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Catastrophic health spending in Mexico and its determinants, 2002-2014
Journal
Gaceta Médica de México
ISSN
0016-3813
Publisher
Academia Nacional de Medicina de México
Date Issued
2017
Author(s)
Universidad Anáhuac México
Rivera-Peña, Gustavo
Type
Resource Types::text::Non-primary product
Abstract
Objective: To assess the financial protection of public health insurance by analyzing the percentage of households with catastrophic health expenditure (HCHE) in Mexico and its relationship with poverty status, size of locality, federal entity, insurance status and items of health spending. Method: Mexican National Survey of Income and Expenditures 2002-2014 was used to estimate the percentage of HCHE. Through a probit model, factors associated with the occurrence of catastrophic spending are identified. Analysis was performed using Stata-SE 12. Results: In 2014 there were 2.08% of HCHE (1.82-2.34%; N = 657,474). The estimated probit model correctly classified 98.2% of HCHE (Pr (D) ≥ 0.5). Factors affecting the catastrophic expenditures were affiliation, presence of chronic disease, hospitalization expenditure, rural condition and that the household is below the food poverty line. Conclusions: The percentage of HCHE decreased in recent years, improving financial protection in health. This decline seems to have stalled, keeping inequities in access to health services, especially in rural population without affiliation to any health institution, below the food poverty line and suffering from chronic diseases. ©2017 Gaceta Médica de México, Los autores.
License
Acceso Abierto
How to cite
Rodríguez-Aguilar, R., & Rivera-Peña, G. (2017). Gasto catastrófico en salud en México y sus factores determinantes, 2002-2014. In Gaceta de Médica de México (Vol. 153, Issue 7). Publicidad Permanyer, SLU. https://doi.org/10.24875/gmm.17002616