Household Catastrophic Health Expenditures: A Comparative Analysis of Twelve Latin American and Caribbean Countries
Household Catastrophic Health Expenditures: A Comparative Analysis of Twelve Latin American and Caribbean Countries
复制标题
家庭灾难性健康支出：十二个拉丁美洲和加勒比国家的比较分析
DOI：
10.1590/s0036-36342011000800005
复制
发表时间：
2011
期刊：
影响因子：
--
通讯作者：
Oscar Méndez
中科院分区：
文献类型：
--
作者：
F. Knaul;R. Wong;H. Arreola;Oscar Méndez
目标
比较拉丁美洲和加勒比地区 12 个国家的灾难性卫生支出模式。
材料和方法
通过家庭调查，在家庭层面统一估计灾难性支出的发生率。根据自付费用医疗费用，使用了两类流行率指标：a）相对于国际贫困线，b）相对于家庭扣除食品篮子的支付能力。灾难性支出的比率是根据经济和社会变量定义的亚组进行估计的。
结果
在 12 个国家中，发生灾难性医疗支出的家庭比例从 1% 到 25% 不等。一般来说，农村居住、收入最低的五分之一、老年人的存在以及家庭中缺乏医疗保险与灾难性医疗支出的较高倾向相关。然而，不同国家之间存在巨大差异。
结论
跨国研究可能有助于检验卫生系统如何为拉丁美洲家庭的社会保护做出贡献。
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.
影响因子：
9.7
作者：
Xu, Ke;Evans, David B.;Evans, Timothy
通讯作者：
Evans, Timothy