Efecto del Seguro Popular de Salud sobre los gastos catastróficos y empobrecedores en México, 2004-2012

Translated title of the contribution: The effect of Seguro Popular de Salud on catastrophic and impoverishing expenditures in Mexico, 2004-2012

Felicia Marie Knaul, Héctor Arreola-Ornelas, Rebeca Wong, David G. Lugo-Palacios, Oscar Méndez-Carniado

    Research output: Contribution to journalArticlepeer-review

    18 Scopus citations

    Abstract

    Objective. To determine the impact of Seguro Popular (SPS) on catastrophic and impoverishing household expenditures and on the financial protection of the Mexican health system. Materials and methods. The propensity score matching (PSM) method was applied to the population affiliated to SPS to determine the program's attributable effect on health expenditure. This analysis uses the National Household Income and Expenditure Survey (ENIGH) during 2004-2012, conducted by Mexico's National Institute of Statistics and Geography (INEGI). Results. It was found that SPS has a significant effect on reducing the likelihood that households will incur impoverishing expenditures. A negative effect on catastrophic expenditures was also found, but it was not statistically significant. Conclusion. This paper shows the effect that SPS, in particular health insurance, has as an instrument of financial protection. Future studies using longer periods of ENIGH data should analyze the persistence of high out-of-pocket expenditure.

    Translated title of the contributionThe effect of Seguro Popular de Salud on catastrophic and impoverishing expenditures in Mexico, 2004-2012
    Original languageSpanish
    Pages (from-to)130-140
    Number of pages11
    JournalSalud publica de Mexico
    Volume60
    Issue number2
    DOIs
    StatePublished - 2018

    Keywords

    • Health insurance
    • Out-of pocket expenditures
    • Propensity score

    ASJC Scopus subject areas

    • Public Health, Environmental and Occupational Health

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