Financial Health Protection of Households in Greater Santiago in the Years 1997 and 2017

Authors

  • Gonzalo Pacheco

DOI:

https://doi.org/10.35588/pp.v15i1.5590

Keywords:

Health Economics, Equity in Health, Financial Contribution, Health Systems, Out-of-pockets Expenses

Abstract

This study focuses on health economics, and aims to compare equity in the financing of the Chilean health system in Greater Santiago in the years 1997 and 2017. The methodology used was a descriptive study, which was carried out in three phases. For this, a reference framework was structured for the work with indicators of the World Health Organization (WHO), and the information collected from the Survey of Family Budgets of the National Institute of Statistics (INE) of Chile, to later evaluate the performance of the health system, in terms of equity. The financial protection index classifies households in relation to out-of-pocket spending in percentage values.

It was concluded that out-of-pocket spending on health continues to be high and regressive, with changes in the structure, less financial protection, since more people are spending on health despite the implications of the Plan Auge and the programs implemented in 1997 and 2017.

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References

Apella, I. (2009) Gasto de bolsillo en salud e impacto financiero sobre los adultos mayores en Argentina. Centro de Estudios de Estado y Sociedad Sánchez de Bustamante, Buenos Aires, Argentina. https://doi.org/10.31876/rcs.v28i2.37932

Benavides, P., Castro, R., Jones, I. (2013): “Sistema Público de Salud. Situación Actual y Proyecciones Fiscales 2013-2050. Dirección de Presupuestos del Ministerio de Hacienda, Chile.

Castillo, C. y Villalobos, P. (2013): Caracterización del gasto de bolsillo en salud en Chile: una mirada a dos sistemas de protección. Rev Med Chile 2013; 141: 1456-1463. https://doi.org/10.4067/s0034-98872013001100013

Cid, C. (2013): Sistematización de las metodologías de medición del gasto de bolsillo en salud y propuesta metodológica para Chile. Ministerio de Salud de Chile.

Cid, C. Pedraza y Prieto, L. (2012): El gasto de bolsillo en salud: el caso de Chile, 1997 y 2007. Rev Panam Salud Publica 31(4), 2012. https://doi.org/10.1590/s1020-49892012000400007

Cutler, D., The Cost and Financing of Health Care. The Economics of Health and Health Care, Vol 85 N°2, 1995.

Gertler, P. y Gruber, J., (2002). “Insuring Consumption Against Illness”, American Economic Review 92(1) pp. 51-70. https://doi.org/10.1257/000282802760015603

Hsu, J., Flores, G., Evans, D., Mills, A., & Hanson, K. (2018). Measuring financial protection against catastrophic health expenditures: Methodological challenges for global monitoring. International Journal for Equity in Health, 17(1), 1–13. https://doi.org/10.1186/s12939-018-0749-5.

Instituto Nacional de Estadísticas. (1997). www.ine.cl. Retrieved Agosto 1998, fromhttp://www.ine.cl/canales/chile_estadistico/encuestas_presupuestos_familiares/Vencuesta/objetivos.php

Instituto Nacional de Estadísticas. (2017). www.ine.cl. Retrieved Junio 2018, fromhttp://www.ine.cl/canales/chile_estadistico/encuestas_presupuestos_familiares/VIIIencuesta/objetivos.php

Jordán, R., Arellano, M., Baranada, B., Larraín, L., Larrañaga, O., Repetto, A., Rodriguez, J., Sapelli, C., Tonda, S., (2014). Informe Final Comisión para la Medición de la Pobreza. PNUD. Chile.

Ley N° 19.966. Diario Oficial de la República de Chile, Santiago, Chile, 04 de septiembre de 2004.

O’Donnell, O., van Doorslaer, E., Wagstaff, A., y Lindelow, M., (2008), Analyzing Health Equity Using Household Survey Data, World Bank Institute. https://doi.org/10.1596/978-0-8213-6933-3

OMS (2010). Informe sobre la salud en el mundo 2010 — Financiación de los sistemas de salud: el camino hacia la cobertura universal. Ginebra, Suiza:

OMS. (2000). World Health Report 2000. World Health Organization. Geneva, Switzerland

OMS. (2017). Tracking universal health coverage: 2017 Global Monitoring Report. Joint WHO/World Bank Group report, December 2017. Geneva. Switzerland

OMS. (2018). Financial protection analysis in eight countries in the WHO South-East Asia Region. 24 October 2018. Geneva. Switzerland

Ministerio de Salud (2002). Los Objetivos Sanitarios para la Década 2000-2010, Departamento de Epidemiología: http://epi.minsal.cl/

Murray, E. A. (2000). Defining and measuring Fairness in Financial Contribution to the Health System. Geneva. Switzerland

Pérez, L. P. (2009). La justicia financiera del sistema de salud chileno. Tesis para obtener grado de Magister.

Villalobos, P; Envejecimiento y cuidado a largo plazo en Chile: Desafío contexto OCDE; Rev Pamam Salud Publica 41, 2017.

Wagstaff A, van Doorslaer E. Paying for health care: quantifying fairness, catastrophe, and impoverishment, with applications to Vietnam 1993–1998. Documento de Trabajo del Banco Mundial, N° 2715. Washington, DC, Banco Mundial, 2001. https://doi.org/10.1596/1813-9450-2715

Wagstaff, A., E. van Doorslaer. (2003). Catastrophe and impoverishment in paying for health care: with applications to Vietnam 1993-1998. Health Econ 2003;12(11):921-34). https://doi.org/10.1002/hec.776

Wagstaff, A., Hoang, P., & Eozenou, -Vu. (2014). CATA Meets IMPOV A Unified Approach to Measuring Financial Protection in Health, (May). Retrieved from http://documents.worldbank.org/curated/en/114091468149393397/pdf/WPS6861.pdf https://doi.org/10.1596/1813-9450-6861

Wagstaff, A., Flores, G., Hsu, J., Smitz, M. F., Chepynoga, K., Buisman, L. R., … Eozenou, P. (2017). Progress on catastrophic health spending in 133 countries: A retrospective observational study. The Lancet Global Health, 169–179. https://doi.org/10.1016/S2214-109X(17)30429-1

Wagstaff, A., Flores, G., Smitz, M. F., Hsu, J., Chepynoga, K., & Eozenou, P. (2017). Progress on impoverishing health spending in 122 countries: A retrospective observational study. The Lancet Global Health, 5–10. https://doi.org/10.1016/S2214-109X(17)30486-2

Xu, K. (2005): Distribución del gasto en salud y gastos catastróficos. Metodología. Discussion Paper Number 2 – 2005, World Health Organization, Geneva.

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Published

2022-07-31

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