Juan Marcelo Virdis, María Eugenia Elorza, Fernando Delbianco
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引用次数: 0
摘要
本文旨在评估2017-2018年间阿根廷家庭人口和社会经济特征与灾难性医疗支出(CHE)之间的关联。灾难性医疗支出被估算为家庭消费能力(在单独估算中使用收入和总消费)中用于自付医疗支出(OOP)的比例。为评估决定因素,我们使用不同强度的 CHE(10%、15%、20% 和 25%)作为序数因变量,并使用社会经济、人口和地理变量作为解释因素,估算了一个广义有序对数模型。我们发现,家庭成员年龄超过 65 岁且长期生活困难会增加发生 CHE 的可能性。此外,户主不从事经济活动也被认为是增加这种可能性的一个因素。然而,关于公共和私人医疗保险与消费能力之间的关系,研究结果并不一致。我们的研究结果以及稳健性检验结果表明,在忽略其他家庭成员属性的研究中,户主特征系数的大小可能会被夸大。此外,这些结果还强调了考虑长期困难的重要性,并表明忽略这一因素可能会高估 65 岁以上成员的影响。
Factors associated with financial risk due to health spending in Argentina.
This article aims to assess the association between household demographic and socioeconomic characteristics and catastrophic health expenditure (CHE) in Argentina during 2017-2018. CHE was estimated as the proportion of household consumption capacity (using both income and total consumption in separate estimations) allocated for Out-of-Pocket (OOP) health expenditure. For assessing the determinants, we estimated a generalized ordered logit model using different intensities of CHE (10%, 15%, 20% and 25%) as the ordinal dependent variable, and socioeconomic, demographic and geographical variables as explanatory factors. We found that having members older than 65 years and with long-term difficulties increased the likelihood of incurring CHE. Additionally, having an economically inactive household head was identified as a factor that increases this probability. However, the research did not yield consistent results regarding the relationship between public and private health insurance and consumption capacity. Our results, along with the robustness checks, suggest that the magnitude of the coefficients for the household head characteristics could be exaggerated in studies that overlook the attributes of other household members. In addition, these results emphasize the significance of accounting for long-term difficulties and indicate that omitting this factor could overestimate the impact of members aged over 65.
期刊介绍:
Health Policy and Planning publishes health policy and systems research focusing on low- and middle-income countries.
Our journal provides an international forum for publishing original and high-quality research that addresses questions pertinent to policy-makers, public health researchers and practitioners. Health Policy and Planning is published 10 times a year.