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- Title
Impacto del Seguro Popular en el gasto catastrófico y de bolsillo en el México rural y urbano, 2005-2008.
- Authors
Sosa-Rubí, Sandra G.; Salinas-Rodríguez, Aarón; Galárraga, Omar
- Abstract
Objective. To estimate the effect of "Seguro Popular" (SP) on the incidence of catastrophic health expenditure (CHE) and out-of-pocket (OOP) health expenditure in the medium term. Material and Methods. We used the 'Encuesta de Evaluación del SP' -SP Survey Evaluation- (2005-2008). We analyzed the SP effect on the rural cohort during two years of follow-up (2006 and 2008) and in the urban cohort during one year of follow-up (2008). Results. At the local level (regional clusters) we did not find an effect of the SP. At the household level we found a protective effect of SP on CHE and the OOP health payments in outpatient and hospitalization in rural areas; and a significant effect on the reduction of OOP health payments in outpatient services in urban zones. Conclusions. SP seems to be an effective program to protect poor household against out-of-pocket health expenditures in the medium term.
- Subjects
MEXICO; MEDICAL care research; MEDICAL care costs; DISEASE incidence; ESTIMATION theory; MEDICAL care surveys; FOLLOW-up studies (Medicine); COHORT analysis; RURAL geography
- Publication
Salud Pública de México, 2011, Vol 53, pS425
- ISSN
0036-3634
- Publication type
Article