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首页> 外文期刊>Journal of health economics >Does widowhood explain gender differences in out-of-pocket medical spending among the elderly?
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Does widowhood explain gender differences in out-of-pocket medical spending among the elderly?

机译：丧偶制是否可以解释老年人自付费用中的性别差异？

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摘要

Despite the presence of Medicare, out-of-pocket medical spending is a large expenditure risk facing the elderly. While women live longer than men, elderly women incur higher out-of-pocket medical spending than men at each age. In this paper, we examine whether differences in marital status and living arrangements can explain this difference. We find that out-of-pocket medical spending is approximately 24 percent higher when an individual becomes widowed, a large portion of which is spending on nursing homes. Our results suggest a substantial role of living arrangements in out-of-pocket medical spending. Our estimates combined with differences in rates of widowhood across gender suggest that marital status can explain about one third of the gender difference in total out-of-pocket medical spending, leaving a large portion unexplained. On the other hand, gender differences in widowhood more than explain the observed gender difference in out-of-pocket spending on nursing homes.
机译：尽管有医疗保险，但自费医疗支出仍然是老年人面临的巨大支出风险。尽管妇女的寿命比男子长，但老年妇女在各个年龄段的自付费用都比男子高。在本文中，我们研究了婚姻状况和生活安排的差异是否可以解释这种差异。我们发现，当一个人丧偶时，自付费用的医疗支出大约增加了24％，其中很大一部分用于养老院。我们的结果表明，生活安排在自付费用中的重要作用。我们的估计值加上不同性别的丧偶比率的差异表明，婚姻状况可以解释自付费用的医疗总支出中性别差异的约三分之一，而有很大一部分无法解释。另一方面，丧偶制中的性别差异不仅仅可以解释观察到的养老院自付费用中的性别差异。

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  • 来源
    《Journal of health economics》 |2013年第3期|647-658|共12页
  • 作者

    Gopi Shah Goda; John B. Shoven; Sita Nataraj Slavov;

  • 作者单位

    Stanford University, Stanford Institute for Economic Policy Research, 366 Galvez Street, Stanford, CA 94305, USA,National Bureau of Economic Research, 1050 Massachusetts Avenue, Cambridge, MA 02138, USA;

    Stanford University, Stanford Institute for Economic Policy Research, 366 Galvez Street, Stanford, CA 94305, USA,National Bureau of Economic Research, 1050 Massachusetts Avenue, Cambridge, MA 02138, USA;

    American Enterprise Institute, 1150 17th Street NW, Washington, DC 20036, USA;

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  • 正文语种 eng
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  • 关键词

    Medical spending; Out-of-pocket; Widowhood; Nursing home; Marital status;

    机译：医疗支出;从口袋里掏出;寡妇疗养院;婚姻状况;

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