Household catastrophic health expenditures: A comparative analysis of twelve latin American and Caribbean countries

Felicia Marie Knaul, Rebeca Wong, Héctor Arreola-Ornelas, M. Health Econ, Oscar Méndez, Ricardo Bitran, Antonio Carlos Campino, Carmen Elisa Flórez Nieto, Roberto Iunes Fontes, Ursula Giedion, Daniel Maceira, Magdalena Rathe, Martin Valdivia, Juan Rafael Vargas, Juan José Díaz, María Dolores Montoya Díaz, Werner Valdes, Ricardo Valladares Carmona, Maria Paola Zuniga, Liv LafontaineRodrigo Muñoz, Renata Pardo, Ana María Reynoso, María Isabel Santana, Rosa Vidarte

Research output: Contribution to journalArticle

40 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
JournalSalud Publica de Mexico
Volume53
Issue numberSUPPL. 2
StatePublished - 2011

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Health Expenditures
Aptitude
Latin America
Health
Poverty
Health Insurance
Public Policy
Economics
Food

Keywords

  • Health
  • Health expenditures
  • Latin America
  • Social policy

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Medicine(all)

Cite this

Knaul, F. M., Wong, R., Arreola-Ornelas, H., Econ, M. H., Méndez, O., Bitran, R., ... Vidarte, R. (2011). Household catastrophic health expenditures: A comparative analysis of twelve latin American and Caribbean countries. Salud Publica de Mexico, 53(SUPPL. 2).

Household catastrophic health expenditures : A comparative analysis of twelve latin American and Caribbean countries. / Knaul, Felicia Marie; Wong, Rebeca; Arreola-Ornelas, Héctor; Econ, M. Health; Méndez, Oscar; Bitran, Ricardo; Campino, Antonio Carlos; Nieto, Carmen Elisa Flórez; Fontes, Roberto Iunes; Giedion, Ursula; Maceira, Daniel; Rathe, Magdalena; Valdivia, Martin; Vargas, Juan Rafael; Díaz, Juan José; Díaz, María Dolores Montoya; Valdes, Werner; Carmona, Ricardo Valladares; Zuniga, Maria Paola; Lafontaine, Liv; Muñoz, Rodrigo; Pardo, Renata; Reynoso, Ana María; Santana, María Isabel; Vidarte, Rosa.

In: Salud Publica de Mexico, Vol. 53, No. SUPPL. 2, 2011.

Research output: Contribution to journalArticle

Knaul, FM, Wong, R, Arreola-Ornelas, H, Econ, MH, Méndez, O, Bitran, R, Campino, AC, Nieto, CEF, Fontes, RI, Giedion, U, Maceira, D, Rathe, M, Valdivia, M, Vargas, JR, Díaz, JJ, Díaz, MDM, Valdes, W, Carmona, RV, Zuniga, MP, Lafontaine, L, Muñoz, R, Pardo, R, Reynoso, AM, Santana, MI & Vidarte, R 2011, 'Household catastrophic health expenditures: A comparative analysis of twelve latin American and Caribbean countries', Salud Publica de Mexico, vol. 53, no. SUPPL. 2.
Knaul, Felicia Marie ; Wong, Rebeca ; Arreola-Ornelas, Héctor ; Econ, M. Health ; Méndez, Oscar ; Bitran, Ricardo ; Campino, Antonio Carlos ; Nieto, Carmen Elisa Flórez ; Fontes, Roberto Iunes ; Giedion, Ursula ; Maceira, Daniel ; Rathe, Magdalena ; Valdivia, Martin ; Vargas, Juan Rafael ; Díaz, Juan José ; Díaz, María Dolores Montoya ; Valdes, Werner ; Carmona, Ricardo Valladares ; Zuniga, Maria Paola ; Lafontaine, Liv ; Muñoz, Rodrigo ; Pardo, Renata ; Reynoso, Ana María ; Santana, María Isabel ; Vidarte, Rosa. / Household catastrophic health expenditures : A comparative analysis of twelve latin American and Caribbean countries. In: Salud Publica de Mexico. 2011 ; Vol. 53, No. SUPPL. 2.
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