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Stream/Area:
-
Subject:
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Paper ID:
IJSREM67821
Volume:
10 |
10 |
Oct 2026
Pages:
1-17
Publication Frequency:
Monthly (12 issues per year)
License:International Journal of Scientific Research in Engineering and Management follows the Creative Commons Attribution 4.0 (CC BY 4.0) License, allowing free use and distribution with proper attribution.

Bachelors of Business Administration
Koneru Lakshmaiah University
Bachelors of Business Administration
Koneru Lakshmaiah University

Bachelors of Business Administration
Koneru Lakshmaiah University
Bachelors of Business Administration
Koneru Lakshmaiah University
The increasing health expenditure in India has become a critical financial strain on household budgets, and the mainstream literature has paid attention mainly to out-of-pocket (OOP) expenditure and catastrophic health expenditure, without attempting to predict and quantify these outcomes in terms of factors that influence them. The study looks at how the medical sector inflation affect the financial well-being of Indian households and the moderating effect of health insurance and household income. Structured 5-point Likert scale questionnaire was used to collect the primary data and 90 responses were collected with the help of convenience sampling, all of which were fully completed and retained for analysis. The data has been analysed using the usual statistics namely Cronbach's alpha reliability test, One way ANOVA test, linear regression and Chi-square test of independence as per output of SPSS/Excel. The results show that perceived medical inflation is a significant positive predictor of out of pocket expenditure on health care (R² = .380, F(1,88) = 53.92, p < .001), which is a significant positive predictor of the financial burden (R² = .374, F(2,87) = 26.04, p < .001) of the household. The effect of perceived medical inflation on financial burden is mediated by this out of pocket channel. There was a significant relationship between household income and OOPE (p < .01) and financial burden (p < .01); however, there was no significant relationship between financial burden and health insurance status (p = .061) or between level of OOPE and health insurance status (p = .554). The findings suggest that medical inflation is linked to OOP expenses and financial stress in a reliable way, as well as that current insurance does not completely protect households from the financial impact of medical inflation and as far as income is concerned that is still a significant determinant in household vulnerability to medical inflation. The paper concludes with recommendations for policy design of insurance products and policy implications for household finance planning and future directions for predictive research.
KEYWORDS
The basic objective of this study was to analyse the relationship between perceived inflation in medical sector with financial status of Indian households using primary survey data which was analysed by Chi-square test, one-way ANOVA test and linear regression with 90 respondents. The results strongly and significantly support the sequential, largely mediated association: medical inflation is strongly and significantly associated with higher perceived OOP medical expenditure, which is strongly and significantly associated with higher perceived burden on the household financial resources, both in terms of reduced savings and increased borrowing and asset sales. The effect of medical inflation on the financial burden is much more muted when tested at the same time as out-of-pocket expenditure, suggesting that the influence of medical inflation on financial stability is more indirect than direct. Health insurance and household income are the two key conditioning factors that come into play. Overall, the presence of insurance status did not affect the reported amount of OOP costs, although it was marginally associated with a lower level of downstream financial burden, which implies that insurance does not fully protect against the effects of increasing medical expenses. Household income was found to have a clear and statistically significant relationship both with out-of-pocket expenditure and financial burden, with lower income households being overrepresented in the high financial impact category, thus demonstrating that the burden of medical inflation in India is not evenly distributed and affects the economically weaker households more. The overall findings of these results support five out of the six hypotheses tested (H1, H2, H5 and H6 fully; and H3 on the 10% rather than 5th significance level) and give grounds for rejecting hypothesis H4 because the difference between perceived out-of-pocket spending and insurance status alone was not significant. The results further support the argument advanced in the literature review that the financial protection mechanism in place in India is useful but limited and household income remains a primary driver of vulnerability to medical inflation. Policy-wise, the findings imply the need for health insurance and public funding for health that better address the primary out-of-pocket costs of receiving care (not just the downstream financial effects), along with targeted interventions for low-income households, who are here demonstrated to have a disproportionate financial burden from increasing health care expenses.
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Publication Date
10/12/2026
Peer Review Type
Double-Blind Peer Review
Review Rounds: 2
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