Measuring out-of-pocket payment, catastrophic health expenditure and the related socioeconomic inequality in Peru : a comparison between 2008 and 2017
Q2
- Autores:
-
Hernández-Vásquez, Akram
Rojas-Roque, Carlos
Vargas-Fernández, Rodrigo Vargas-Fernández
- Tipo de recurso:
- Article of data
- Fecha de publicación:
- 2020
- Institución:
- Pontificia Universidad Javeriana
- Repositorio:
- Repositorio Universidad Javeriana
- Idioma:
- eng
- OAI Identifier:
- oai:repository.javeriana.edu.co:10554/53023
- Acceso en línea:
- https://www.jpmph.org/journal/view.php?doi=10.3961/jpmph.20.035
http://hdl.handle.net/10554/53023
https://doi.org/10.3961/jpmph.20.035
- Palabra clave:
- Health expenditure
Financial risk sharing
Universal health insurance
Peru
- Rights
- License
- Atribución-NoComercial 4.0 Internacional
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| dc.title.spa.fl_str_mv |
Measuring out-of-pocket payment, catastrophic health expenditure and the related socioeconomic inequality in Peru : a comparison between 2008 and 2017 |
| title |
Measuring out-of-pocket payment, catastrophic health expenditure and the related socioeconomic inequality in Peru : a comparison between 2008 and 2017 |
| spellingShingle |
Measuring out-of-pocket payment, catastrophic health expenditure and the related socioeconomic inequality in Peru : a comparison between 2008 and 2017 Health expenditure Financial risk sharing Universal health insurance Peru |
| title_short |
Measuring out-of-pocket payment, catastrophic health expenditure and the related socioeconomic inequality in Peru : a comparison between 2008 and 2017 |
| title_full |
Measuring out-of-pocket payment, catastrophic health expenditure and the related socioeconomic inequality in Peru : a comparison between 2008 and 2017 |
| title_fullStr |
Measuring out-of-pocket payment, catastrophic health expenditure and the related socioeconomic inequality in Peru : a comparison between 2008 and 2017 |
| title_full_unstemmed |
Measuring out-of-pocket payment, catastrophic health expenditure and the related socioeconomic inequality in Peru : a comparison between 2008 and 2017 |
| title_sort |
Measuring out-of-pocket payment, catastrophic health expenditure and the related socioeconomic inequality in Peru : a comparison between 2008 and 2017 |
| dc.creator.fl_str_mv |
Hernández-Vásquez, Akram Rojas-Roque, Carlos Vargas-Fernández, Rodrigo Vargas-Fernández |
| dc.contributor.author.none.fl_str_mv |
Hernández-Vásquez, Akram Rojas-Roque, Carlos Vargas-Fernández, Rodrigo Vargas-Fernández |
| dc.contributor.corporatename.none.fl_str_mv |
Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Epidemiología Clínica y Bioestadística |
| dc.contributor.javerianateacher.none.fl_str_mv |
Rosselli, Diego |
| dc.subject.keyword.spa.fl_str_mv |
Health expenditure Financial risk sharing Universal health insurance Peru |
| topic |
Health expenditure Financial risk sharing Universal health insurance Peru |
| description |
Q2 |
| publishDate |
2020 |
| dc.date.created.none.fl_str_mv |
2020-05-20 |
| dc.date.accessioned.none.fl_str_mv |
2021-02-19T03:10:16Z |
| dc.date.available.none.fl_str_mv |
2021-02-19T03:10:16Z |
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Artículo de revista |
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http://purl.org/coar/resource_type/c_beb9 |
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http://purl.org/coar/resource_type/c_beb9 |
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https://www.jpmph.org/journal/view.php?doi=10.3961/jpmph.20.035 |
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1975-8375 / 2233-4521 |
| dc.identifier.uri.none.fl_str_mv |
http://hdl.handle.net/10554/53023 |
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https://doi.org/10.3961/jpmph.20.035 |
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instname:Pontificia Universidad Javeriana |
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reponame:Repositorio Institucional - Pontificia Universidad Javeriana |
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repourl:https://repository.javeriana.edu.co |
| url |
https://www.jpmph.org/journal/view.php?doi=10.3961/jpmph.20.035 http://hdl.handle.net/10554/53023 https://doi.org/10.3961/jpmph.20.035 |
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1975-8375 / 2233-4521 instname:Pontificia Universidad Javeriana reponame:Repositorio Institucional - Pontificia Universidad Javeriana repourl:https://repository.javeriana.edu.co |
| dc.language.iso.spa.fl_str_mv |
eng |
| language |
eng |
| dc.relation.citationstartpage.spa.fl_str_mv |
