Catastrophic spending on health care in Brazil: private health insurance does not seem to be the solution
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Cadernos de Saúde Pública |
Texto Completo: | https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4554 |
Resumo: | The objective of this study was to estimate catastrophic healthcare expenditure in Brazil, using different definitions, and to identify vulnerability indicators. Data from the 2002-2003 Brazilian Household Budget Survey were used to derive total household consumption, health expenditure and household income. Socioeconomic position was defined by quintiles of the National Economic Indicator using reference cut-off points for the country. Analysis was restricted to urban households. Catastrophic health expenditure was defined as expenditure in excess of 10% and 20% of total household consumption, and in excess of 40% of household capacity to pay. Catastrophic health expenditure varied from 2% to 16%, depending on the definition. For most definitions, it was highest among the poorer. The highest proportions of catastrophic health expenditure were found to be in the Central region of Brazil, while the South and the Southeast had the lowest. Presence of an elderly person, health insurance and socioeconomic position were associated with the outcome, and coverage by health insurance did not protect from catastrophic health expenditure. |
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Catastrophic spending on health care in Brazil: private health insurance does not seem to be the solutionHealth ExpendituresHealth ServicesPrepaid Health PlansThe objective of this study was to estimate catastrophic healthcare expenditure in Brazil, using different definitions, and to identify vulnerability indicators. Data from the 2002-2003 Brazilian Household Budget Survey were used to derive total household consumption, health expenditure and household income. Socioeconomic position was defined by quintiles of the National Economic Indicator using reference cut-off points for the country. Analysis was restricted to urban households. Catastrophic health expenditure was defined as expenditure in excess of 10% and 20% of total household consumption, and in excess of 40% of household capacity to pay. Catastrophic health expenditure varied from 2% to 16%, depending on the definition. For most definitions, it was highest among the poorer. The highest proportions of catastrophic health expenditure were found to be in the Central region of Brazil, while the South and the Southeast had the lowest. Presence of an elderly person, health insurance and socioeconomic position were associated with the outcome, and coverage by health insurance did not protect from catastrophic health expenditure.O objetivo deste trabalho foi estimar o gasto catastrófico em saúde no Brasil e identificar indicadores de vulnerabilidade. Dados da Pesquisa de Orçamentos Familiares 2002-2003 foram utilizados para derivar consumo domiciliar total, despesa com saúde e renda domiciliar. Posição socioeconômica foi definida por meio de quintis do Indicador Econômico Nacional, usando pontos de corte de referência para o país. A análise se restringiu a domicílios urbanos. Gasto catastrófico em saúde foi definido como o gasto além de 10% e 20% do consumo domiciliar total e além de 40% da capacidade de pagar. Estimativas do gasto catastrófico em saúde variaram de 2% a 16%, dependendo da definição. Para a maioria delas, ele foi mais alto entre os pobres. A Região Centro-oeste apresentou as maiores proporções de gasto catastrófico em saúde, enquanto que o Sul e o Sudeste apresentaram as mais baixas. Presença de um idoso, plano privado de saúde e posição socioeconômica se associaram com o desfecho, sendo que a cobertura por plano de saúde não protegeu contra o gasto catastrófico em saúde.Reports in Public HealthCadernos de Saúde Pública2011-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4554Reports in Public Health; Vol. 27 No. 14 (2011): Supplement 2Cadernos de Saúde Pública; v. 27 n. 14 (2011): Suplemento 21678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZenghttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4554/9285https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4554/9286Barros, Aluísio J. D.Bastos, João LuizDâmaso, Andréa H.info:eu-repo/semantics/openAccess2024-03-06T15:28:14Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/4554Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:05:15.161381Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true |
dc.title.none.fl_str_mv |
Catastrophic spending on health care in Brazil: private health insurance does not seem to be the solution |
title |
Catastrophic spending on health care in Brazil: private health insurance does not seem to be the solution |
spellingShingle |
Catastrophic spending on health care in Brazil: private health insurance does not seem to be the solution Barros, Aluísio J. D. Health Expenditures Health Services Prepaid Health Plans |
title_short |
Catastrophic spending on health care in Brazil: private health insurance does not seem to be the solution |
title_full |
Catastrophic spending on health care in Brazil: private health insurance does not seem to be the solution |
title_fullStr |
Catastrophic spending on health care in Brazil: private health insurance does not seem to be the solution |
title_full_unstemmed |
Catastrophic spending on health care in Brazil: private health insurance does not seem to be the solution |
title_sort |
Catastrophic spending on health care in Brazil: private health insurance does not seem to be the solution |
author |
Barros, Aluísio J. D. |
author_facet |
Barros, Aluísio J. D. Bastos, João Luiz Dâmaso, Andréa H. |
author_role |
author |
author2 |
Bastos, João Luiz Dâmaso, Andréa H. |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Barros, Aluísio J. D. Bastos, João Luiz Dâmaso, Andréa H. |
dc.subject.por.fl_str_mv |
Health Expenditures Health Services Prepaid Health Plans |
topic |
Health Expenditures Health Services Prepaid Health Plans |
description |
The objective of this study was to estimate catastrophic healthcare expenditure in Brazil, using different definitions, and to identify vulnerability indicators. Data from the 2002-2003 Brazilian Household Budget Survey were used to derive total household consumption, health expenditure and household income. Socioeconomic position was defined by quintiles of the National Economic Indicator using reference cut-off points for the country. Analysis was restricted to urban households. Catastrophic health expenditure was defined as expenditure in excess of 10% and 20% of total household consumption, and in excess of 40% of household capacity to pay. Catastrophic health expenditure varied from 2% to 16%, depending on the definition. For most definitions, it was highest among the poorer. The highest proportions of catastrophic health expenditure were found to be in the Central region of Brazil, while the South and the Southeast had the lowest. Presence of an elderly person, health insurance and socioeconomic position were associated with the outcome, and coverage by health insurance did not protect from catastrophic health expenditure. |
publishDate |
2011 |
dc.date.none.fl_str_mv |
2011-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4554 |
url |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4554 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4554/9285 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4554/9286 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html application/pdf |
dc.publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
dc.source.none.fl_str_mv |
Reports in Public Health; Vol. 27 No. 14 (2011): Supplement 2 Cadernos de Saúde Pública; v. 27 n. 14 (2011): Suplemento 2 1678-4464 0102-311X reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Cadernos de Saúde Pública |
collection |
Cadernos de Saúde Pública |
repository.name.fl_str_mv |
Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br |
_version_ |
1798943369072738304 |