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Household catastrophic health expenditures : a comparative analysis of twelve Latin American and Caribbean countries

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dc.contributor.author Knaul, Felicia Marie
dc.contributor.author Wong, Rebeca
dc.contributor.author Arreola-Ornelas, Hector
dc.contributor.author Méndez, Oscar
dc.date.accessioned 2015-03-05T13:08:53Z
dc.date.available 2015-03-05T13:08:53Z
dc.date.issued 2011
dc.identifier.citation Knaul, F.M., Wong, R., Arreola-Ornelas, H., & Méndez, O. (2011). Household catastrophic health expenditures: A comparative analysis of twelve Latin American and Caribbean Countries. Salud Pública de México, 53(suplemento 2): 585-595. en
dc.identifier.uri http://hdl.handle.net/10625/53810
dc.description Includes abstract in Spanish en
dc.description.abstract Objective: Compare patterns of catastrophic health expenditures in 12 countries in Latin America and the Caribbean. Material and Methods: Prevalence of catastrophic expenses was estimated uniformly at the household level using household surveys. Two types of prevalence indicators were used based on out-of-pocket health expense: a) relative to an international poverty line, and b) relative to the household’s ability to pay net of their food basket. Ratios of catastrophic expenditures were estimated across subgroups defined by economic and social variables. Results: The percent of households with catastrophic health expenditures ranged from 1 to 25% in the twelve countries. In general, rural residence, lowest quintile of income, presence of older adults, and lack of health insurance in the household are associated with higher propensity of catastrophic health expenditures. However, there is vast heterogeneity by country. Conclusions: Cross national studies may serve to examine how health systems contribute to the social protection of Latin American households. en
dc.format Text en
dc.format.extent 1 digital file (p. 585-595) en
dc.format.mimetype application/pdf
dc.language.iso en
dc.subject HEALTH EXPENDITURE en
dc.subject SOCIAL POLICY en
dc.subject HEALTH en
dc.subject LATIN AMERICA en
dc.subject CARIBBEAN en
dc.subject AMERICA LATINA Y EL CARIBE es
dc.subject HOUSEHOLD EXPENDITURE en
dc.subject GASTOS FAMILIARES es
dc.subject HEALTH ECONOMICS en
dc.subject POVERTY en
dc.subject POBREZA es
dc.subject HEALTH SYSTEM en
dc.subject SISTEMA DE SALUD es
dc.title Household catastrophic health expenditures : a comparative analysis of twelve Latin American and Caribbean countries en
dc.type Journal Article (peer-reviewed) en
idrc.project.number 106439
idrc.project.componentnumber 106439001
idrc.project.title Equity in Health and Health Financing: Building and Strengthening Developing Country Networks en
idrc.dspace.access IDRC Only en
idrc.rims.adhocgroup IDRC SUPPORTED en
idrc.recordsserver.bcsnumber IC01-4451-36
idrc.noaccess Due to copyright restrictions the full text of this research output is not available in the IDRC Digital Library or by request from the IDRC Library. / Compte tenu des restrictions relatives au droit d'auteur, le texte intégral de cet extrant de recherche n'est pas accessible dans la Bibliothèque numérique du CRDI, et il n'est pas possible d'en faire la demande à la Bibliothéque du CRDI. en


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