KSPM
Search
- Page Path
- HOME > Search
Original Article
- Measuring Out-of-pocket Payment, Catastrophic Health Expenditure and the Related Socioeconomic Inequality in Peru: A Comparison Between 2008 and 2017
- Akram Hernández-Vásquez, Carlos Rojas-Roque, Rodrigo Vargas-Fernández, Diego Rosselli
- J Prev Med Public Health. 2020;53(4):266-274. Published online June 10, 2020
- DOI: https://doi.org/10.3961/jpmph.20.035
- 5,519 View
- 200 Download
- 10 Crossref
-
Abstract
PDF
Supplementary Material - Objectives
Describe out-of-pocket payment (OOP) and the proportion of Peruvian households with catastrophic health expenditure (CHE) and evaluate changes in socioeconomic inequalities in CHE between 2008 and 2017.
Methods
We used data from the 2008 and 2017 National Household Surveys on Living and Poverty Conditions (ENAHO in Spanish), which are based on probabilistic stratified, multistage and independent sampling of areas. OOP was converted into constant dollars of 2017. A household with CHE was assumed when the proportion between OOP and payment capacity was ≥0.40. OOP was described by median and interquartile range while CHE was described by weighted proportions and 95% confidence intervals (CIs). To estimate the socioeconomic inequality in CHE we computed the Erreygers concentration index.
Results
The median OOP reduced from 205.8 US dollars to 158.7 US dollars between 2008 and 2017. The proportion of CHE decreased from 4.9% (95% CI, 4.5 to 5.2) in 2008 to 3.7% (95% CI, 3.4 to 4.0) in 2017. Comparison of socioeconomic inequality of CHE showed no differences between 2008 and 2017, except for rural households in which CHE was less concentrated in richer households (p<0.05) and in households located on the rest of the coast, showing an increase in the concentration of CHE in richer households (p<0.05).
Conclusions
Although OOP and CHE reduced between 2008 and 2017, there is still socioeconomic inequality in the burden of CHE across different subpopulations. To reverse this situation, access to health resources and health services should be promoted and guaranteed to all populations. -
Summary
Citations
Citations to this article as recorded by
- Causes of death among international travellers in Peru, 2017 to 2021
Kasim Allel, Miguel M Cabada, Collen Lau, Deborah Mills, Richard C Franklin, Yan Zhu, Luis Furuya-Kanamori
Journal of Travel Medicine.2024;[Epub] CrossRef - Informal payments in health facilities in Peru in 2018: Analysis of a cross-sectional survey
Laura Espinoza-Pajuelo, Patricia Mallma, Hannah Hogan Leslie, Patricia Jannet García, Sarthak Gaurav
PLOS Global Public Health.2024; 4(1): e0001837. CrossRef - An Examination of Inter-State Variation in Utilization of Healthcare Services, Associated Financial Burden and Inequality: Evidence from Nationally Representative Survey in India
Aashima, Rajesh Sharma
International Journal of Social Determinants of Health and Health Services.2024; 54(3): 206. CrossRef - Prevalence and Determinants of Catastrophic Healthcare Expenditures in Iran From 2013 to 2019
Abdoreza mousavi, Farhad lotfi, Samira Alipour, Aliakbar Fazaeli, Mohsen Bayati
Journal of Preventive Medicine and Public Health.2024; 57(1): 65. CrossRef - Consumer Financial Protection Versus Catastrophic Healthcare Expenditure in Zambia
MccPowell Fombang, Richard Wamalwa Wanzala
Public Health Challenges.2024;[Epub] CrossRef - Cost-sharing and associated factors in the Peruvian private health care system
Luciana Bellido-Boza, David Villarreal-Zegarra, Max Pariona-Cárdenas, Roger Carrión, Paul Valdivia-Miranda, G. J. Melendez-Torres, Oriana Rivera-Lozada de Bonilla
PLOS ONE.2024; 19(8): e0308277. CrossRef - High cost drugs in Latin America: access and barriers
Diego Rosselli
Expert Review of Pharmacoeconomics & Outcomes Research.2023; 23(6): 619. CrossRef - Determinants of Eye Care Service Utilization among Peruvian Adults: Evidence from a Nationwide Household Survey
Antonio Barrenechea-Pulache, Andres Portocarrero-Bonifaz, Akram Hernández-Vásquez, Carlos Portocarrero-Ramos, Jenny Moscoso-Carrasco
Ophthalmic Epidemiology.2022; 29(3): 339. CrossRef - Financial risk protection from out-of-pocket health spending in low- and middle-income countries: a scoping review of the literature
Taslima Rahman, Dominic Gasbarro, Khurshid Alam
Health Research Policy and Systems.2022;[Epub] CrossRef - THE IGNORED PANDEMIC OF PUBLIC HEALTH CORRUPTION: A CALL FOR ACTION AMID AND BEYOND SARS-COV-2/COVID-19
Jorge A. Sánchez-Duque, Zhaohui Su, Diego Rosselli, Maria Camila Chica-Ocampo, Maria Isabel Lotero-Puentes, Ana M. Bolaños-Portilla, Manish Dhawan, Alfonso J. Rodríguez-Morales, Kuldeep Dhama
Journal of Experimental Biology and Agricultural Sciences.2021; 9(2): 108. CrossRef
First
Prev
