Abstract of Dissertation

Keyword : Catastrophic Expenditure; Income Disparities; Lorenz curve

Objective : Studies revealed that individuals aged 65 years and above has per capita health expenditures that were nearly 1.5 times the per capita expenditures of those between 60 and 64 years of age. The research is aimed at understanding the impact of expenditure made on elderly population’s inpatient healthcare on the households of India, belonging to various income groups. And, to examine whether there has been a change in the pattern of expenditures on inpatient care of elderly over a period of ten years of healthcare reforms.

Methodology : Data was analysed from 60th round, schedule 25 of National Sample Survey and 71st round, schedule 25 of National Sample Survey. Households with geriatric individuals who have undergone hospitalization in last 365 days prior to start of the surveys were selected. Percentage expenditure on health was calculated for these households, which were divided on the basis of their total expenditure. Lorenz curves were plotted for Insured/non-insured, rural/urban and dependent/non-dependent households to show the income disparity among different quantiles.

Findings : Study revealed that the lower 40% of the population which has approximately 17.5% of the total annual expenditure spends about 49% and 50% of the total expenditure on heath in 2004 and 2014 respectively. Thus, the impact of catastrophic expenditures incurred on the unhealthy geriatric population is worst in the lowest quintile. The dependency on household income/saving increased by 13% for households with economically independent elderly whereas 27% for households having economically dependent elderly during the reference period. Also, the unhealthy geriatric population does not seem to be benefitted by insurance schemes in the last ten years. This highlights the need of an effective insurance system and social security net for geriatric individual, to promote overall economic development of the households.