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Efecto del Seguro Popular de Salud sobre los gastos catastróficos y empobrecedores en México, 2004-2012

Overview of attention for article published in Salud Pública de México, March 2018
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Title
Efecto del Seguro Popular de Salud sobre los gastos catastróficos y empobrecedores en México, 2004-2012
Published in
Salud Pública de México, March 2018
DOI 10.21149/9064
Pubmed ID
Authors

Felicia Marie Knaul, Héctor Arreola-Ornelas, Rebeca Wong, David G Lugo-Palacios, Oscar Méndez-Carniado

Abstract

To determine the impact of Seguro Popular (SPS) on catastrophic and impoverishing household expenditures and on the financial protection of the Mexican health system. The propensity score matching (PSM) method was applied to the population affiliated to SPS to determine the program's attributable effect on health expenditure. This analysis uses the National Household Income and Expenditure Survey (ENIGH) during 2004-2012, conducted by Mexico's National Institute of Statistics andGeography (INEGI). It was found that SPS has a significant effect on reducing the likelihood that households will incur impoverishing expenditures. A negative effect on catastrophic expenditures was also found, but it was not statistically significant. This paper shows the effect that SPS, in particular health insurance, has as an instrument of financial protection. Future studies using longer periods of ENIGH data should analyze the persistence of high out-of-pocket expenditure.

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Geographical breakdown

Country Count As %
Unknown 55 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 10 18%
Student > Master 10 18%
Student > Bachelor 6 11%
Student > Doctoral Student 4 7%
Student > Ph. D. Student 4 7%
Other 12 22%
Unknown 9 16%
Readers by discipline Count As %
Medicine and Dentistry 13 24%
Social Sciences 8 15%
Economics, Econometrics and Finance 7 13%
Nursing and Health Professions 5 9%
Engineering 3 5%
Other 6 11%
Unknown 13 24%