Out-of-pocket health spending: the case of Chile, 1997 and 2007

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dc.contributor.authorCid Pedraza, Camilo
dc.contributor.authorPrieto Toledo, Lorena
dc.date.accessioned2024-01-10T13:51:41Z
dc.date.available2024-01-10T13:51:41Z
dc.date.issued2012
dc.description.abstractObjective. Determine the impact, characteristics, and changes in out-of-pocket health spending of households in Chile in 1997 and 2007.
dc.description.abstractMethods. A descriptive econometric study was conducted based on household surveys with cross-sectional information on spending in two years-1997 and 2007-for Greater Santiago. The evolution of indicators of per capita household spending by quintile was reviewed. The method proposed by the World Health Organization was used for econometric analysis of the determinants of out-of-pocket spending and catastrophic spending. The Gini indices were also calculated to analyze equity.
dc.description.abstractResults. Out-of-pocket health spending in the households of Greater Santiago increased significantly (39.5% per capita). The ratio of health spending in quintile 5 compared to quintile 1 decreased, but the increase in spending was less in quintile 5. In 2007, out-of-pocket spending was still determined by the presence of risk groups: under 5 years and, although to a lesser extent, over 65 years of age. Catastrophic spending decreased slightly and the presence of older adults continues to increase this risk. The presence of women of childbearing age tends to minimize out-of-pocket spending.
dc.description.abstractConclusions. Out-of-pocket health spending in the households is high and has increased. It continues to have a significant influence on inequality. The effects of out-of-pocket spending containment programs such as AUGE are evident, but new financial protection policies that address the problem are needed.
dc.format.extent7 páginas
dc.fuente.origenWOS
dc.identifier.doi10.1590/S1020-49892012000400007
dc.identifier.issn1020-4989
dc.identifier.pubmedidMEDLINE:22652971
dc.identifier.urihttps://doi.org/10.1590/S1020-49892012000400007
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/79619
dc.identifier.wosidWOS:000306217800007
dc.information.autorucMedicina;Pedraza C;S/I;1009707
dc.issue.numero4
dc.language.isoes
dc.nota.accesoSin adjunto
dc.pagina.final316
dc.pagina.inicio310
dc.publisherPAN AMER HEALTH ORGANIZATION
dc.revistaREVISTA PANAMERICANA DE SALUD PUBLICA-PAN AMERICAN JOURNAL OF PUBLIC HEALTH
dc.rightsregistro bibliográfico
dc.subjectFinancing, health
dc.subjecthealth expenditures
dc.subjectfinancing, personal
dc.subjectequity in health
dc.subjectChile
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleOut-of-pocket health spending: the case of Chile, 1997 and 2007
dc.typeartículo
dc.volumen31
sipa.codpersvinculados1009707
sipa.indexWOS
sipa.indexScopus
sipa.trazabilidadCarga SIPA;09-01-2024
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