Financial well-being of older Australians with multiple health conditions

Australas J Ageing. 2018 Jun;37(2):127-134. doi: 10.1111/ajag.12497. Epub 2018 Feb 10.

Abstract

Objective: Given recent rises in out-of-pocket health expenses, we examined the financial well-being of older Australians with multiple health conditions and disabilities.

Methods: The 2014 General Social Survey was used to measure the: (i) current financial position; (ii) propensity to experience financial difficulties; and (iii) types of behaviours older people with multiple health conditions engage in to improve financial resilience.

Results: Compared to older Australians with no health conditions, respondents with multiple health conditions had lower incomes and assets and a higher propensity to hold consumer debt (once controls were included). They were at a higher risk of cash flow difficulties, dissaving to meet day-to-day living expenses and exclusion from financial providers. However, the majority of people with multiple health conditions engaged in financially resilient behaviours.

Conclusion: Many older Australians with multiple health conditions were in a financially precarious situation with implications for the ability to afford ongoing increases in out-of-pocket health-care costs.

Keywords: ageing; comorbidity; financial well-being; health expenditures.

MeSH terms

  • Age Factors
  • Aging*
  • Australia / epidemiology
  • Chronic Disease / economics*
  • Chronic Disease / epidemiology
  • Chronic Disease / therapy*
  • Cross-Sectional Studies
  • Disability Evaluation
  • Financing, Personal*
  • Health Care Costs*
  • Health Expenditures*
  • Health Status
  • Humans
  • Income*
  • Male
  • Middle Aged
  • Multimorbidity
  • Poverty
  • Surveys and Questionnaires