependent preferences," Health Economics, John Wiley & Sons, Ltd., vol. 30(12), pages 3074-3086, December.
    13. Leila Doshmangir & Edris Hasanpoor & Gerard Joseph Abou Jaoude & Behzad Eshtiagh & Hassan Haghparast-Bidgoli, 2021. "Incidence of Catastrophic Health Expenditure and Its Determinants in Cancer Patients: A Systematic Review and Meta-analysis," Applied Health Economics and Health Policy, Springer, vol. 19(6), pages 839-855, November.
    14. Hossein Kavand & Marcel Voia, 2018. "Estimation of Health Care Demand and its Implication on Income Effects of Individuals," Springer Proceedings in Business and Economics, in: William H. Greene & Lynda Khalaf & Paul Makdissi & Robin C. Sickles & Michael Veall & Marcel-Cristia (ed.), Productivity and Inequality, pages 275-304, Springer.
    15. Liran Einav & Amy Finkelstein & Stephen P. Ryan & Paul Schrimpf & Mark R. Cullen, 2013. "Selection on Moral Hazard in Health Insurance," American Economic Review, American Economic Association, vol. 103(1), pages 178-219, February.
    16. Johnston, Bridget M. & Burke, Sara & Barry, Sarah & Normand, Charles & Ní Fhallúin, Maebh & Thomas, Steve, 2019. "Private health expenditure in Ireland: Assessing the affordability of private financing of health care," Health Policy, Elsevier, vol. 123(10), pages 963-969.
    17. Hazama,Yasushi, 2023. "Welfare, Corruption, and the Economic Vote of Punishment: The Turkish Case," IDE Discussion Papers 908, Institute of Developing Economies, Japan External Trade Organization(JETRO).
    18. Getahun Gebre Bogale & Ayesheshim Muluneh Kassa, 2022. "Factors associated with catastrophic health care expenditure in South Wollo province, Ethiopia: A cross‐sectional study," International Journal of Health Planning and Management, Wiley Blackwell, vol. 37(3), pages 1694-1707, May.
    19. Remmerswaal, Minke & Boone, Jan & Douven, Rudy, 2023. "Minimum generosity levels in a competitive health insurance market," Journal of Health Economics, Elsevier, vol. 90(C).
    20. Veronika Krůtilová, 2016. "Access to Health Care and the Out-of-Pocket Burden of the European Elderly," Acta Universitatis Agriculturae et Silviculturae Mendelianae Brunensis, Mendel University Press, vol. 64(6), pages 1961-1970.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:15:p:9736-:d:882600. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.