Evaluación Inicial del Seguro Popular sobre el Gasto Catastrófico en Salud en México

Hernández-Torres, Jinneth; Ávila-Burgos, Leticia; Valencia-Mendoza, Atanacio; Poblano-Verástegui, Ofelia

doi:10.1590/s0124-00642008000100003

Cited by 19 publications

(18 citation statements)

References 5 publications

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“…While conventional measures of out-of-pocket expenditures find that around 1 or 2 % of households face catastrophic health expenditures (Hernandez-Torres et al 2008;Perticara 2008;SesmaVázquez et al 2005), our results show a much higher percentage of households seriously affected by their medical spending increasing their current poverty level and vulnerability.…”

Section: Discussioncontrasting

confidence: 63%

The Financial Burden of Healthcare Cost: Coping Strategies for Medical Expenses in Mexico

Rodríguez

Small

2016

Soc Indic Res

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Ignoring the means of financing out-of-pocket health expenditures may bring a misleading impression of their short and long-term impacts on households' wellbeing. Small amounts of health spending may seriously affect households' living standards. When households reduce their current consumption of basic needs in order to finance their health spending they seriously endanger their current wellbeing. Also, drawing on financial coping strategies conditions future consumption and income. The purpose of this paper is to analyze the use and incidence of means of financing out-of-pocket expenditures in Mexico in 2008Mexico in , 2010Mexico in , and 2012. We found that a large number of households in Mexico finance their medical expenditures through the reduction of their essential consumption and the use of financial coping strategies. According to conventional measures, many of these households may not experience catastrophic out-of-pocket expenditures, but we found them to be vulnerable to poverty.

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Section: Discussioncontrasting

confidence: 63%

The Financial Burden of Healthcare Cost: Coping Strategies for Medical Expenses in Mexico

Rodríguez

Small

2016

Soc Indic Res

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“…Likewise, studies have found that households with a lower income level are more vulnerable to catastrophic healthcare spending [17, 18]. Seeking care in a public or private hospital increases the risk of catastrophic health expenditure [19].…”

Section: Introductionmentioning

confidence: 99%

Catastrophic expenditure due to out-of-pocket health payments and its determinants in Colombian households

Amaya-Lara

2016

Int J Equity Health

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BackgroundOut-of-pocket expenditure to pay for health services could result in financial catastrophe. The purpose of this study was to identify the incidence and determinants of catastrophic out-of-pocket payments for healthcare in Colombia. The underlying hypotheses are that low-income and non-insured population in Colombia, and households living in isolated and high level of rurality regions, are more likely to incur catastrophic healthcare expenses.MethodsThis study used data from the Quality of Life National Survey conducted in Colombia in 2011. The presence of catastrophic healthcare spending was calculated using the methodology proposed by the World Health Organization in 2005. Households were classified as having catastrophic health spending when their out-of-pocket health payments were over 20 % of their payment capacity. All other households were classified as not having catastrophic health spending. A probit model was estimated aimed at determining what factors influence the probability of catastrophic healthcare spending.ResultsStudy findings show that 9.6 % of Colombian households had catastrophic expenditure. The incidence was higher in households in the Pacífica and Atlántica regions, extended and nuclear families, households with children or elderly adults, located in rural areas, and not insured under the healthcare system. The ratio of household members who work seems to reduce the risk of catastrophic healthcare spending, but the occurrence of any in-patient event increases it. So, there is no statistical evidence for rejecting the hypotheses under study.ConclusionsResults indicate the importance of establishing intervention mechanisms in order to improve equity in access and payment for health care, protect vulnerable groups against financial risk, and, consequently, reduce the incidence of catastrophic healthcare spending. For this, it is essential to achieve universal health coverage through standardized and improved health services packages for vulnerable age groups and implement healthcare campaigns for households in rural areas where the incidence of out-of-pocket payments is higher.

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“…Studies show that the households with most health expenses are those in rural areas, with some household members who are over 60 years old, children or disabled, where the head of household is a woman or a person over 60 years old or a person with little formal education (Sesma et al 2004;Torres and Knaul 2003;Hernández et al 2008). Also, findings show that households with a low economic level are more vulnerable to a drop in income and to incurring in catastrophic out-of-pocket expenditure when faced with a health incident that requires medical attention (Knaul et al 2005;Cruz et al 2006;Hernández et al 2008). …”

Section: Introductionmentioning

confidence: 99%

“…Indeed, the Mexican Foundation for Health (Funsalud is the Mexican acronym) put the first catastrophic health spending measurement methodology into operation (Sesma et al 2004). Those studies show that non-insured, poor rural households run the highest risk of catastrophic health spending, as well as households with disabled persons or elderly adults and newborns (Hernández et al 2008;Sesma et al 2005).…”

Section: Introductionmentioning

confidence: 99%

“…Xu (2005) presented the most recent methodology proposed by the WHO, which affirms that "health spending is catastrophic when a household's out-of-pocket health payments are equal to or greater than 40% of the household's payment capacity or non-subsistence expenditure". Prior studies considered different thresholds as reference points for establishing catastrophic spending; they vary from 10 to 50% depending on the reference country's level of development, on the methodology used to measure catastrophic spending, on the method employed to calculate payment capacity, and on the definition of subsistence expenditure van Doorslaer et al 2005;Xu et al 2003b;Xu 2005;Xu et al 2007;Alvis et al 2004;O'Donnell et al 2005O'Donnell et al , 2008Cruz et al 2006;Hernández et al 2008;Pérez et al 2005).…”

Section: Introductionmentioning

confidence: 99%

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Determining factors of catastrophic health spending in Bogota, Colombia

Lara

Gómez

2011

Int J Health Care Finance Econ

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This study tests whether the low-income population in Bogota not insured under the General Social Security Health System is able to economically handle unexpected health problems or not. It used data from the Health Services Use and Expenditure Study conducted in Colombia in 2001, for which each household recorded its monthly out-of-pocket health expenditure during the year and the household income was measured as the sum of each member's contribution to the household. Payment capacity or available income and catastrophic health spending were based on the latest methodology proposed by the World Health Organization (WHO) in 2005. A probit model was adjusted to determine the factors that significantly influence the likelihood of a household having catastrophic health spending. The percentage of households with catastrophic health spending in Bogota was 4.9%; incidence was higher in low-income households where none of the members were affiliated to social security, where there had been an in-patient event, and where the heads of household were over 60 years of age. There is no statistical evidence for rejecting the hypothesis under study, which states that low-income households that have no health insurance are more likely to have catastrophic health spending than higher-income households with health insurance.

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Evaluación Inicial del Seguro Popular sobre el Gasto Catastrófico en Salud en México

Cited by 19 publications

References 5 publications

The Financial Burden of Healthcare Cost: Coping Strategies for Medical Expenses in Mexico

The Financial Burden of Healthcare Cost: Coping Strategies for Medical Expenses in Mexico

Catastrophic expenditure due to out-of-pocket health payments and its determinants in Colombian households

Determining factors of catastrophic health spending in Bogota, Colombia

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