266 |
| dc.relation.citationendpage.spa.fl_str_mv |
274 |
| dc.relation.ispartofjournal.spa.fl_str_mv |
Journal Preventive Medicine & Public Health |
| dc.relation.citationvolume.spa.fl_str_mv |
53 |
| dc.relation.citationissue.spa.fl_str_mv |
4 |
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Atribución-NoComercial 4.0 Internacional |
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http://creativecommons.org/licenses/by-nc/4.0/ |
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Atribución-NoComercial 4.0 Internacional http://creativecommons.org/licenses/by-nc/4.0/ http://purl.org/coar/access_right/c_abf2 |
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PDF |
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application/pdf |
| dc.coverage.spatial.spa.fl_str_mv |
Perú |
| dc.coverage.temporal.none.fl_str_mv |
2008-2017 |
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Pontificia Universidad Javeriana |
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Repositorio Institucional - Pontificia Universidad Javeriana |
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Atribución-NoComercial 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc/4.0/http://purl.org/coar/access_right/c_abf2Hernández-Vásquez, AkramRojas-Roque, CarlosVargas-Fernández, Rodrigo Vargas-FernándezPontificia Universidad Javeriana. Facultad de Medicina. Departamento de Epidemiología Clínica y BioestadísticaRosselli, DiegoPerú2008-20172021-02-19T03:10:16Z2021-02-19T03:10:16Z2020-05-20https://www.jpmph.org/journal/view.php?doi=10.3961/jpmph.20.0351975-8375 / 2233-4521http://hdl.handle.net/10554/53023https://doi.org/10.3961/jpmph.20.035instname:Pontificia Universidad Javerianareponame:Repositorio Institucional - Pontificia Universidad Javerianarepourl:https://repository.javeriana.edu.coPDFapplication/pdfengMeasuring out-of-pocket payment, catastrophic health expenditure and the related socioeconomic inequality in Peru : a comparison between 2008 and 2017Artículo de revistahttp://purl.org/coar/resource_type/c_beb9Q2Objectives: Describe out-of-pocket payment (OOP) and the proportion of Peruvian households with catastrophic health expenditure (CHE) and evaluate changes in socioeconomic inequalities in CHE between 2008 and 2017. Methods: We used data from the 2008 and 2017 National Household Surveys on Living and Poverty Conditions (ENAHO in Spanish), which are based on probabilistic stratified, multistage and independent sampling of areas. OOP was converted into constant dollars of 2017. A household with CHE was assumed when the proportion between OOP and payment capacity was ≥0.40. OOP was described by median and interquartile range while CHE was described by weighted proportions and 95% confidence intervals (CIs). To estimate the socioeconomic inequality in CHE we computed the Erreygers concentration index. Results: The median OOP reduced from 205.8 US dollars to 158.7 US dollars between 2008 and 2017. The proportion of CHE decreased from 4.9% (95% CI, 4.5 to 5.2) in 2008 to 3.7% (95% CI, 3.4 to 4.0) in 2017. Comparison of socioeconomic inequality of CHE showed no differences between 2008 and 2017, except for rural households in which CHE was less concentrated in richer households (p<0.05) and in households located on the rest of the coast, showing an increase in the concentration of CHE in richer households (p<0.05). Conclusions: Although OOP and CHE reduced between 2008 and 2017, there is still socioeconomic inequality in the burden of CHE across different subpopulations. To reverse this situation, access to health resources and health services should be promoted and guaranteed to all populations.Revista Internacional - IndexadaHealth expenditureFinancial risk sharingUniversal health insurancePeru266274Journal Preventive Medicine & Public Health534ORIGINALjpmph-20-035.pdfjpmph-20-035.pdfArtículoapplication/pdf553837http://repository.javeriana.edu.co/bitstream/10554/53023/1/jpmph-20-035.pdf363fa38d3c17826caffa2b120282111eMD51open accessLICENSElicense.txtlicense.txttext/plain; charset=utf-82603http://repository.javeriana.edu.co/bitstream/10554/53023/2/license.txt2070d280cc89439d983d9eee1b17df53MD52open accessTHUMBNAILjpmph-20-035.pdf.jpgjpmph-20-035.pdf.jpgIM Thumbnailimage/jpeg10686http://repository.javeriana.edu.co/bitstream/10554/53023/3/jpmph-20-035.pdf.jpgefb16bdfab5e842a5bfc06e9e614ce95MD53open access10554/53023oai:repository.javeriana.edu.co:10554/530232021-02-26 10:30:38.564Repositorio Institucional - Pontificia Universidad Javerianarepositorio@javeriana.edu.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 |