Consumer responses towards essential purchases during COVID-19 pan-India lockdown

Understanding the economic burden of cancer care and the utility of health insurance: An exploratory cross-sectional study in a tertiary care hospital in Karnataka, India

Background

Families and caregivers of cancer patients experience significant financial challenges associated with out-of-pocket (OOP) expenditures.

Objectives

This study aims to assess the OOP expenditure and its impact on the livelihood of patients and families, associated with receiving cancer care from a teaching hospital in Karnataka.

Materials and Methods

It focuses on understanding health insurance use and its effects on OOP expenses for cancer care based on data obtained from 271 patients receiving treatment for more than 6 months. A structured questionnaire was developed and used for data collection and focused on obtaining direct costs such as consultation fees, surgery costs, and radiotherapy costs and indirect costs such as travel expenses, food costs, and patient income loss, as well as questions that measure the impact of the financial burden on patients and their associated livelihood.

Results

In the present study, the median cost of OOP expense incurred for cancer treatment is estimated to be 3.10 lakh Indian rupees. It was also found that patients enrolled in public health insurance schemes, especially Ayushman Bharath-Arogya Karnataka have lesser OOP expenditure than those with either private health insurance or no health insurance.

Conclusions

This indicates the need for effective implementation of various public health insurance schemes and their ability to protect patients from huge OOP expenses and related financial risks.

Factors Affecting Food Consumers’ Behavior during COVID-19 in Romania

Crisis periods such as the COVID-19 pandemic may reshape consumers’ behavior and challenge all food chain actors on how to assure and better respond to consumers’ needs and wants. This study aimed to reveal the main concerns of consumers related to food consumption during the COVID-19 pandemic and to identify factors that may influence their behavior. An online survey was performed among 859 Romanian consumers. The Principal Component Analysis revealed five factors: ecofriendly, socio-economic aspects, food waste, plant-based food, and easily accessible food, which affected consumers’ food behavior during the COVID-19 pandemic. It was noticed that females tended to be more preoccupied with the socio-economic aspects and food waste components, compared to males. At the same time, older people were more concerned about the ecofriendly, socio-economic aspects and health concerns, compared with the younger group, the differences being statistically significant. These insights provide information on crucial aspects that shape consumers’ behavior during crisis periods.

COVID-19 effects on urban driving, walking, and transit usage trends: Evidence from Indian metropolitan cities

The outbreak of the COVID-19 pandemic disrupted all walks of life, including the transportation sector. Fear of the contagion coupled with government regulations to restrict mobility altered the travel behavior of the public. This study proposes integrating freely accessible aggregate mobility datasets published by tech giants Apple and Google, which opens a broader avenue for mobility research in the light of difficult data collection circumstances. A comparative analysis of the changes in usage of different mobility modes during the national lockdown and unlock policy periods across 6 Indian cities (Bangalore, Chennai, Delhi, Hyderabad, Mumbai, and Pune) explain the spatio-temporal differences in mode usages. The study shows a preference for individual travel modes (walking and driving) over public transit. Comparisons with pre-pandemic mode shares present evidence of inertia in the choice of travel modes. Association investigations through generalized linear mixed-effects models identify income, vehicle registrations, and employment rates at the city level to significantly impact the community mobility trends. The methods and interpretations from this study benefit government, planners, and researchers to boost informed policymaking and implementation during a future emergency demanding mobility regulations in the high-density urban conglomerations.