Socio-economic status and household catastrophic health expenditure in urban Argentina

Objectives: is to explore the socioeconomic determinants of catastrophic out-of-pocket health expenditure in Argentina in order to be able to capture the distribution of catastrophic health expenditure (CHE) among health coverage. Methods: A cross-sectional study was conducted on the Household Expenditure Survey for 2012/2013. Using the households capacity to pay (CTP) the proportion of households with CHE was estimated as those households that face health out-of-pocket above 40% of their CTP. A logistic regression was used to identify the determinants of CHE. To measure socioeconomic status a composite wealth index was calculated. Results: The final sample included 20,699 households. The main determinants were having a senior member [OR=2.14 (1.40-3.28)], senior head of house hold [OR=0.46 (0.29-0.74)] and employment status [OR=0.63 (0.49-0.80)]. Stratified analysis by health coverage was not statistically significant. Conclusions: There are few households that had health OOP above 40% of their capacity to pay, over 97% of the households had OOP that were below this threshold. Moreover, only 51% of the households incurred in out-of-pocket health payments. Impoverishment rate after OOP payments was 0.8%, higher for the lower quintiles.

Name thesis:degree_name

Maestría en Econometría

Level thesis:degree_level

1

Grantor dc:publisher

Universidad Torcuato Di Tella

Year dc:date.issued

2015

Author dc:creator

• Mac Mullen, Mercedes

Advisor dc:contributor.advisor

• Universidad Torcuato Di Tella

• Health care
• Econometría
• Argentina
• Tesis

Statement dc:rights

• info:eu-repo/semantics/openAccess

Language dc:language

eng

Repository record dc:identifier.uri

https://repositorio.utdt.edu/handle/20.500.13098/1958

OAI identifier oai:identifier

oai:repositorio.utdt.edu:20.500.13098/1958