Determining factors of catastrophic health spending in Bogota, Colombia
Determining factors of catastrophic health spending in Bogota, Colombia
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DOI：
10.1007/s10754-011-9089-3
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发表时间：
2011-06-01
期刊：
影响因子：
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通讯作者：
Gomez, Fernando Ruiz
中科院分区：
文献类型：
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作者：
Amaya Lara, Jeannette Liliana;Gomez, Fernando Ruiz
这项研究测试了没有参加一般社会保障医疗系统保险的波哥大低收入人口是否能够在经济上处理意外的健康问题。它使用了2001年在哥伦比亚进行的保健服务使用和支出研究的数据，其中每个家庭记录了当年每月自付保健支出，家庭收入按每个成员对家庭的贡献之和计算。支付能力或可用收入和灾难性卫生支出是根据世界卫生组织（世卫组织）2005年提出的最新方法计算的。一个概率单位模型进行了调整，以确定显着影响的家庭有灾难性的医疗支出的可能性的因素。波哥大有灾难性医疗支出的家庭比例为4.9%;低收入家庭的发病率较高，这些家庭的成员中没有人参加社会保障，有住院事件，户主年龄超过60岁。没有统计学证据可以否定所研究的假设，即没有医疗保险的低收入家庭比有医疗保险的高收入家庭更有可能发生灾难性的医疗支出。
This study tests whether the low-income population in Bogota not insured under the General Social Security Health System is able to economically handle unexpected health problems or not. It used data from the Health Services Use and Expenditure Study conducted in Colombia in 2001, for which each household recorded its monthly out-of-pocket health expenditure during the year and the household income was measured as the sum of each member's contribution to the household. Payment capacity or available income and catastrophic health spending were based on the latest methodology proposed by the World Health Organization (WHO) in 2005. A probit model was adjusted to determine the factors that significantly influence the likelihood of a household having catastrophic health spending. The percentage of households with catastrophic health spending in Bogota was 4.9%; incidence was higher in low-income households where none of the members were affiliated to social security, where there had been an in-patient event, and where the heads of household were over 60 years of age. There is no statistical evidence for rejecting the hypothesis under study, which states that low-income households that have no health insurance are more likely to have catastrophic health spending than higher-income households with health insurance.