Gender differences in health expenditure determinants: A follow-up study

Researchers' aim was to investigate if patients/physicians characteristics could differently affect males/females health care expenditure. In 2009/2010, a health-related-quality-of-life (HRQL) measure was distributed to 887 general practitioners' (GP) patients in Siena's province-Ital...

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Bibliographic Details
Published in:Health care for women international 2019-01, Vol.40 (1), p.33-46
Main Authors: Quercioli, Cecilia, Nisticò, Francesca, Messina, Gabriele, Maccari, Mauro, Barducci, Massimo, Carriero, Giovanni, Nante, Nicola
Format: Article
Language:English
Subjects:
Adult
Age Factors
Aged
Aging
Drug Costs - statistics & numerical data
Drug Prescriptions - economics
Drug Prescriptions - statistics & numerical data
Drug Therapy - economics
Expenditures
Family physicians
Female
Females
Gender differences
General Practice
General Practitioners
Health care expenditures
Health Care Surveys
Health Expenditures - statistics & numerical data
Health Status
Humans
Length of Stay - economics
Length of Stay - statistics & numerical data
Male
Males
Middle Aged
Nursing
Quality of Life
Socioeconomic Factors
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Summary:Researchers' aim was to investigate if patients/physicians characteristics could differently affect males/females health care expenditure. In 2009/2010, a health-related-quality-of-life (HRQL) measure was distributed to 887 general practitioners' (GP) patients in Siena's province-Italy. Severity of diseases was calculated through Cumulative Illness Rating Scale Severity Index (CIRS-SI). Information about GPs' gender and age and patients' gender, age, and socio-economic variables were recorded. 2012 data about pharmaceutical, outpatient and hospital expenditure were obtained. Multivariate regression was carried out. In males, hospital expenditure increased with higher CIRS-SI and female GP whilst in females it was not influenced by any of the variables. Outpatient and pharmaceutical expenditure increased with aging, higher CIRS-SI, and lower HRQL and education, both in males and females. Gender differences in health expenditure determinants emerged for hospital expenditure.
ISSN:0739-9332
1096-4665
DOI:10.1080/07399332.2018.1445252