Catastrophic health care expenditures in Portugal between 2000-2010: Assessing impoverishment, determinants and policy implications

Detalhes bibliográficos
Autor(a) principal: Borges, Ana Rita Galrinho
Data de Publicação: 2013
Tipo de documento: Dissertação
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/11592
Resumo: A Work Project, presented as part of the requirements for the Award of a Masters Degree in Economics from the NOVA – School of Business and Economics
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spelling Catastrophic health care expenditures in Portugal between 2000-2010: Assessing impoverishment, determinants and policy implicationscatastrophic health care expendituresDeterminantsScenario analysisPortugalA Work Project, presented as part of the requirements for the Award of a Masters Degree in Economics from the NOVA – School of Business and EconomicsObjectives: This work assesses the extent and evolution of catastrophic health care expenditures (CHE) in Portugal in the years of 2000, 2005 and 2010, to reveal household factors predicting this outcome, and simulates changes in 2010 CHE levels’ following recent reforms in user charges and prices of pharmaceutical products. Methods: The main contribution of this paper is the calculus and analysis of statistical measures to capture CHE incidence, intensity, income distribution and impoverishment effects on households using INE Household Budget Surveys. A logistic model to determine statistical significance and economic effects of 38 variables on the incidence of CHE is also estimated. Finally, a scenario analysis is presented to analyse reforms concerning user charges and prices of pharmaceuticals. Results: Incidence and intensity of CHE decreased between 2000 and 2010, from 5,005% to 2,439% and 4,693% to 0,334%, respectively. During the period, CHE were concentrated amongst the poorer income quintiles. Statistical significance in CHE prediction for all analysed years was observed for households’ income, smoking and drinking habits, area of the house and secondary education of the household head. Scenario analysis shows that the new levels of user charges in 2012, even if mitigated by the new and enlarged economic exemptions, would increase CHE incidence of 2010 to 3,529%. On the other hand, the reduction in the price of ambulatory pharmaceuticals in 2011 and 2012 is effective in reducing CHE incidence, for price demand elasticities equal or smaller (in absolute value) than 0,4. When the two effects are combined, CHE incidence increases, meaning that reductions in the price of pharmaceuticals are not sufficient to countervail the changes in user charges, even with enlarged economic exemptions.NSBE - UNLBarros, Pedro PitaRUNBorges, Ana Rita Galrinho2014-03-14T10:33:12Z2013-062013-06-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisapplication/pdfhttp://hdl.handle.net/10362/11592enginfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T03:46:08Zoai:run.unl.pt:10362/11592Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:20:24.507177Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Catastrophic health care expenditures in Portugal between 2000-2010: Assessing impoverishment, determinants and policy implications
title Catastrophic health care expenditures in Portugal between 2000-2010: Assessing impoverishment, determinants and policy implications
spellingShingle Catastrophic health care expenditures in Portugal between 2000-2010: Assessing impoverishment, determinants and policy implications
Borges, Ana Rita Galrinho
catastrophic health care expenditures
Determinants
Scenario analysis
Portugal
title_short Catastrophic health care expenditures in Portugal between 2000-2010: Assessing impoverishment, determinants and policy implications
title_full Catastrophic health care expenditures in Portugal between 2000-2010: Assessing impoverishment, determinants and policy implications
title_fullStr Catastrophic health care expenditures in Portugal between 2000-2010: Assessing impoverishment, determinants and policy implications
title_full_unstemmed Catastrophic health care expenditures in Portugal between 2000-2010: Assessing impoverishment, determinants and policy implications
title_sort Catastrophic health care expenditures in Portugal between 2000-2010: Assessing impoverishment, determinants and policy implications
author Borges, Ana Rita Galrinho
author_facet Borges, Ana Rita Galrinho
author_role author
dc.contributor.none.fl_str_mv Barros, Pedro Pita
RUN
dc.contributor.author.fl_str_mv Borges, Ana Rita Galrinho
dc.subject.por.fl_str_mv catastrophic health care expenditures
Determinants
Scenario analysis
Portugal
topic catastrophic health care expenditures
Determinants
Scenario analysis
Portugal
description A Work Project, presented as part of the requirements for the Award of a Masters Degree in Economics from the NOVA – School of Business and Economics
publishDate 2013
dc.date.none.fl_str_mv 2013-06
2013-06-01T00:00:00Z
2014-03-14T10:33:12Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/masterThesis
format masterThesis
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/11592
url http://hdl.handle.net/10362/11592
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv NSBE - UNL
publisher.none.fl_str_mv NSBE - UNL
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
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