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

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dc.contributor.authorKnaul, Felicia Marie
dc.contributor.authorWong, Rebeca
dc.contributor.authorArreola-Ornelas, Hector
dc.contributor.authorMéndez, Oscar
dc.date.accessioned2015-03-05T13:08:53Z
dc.date.available2015-03-05T13:08:53Z
dc.date.issued2011
dc.descriptionIncludes abstract in Spanishen
dc.description.abstractObjective: 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.formatTexten
dc.format.extent1 digital file (p. 585-595)en
dc.format.mimetypeapplication/pdf
dc.identifier.citationKnaul, 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.urihttp://hdl.handle.net/10625/53810
dc.language.isoen
dc.subjectHEALTH EXPENDITUREen
dc.subjectSOCIAL POLICYen
dc.subjectHEALTHen
dc.subjectLATIN AMERICAen
dc.subjectCARIBBEANen
dc.subjectAMERICA LATINA Y EL CARIBEes
dc.subjectHOUSEHOLD EXPENDITUREen
dc.subjectGASTOS FAMILIARESes
dc.subjectHEALTH ECONOMICSen
dc.subjectPOVERTYen
dc.subjectPOBREZAes
dc.subjectHEALTH SYSTEMen
dc.subjectSISTEMA DE SALUDes
dc.titleHousehold catastrophic health expenditures : a comparative analysis of twelve Latin American and Caribbean countriesen
dc.typeJournal Article (peer-reviewed)en
idrc.dspace.accessIDRC Onlyen
idrc.noaccessDue 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
idrc.project.componentnumber106439001
idrc.project.number106439
idrc.project.titleEquity in Health and Health Financing: Building and Strengthening Developing Country Networksen
idrc.recordsserver.bcsnumberIC01-4451-36
idrc.rims.adhocgroupIDRC SUPPORTEDen

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