[Catastrophic health expenditures in Mexico: magnitude, distribution and determinants]
Autor: | Sergio, Sesma-Vázquez, Raymundo, Pérez-Rico, Carlos Lino, Sosa-Manzano, Octavio, Gómez-Dantés |
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Rok vydání: | 2005 |
Předmět: |
Adult
Male Rural Population Financing Personal Medically Uninsured Insurance Health Middle Aged Models Theoretical World Health Organization Logistic Models Pregnancy Health Care Surveys Multivariate Analysis Linear Models Humans Disabled Persons Female Health Expenditures Catastrophic Illness Mexico Poverty |
Zdroj: | Salud publica de Mexico. 47 |
ISSN: | 0036-3634 |
Popis: | To describe the magnitude, distribution, and determinants of catastrophic health expenditures in Mexico.The information source was the National Performance Assessment Survey and the methodology, the one developed by the World Health Organization for assessing fair financing. Households with catastrophic expenditures were defined as those with health expenditures over 30% of their ability to pay. Multivariate analysis by logistic and linear regression were used to identify the determinants of catastrophic expenditures.A total of 3.8% of the households incurred in catastrophic health expenditures. There were huge differences by state. The uninsured, poor, and rural households showed a higher impoverishment risk. Sixty percent of the catastrophic expenditures were attributable to outpatient care and medication. A 10% increase of insured households could result in a 9.6% decrease in catastrophic expenditures. Disability, adults 60 years of age and older, and pregnancy increased the probability of catastrophic expenditures.The insurance of older adults, pregnant women, and persons with disabilities could reduce catastrophic health expenditures in Mexico. |
Databáze: | OpenAIRE |
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