wow-inequalities/02-data/intermediate/wos_sample/3e27a4dd03bb65fe128eacfc7b3aa567-quintal-carlota/info.yaml

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2023-09-28 14:46:10 +00:00
abstract: 'Background Catastrophic health expenditure (CHE) is well established as
an indicator of financial protection on which there is extensive
literature. However, most works analyse mainly low to middle income
countries and do not address the different distributional dimensions of
CHE. We argue that, besides incidence, the latter are crucial to better
grasp the scope and nature of financial protection problems. Our
objectives are therefore to analyse the evolution of CHE in a high
income country, considering both its incidence and distribution. Methods
Data are taken from the last three waves of the Portuguese Household
Budget Survey conducted in 2005/2006, 2010/2011 and 2015/2016. To
identify CHE, the approach adopted is capacity to pay/normative food
spending, at the 40\% threshold. To analyse distribution, concentration
curves and indices (CI) are used and adjusted odds ratios are
calculated. Results The incidence of CHE was 2.57, 1.79 and 0.46\%, in
2005, 2010 and 2015, respectively. CHE became highly concentrated among
the poorest (the respective CI evolved from - 0.390 in 2005 to - 0.758
in 2015) and among families with elderly people (the absolute CI evolved
from 0.520 in 2005 to 0.740 in 2015). Absolute CI in geographical
context also increased over time (0.354 in 2015, 0.019 in 2005).
Medicines represented by far the largest share of catastrophic payments,
although, in this case concentration decreased (the median share of
medicines diminished from 93 to 43\% over the period analysed).
Contrarily, the weight of expenses incurred with consultation fees has
been growing (even for General Practitioners, despite the NHS coverage
of primary care). Conclusions The incidence of CHE and inequality in its
distribution might progress in the same direction or not, but most
importantly policy makers should pay attention to the distributional
dimensions of CHE as these might provide useful insight to target
households at risk. Greater concentration of CHE can actually be
regarded as an opportunity for policy making, because interventions to
tackle CHE become more confined. Monitoring the distribution of payments
across services can also contribute to early detection of emerging (and
even, unexpected) drivers of catastrophic payments.'
affiliation: 'Quintal, C (Corresponding Author), Univ Coimbra, Fac Econ, FEUC, CeBER,CEISUC,
Ave Dias da Silva 165, P-3004512 Coimbra, Portugal.
Quintal, Carlota, Univ Coimbra, Fac Econ, FEUC, CeBER,CEISUC, Ave Dias da Silva
165, P-3004512 Coimbra, Portugal.'
article-number: '145'
author: Quintal, Carlota
author-email: qcarlota@fe.uc.pt
author_list:
- family: Quintal
given: Carlota
da: '2023-09-28'
doi: 10.1186/s12939-019-1044-9
eissn: 1475-9276
files: []
journal: INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH
keywords: 'Catastrophic health expenditure; Financial protection; Inequality;
Portugal'
keywords-plus: 'OF-POCKET PAYMENTS; FINANCIAL PROTECTION; CONCENTRATION INDEX; CARE
EXPENDITURE; HOUSEHOLDS; BINARY; EQUITY'
language: English
month: SEP 18
number: '1'
number-of-cited-references: '46'
orcid-numbers: Quintal, Carlota/0000-0002-8306-3431
papis_id: 796da9f461919558f1e622fbd378a865
ref: Quintal2019evolutioncatastrophi
researcherid-numbers: 'Quintal, Carlota/AAE-9866-2020
'
times-cited: '10'
title: 'Evolution of catastrophic health expenditure in a high income country: incidence
versus inequalities'
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000486991400001
usage-count-last-180-days: '1'
usage-count-since-2013: '7'
volume: '18'
web-of-science-categories: Public, Environmental \& Occupational Health
year: '2019'