<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1405-7425</journal-id>
<journal-title><![CDATA[Papeles de población]]></journal-title>
<abbrev-journal-title><![CDATA[Pap. poblac]]></abbrev-journal-title>
<issn>1405-7425</issn>
<publisher>
<publisher-name><![CDATA[Universidad Autónoma del Estado de México, Centro de Investigación y Estudios Avanzados de la Población]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1405-74252020000300011</article-id>
<article-id pub-id-type="doi">10.22185/24487147.2020.105.20</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Determinantes de gastos en salud durante el último año de vida de la población mexicana de 50 años o más]]></article-title>
<article-title xml:lang="en"><![CDATA[Determinants of health expenditures during the last year of life of the Mexican population aged 50 or over]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zazueta Borboa]]></surname>
<given-names><![CDATA[Jesús Daniel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ham Chande]]></surname>
<given-names><![CDATA[Roberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Netherlands Interdisciplinary Demographic Institute  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Holanda</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Colegio de la Frontera Norte Departamento de Estudio de Población ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2020</year>
</pub-date>
<volume>26</volume>
<numero>105</numero>
<fpage>11</fpage>
<lpage>38</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-74252020000300011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-74252020000300011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-74252020000300011&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: En las edades mayores el último año de vida es cuando la salud más se deteriora y es la etapa más demandante de atención médica y de cuidados. En consecuencia, también es la etapa más costosa. Se analizan diferencias por sexo en los determinantes de los gastos en salud por cuenta propia durante el último año de vida de personas de 50 o más, usando la encuesta del Estudio Nacional de Salud y Envejecimiento en México. Con estimaciones de gasto en tres niveles: ninguno, medio-bajo, y alto, controlando por variables sociodemográficas los resultados indican que el número de noches de hospital es la mayor determinante de gastos en salud, por encima de los relacionados con las enfermedades reconocidas como causa de muerte. Este factor tiene implicaciones en los gastos tanto por cuenta propia y como de las instituciones médicas. Son temas relevantes ante los cambios en el sistema de salud pública.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: During the last year of life of the elderly health deteriorates the most, thus becoming the period of time when needs of medical services, personal care requirements and related costs are at highest. Using the Mexican Health and Aging Study, differences by sex in the determinants for out-of-pocket health expenditures during the last year of life of people 50 and over are discussed. Three levels of out-of-pocket expenses disbursement are contemplated: none, medium-low, and high. Controlling by sociodemographic variables, findings suggest that the number of hospital nights is the main determinant of health expenses, even above those related to diseases that are regarded as main causes of death. This fact impacts both out-of-pocket expences and the costs for medical institution. It is another issue in the over-hauling of the public health system.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Envejecimiento]]></kwd>
<kwd lng="es"><![CDATA[último año de vida]]></kwd>
<kwd lng="es"><![CDATA[gastos en salud, pagos por cuenta propia]]></kwd>
<kwd lng="en"><![CDATA[Aging]]></kwd>
<kwd lng="en"><![CDATA[last year of life]]></kwd>
<kwd lng="en"><![CDATA[health costs]]></kwd>
<kwd lng="en"><![CDATA[out-of-pocket expences]]></kwd>
</kwd-group>
</article-meta>
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