Equity in out-of-pocket payment in Chile
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/132868 |
Resumo: | OBJECTIVE To assess the distribution of financial burden in Chile, with a focus on the burden and progressivity of out-of-pocket payment. METHODS Based on the principle of ability to pay, we explore factors that contribute to inequities in the health system finance and issues about the burden of out-of-pocket payment, as well as the progressivity and redistributive effect of out-of-pocket payment in Chile. Our analysis is based on data from the 2006 National Survey on Satisfaction and Out-of-Pocket Payments. RESULTS Results from this study indicate evidence of inequity, in spite of the progressivity of the healthcare system. Our analysis also identifies relevant policy variables such as education, insurance system, and method of payment that should be taken into consideration in the ongoing debates and research in improving the Chilean system. CONCLUSIONS In order to reduce the detected disparities among income groups, healthcare priorities should target low-income groups. Furthermore, policies should explore changes in the access to education and its impact on equity. |
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Revista de Saúde Pública |
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|
spelling |
Equity in out-of-pocket payment in ChileHealth Care CostsHealth EquityEquity in AccessHealth Services AccessibilityHealth Systemseconomics OBJECTIVE To assess the distribution of financial burden in Chile, with a focus on the burden and progressivity of out-of-pocket payment. METHODS Based on the principle of ability to pay, we explore factors that contribute to inequities in the health system finance and issues about the burden of out-of-pocket payment, as well as the progressivity and redistributive effect of out-of-pocket payment in Chile. Our analysis is based on data from the 2006 National Survey on Satisfaction and Out-of-Pocket Payments. RESULTS Results from this study indicate evidence of inequity, in spite of the progressivity of the healthcare system. Our analysis also identifies relevant policy variables such as education, insurance system, and method of payment that should be taken into consideration in the ongoing debates and research in improving the Chilean system. CONCLUSIONS In order to reduce the detected disparities among income groups, healthcare priorities should target low-income groups. Furthermore, policies should explore changes in the access to education and its impact on equity.Universidade de São Paulo. Faculdade de Saúde Pública2017-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/13286810.1590/s1518-8787.2017051006666Revista de Saúde Pública; Vol. 51 (2017); 44Revista de Saúde Pública; Vol. 51 (2017); 44Revista de Saúde Pública; v. 51 (2017); 441518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/rsp/article/view/132868/128926Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessMondaca, Alicia Lorena NúñezChi, Chunhuei2017-12-14T10:16:01Zoai:revistas.usp.br:article/132868Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2017-12-14T10:16:01Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Equity in out-of-pocket payment in Chile |
title |
Equity in out-of-pocket payment in Chile |
spellingShingle |
Equity in out-of-pocket payment in Chile Mondaca, Alicia Lorena Núñez Health Care Costs Health Equity Equity in Access Health Services Accessibility Health Systems economics |
title_short |
Equity in out-of-pocket payment in Chile |
title_full |
Equity in out-of-pocket payment in Chile |
title_fullStr |
Equity in out-of-pocket payment in Chile |
title_full_unstemmed |
Equity in out-of-pocket payment in Chile |
title_sort |
Equity in out-of-pocket payment in Chile |
author |
Mondaca, Alicia Lorena Núñez |
author_facet |
Mondaca, Alicia Lorena Núñez Chi, Chunhuei |
author_role |
author |
author2 |
Chi, Chunhuei |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Mondaca, Alicia Lorena Núñez Chi, Chunhuei |
dc.subject.por.fl_str_mv |
Health Care Costs Health Equity Equity in Access Health Services Accessibility Health Systems economics |
topic |
Health Care Costs Health Equity Equity in Access Health Services Accessibility Health Systems economics |
description |
OBJECTIVE To assess the distribution of financial burden in Chile, with a focus on the burden and progressivity of out-of-pocket payment. METHODS Based on the principle of ability to pay, we explore factors that contribute to inequities in the health system finance and issues about the burden of out-of-pocket payment, as well as the progressivity and redistributive effect of out-of-pocket payment in Chile. Our analysis is based on data from the 2006 National Survey on Satisfaction and Out-of-Pocket Payments. RESULTS Results from this study indicate evidence of inequity, in spite of the progressivity of the healthcare system. Our analysis also identifies relevant policy variables such as education, insurance system, and method of payment that should be taken into consideration in the ongoing debates and research in improving the Chilean system. CONCLUSIONS In order to reduce the detected disparities among income groups, healthcare priorities should target low-income groups. Furthermore, policies should explore changes in the access to education and its impact on equity. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-01-01 |
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://www.revistas.usp.br/rsp/article/view/132868 10.1590/s1518-8787.2017051006666 |
url |
https://www.revistas.usp.br/rsp/article/view/132868 |
identifier_str_mv |
10.1590/s1518-8787.2017051006666 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/132868/128926 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Revista de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 51 (2017); 44 Revista de Saúde Pública; Vol. 51 (2017); 44 Revista de Saúde Pública; v. 51 (2017); 44 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
_version_ |
1800221798366707712 |