Socioeconomic inequality in catastrophic health expenditure in Brazil.
Socioeconomic inequality in catastrophic health expenditure in Brazil.
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DOI：
10.1590/s0034-8910.2014048005111
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发表时间：
2014-08
影响因子：
2.8
通讯作者：
Peres KG
中科院分区：
文献类型：
--
作者：
Boing AC;Bertoldi AD;Barros AJ;Posenato LG;Peres KG
根据巴西家庭的社会经济特点，分析灾难性卫生支出的演变情况以及此类支出的不平等现象。 分析了2002-2003年（48 470户）和2008-2009年（55 970户）国家家庭预算的数据。灾难性医疗支出被定义为超额支出，考虑到不同的计算方法：总消费的10.0%和20.0%以及家庭支付能力的40.0%。国民经济指标和学校教育被视为社会经济特征。不平等的措施使用率之间的相对差异，率比，和浓度指数。 灾难性的卫生支出在0.7%和21.0%之间，这取决于计算方法。在支付能力方面，发生率最低，而在总消费方面，发生率最高。从2002-2003年到2008-2009年，灾难性卫生支出的发生率增加了25.0%，如果考虑与总消费相关的20.0%的分界点，则增加了100%，如果将支付能力的40.0%或以上作为分界点。2002-2003年至2008-2009年期间，巴西灾难性卫生支出方面的社会经济不平等显著增加，在最贫穷者中增加了5.20倍，在受教育程度最低者中增加了4.17倍。 巴西家庭，主要是最贫穷的家庭和教育程度最低的家庭，灾难性的保健支出增加，加剧了社会不平等。
To analyze the evolution of catastrophic health expenditure and the inequalities in such expenses, according to the socioeconomic characteristics of Brazilian families. Data from the National Household Budget 2002-2003 (48,470 households) and 2008-2009 (55,970 households) were analyzed. Catastrophic health expenditure was defined as excess expenditure, considering different methods of calculation: 10.0% and 20.0% of total consumption and 40.0% of the family’s capacity to pay. The National Economic Indicator and schooling were considered as socioeconomic characteristics. Inequality measures utilized were the relative difference between rates, the rates ratio, and concentration index. The catastrophic health expenditure varied between 0.7% and 21.0%, depending on the calculation method. The lowest prevalences were noted in relation to the capacity to pay, while the highest, in relation to total consumption. The prevalence of catastrophic health expenditure increased by 25.0% from 2002-2003 to 2008-2009 when the cutoff point of 20.0% relating to the total consumption was considered and by 100% when 40.0% or more of the capacity to pay was applied as the cut-off point. Socioeconomic inequalities in the catastrophic health expenditure in Brazil between 2002-2003 and 2008-2009 increased significantly, becoming 5.20 times higher among the poorest and 4.17 times higher among the least educated. There was an increase in catastrophic health expenditure among Brazilian families, principally among the poorest and those headed by the least-educated individuals, contributing to an increase in social inequality.
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影响因子：
2.1
作者：
Wagstaff, A;van Doorslaer, E
通讯作者：
van Doorslaer, E
DOI：
10.2165/11318200-000000000-00000
发表时间：
2010-11-01
影响因子：
3.6
作者：
Mataria, Awad;Raad, Firas;Donaldson, Cam
通讯作者：
Donaldson, Cam
影响因子：
7.7
作者：
Barros, Aluisio J. D.;Bertoldi, Andrea D.
通讯作者：
Bertoldi, Andrea D.
DOI：
10.1590/s1413-81232002000400009
发表时间：
2002-01-01
期刊：
Ciência & Saúde Coletiva
影响因子：
--
作者：
Silveira, Fernando Gaiger;Osório, Rafael Guerreiro;Piola, Sérgio Francisco
通讯作者：
Piola, Sérgio Francisco
影响因子：
9.7
作者：
Xu, Ke;Evans, David B.;Evans, Timothy
通讯作者：
Evans, Timothy