ArticleInternational journal of health economics and management2018
Determinants of catastrophic healthcare expenditure in Peru.
Article in International journal of health economics and management, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.
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Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.
- Catastrophic health expenditure and associated factors in low-, lower-middle and upper-middle-income countries: systematic review and meta-analysis.Global health action · 2026Pooled it
- The socioeconomic and health system determinants of financial protection indicators: a global systematic review (2008-2023).BMJ global health · 2025Pooled it
- Assessing progress towards Sustainable Development Goal 3.8.2 and determinants of catastrophic health expenditures in Malaysia.PloS one · 2022Trial
- Catastrophic health expenditures and medical impoverishment in Bangladesh: evidence from the Household Income and Expenditure Survey.BMJ open · 2026Article
- Determinants of catastrophic healthcare spending in Portugal (2005-2022).Health policy OPEN · 2026Article
- Determinants of catastrophic health expenditure: Evidence from a patient survey at public hospitals in the Northern midlands and mountainous areas, Vietnam.Journal of public health research · 2026Article
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- Assessing the determinants of out-of-pocket health expenditures among Cambodian households in informal employment using survey data.International journal for equity in health · 2025Article
- Oral Health Care Out-of-Pocket Costs and Financial Hardship: A Scoping Review.Journal of dental research · 2024Article
- Household financial burden associated with out-of-pocket payments for healthcare in Iran: insights from a cross-sectional survey.BMC health services research · 2024Article
- Informal payments in health facilities in Peru in 2018: Analysis of a cross-sectional survey.PLOS global public health · 2024Article
- Incidence of catastrophic health spending in Indonesia: insights from a Household Panel Study 2018-2019.International journal for equity in health · 2023Article
- Factors associated with the use of oral health services in Peruvian children under the age of 12 years.Clinical and experimental dental research · 2023Article
- Risk Characteristics of Catastrophic Health Expenditure in Multidimensional Borderline Poor Households in China.Risk management and healthcare policy · 2023Article
- What are the factors associated with catastrophic health expenditure in Colombia? A multi-level analysis.PloS one · 2023Article
- Toward mandatory health insurance in low-income countries? An analysis of claims data in Tanzania.Health economics · 2022Article
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- Financial risk protection from out-of-pocket health spending in low- and middle-income countries: a scoping review of the literature.Health research policy and systems · 2022Article
- The impact of out-of pocket payments of households for dental healthcare services on catastrophic healthcare expenditure in Iran.BMC public health · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The aims of this study were to assess factors associated with catastrophic healthcare expenditure (CHE) and the burden of out-of-pocket (OOP) payments for specific healthcare services in Peru. We used data from 30,966 households that participated in the 2016 National Household Survey (Encuesta Nacional de Hogares, ENAHO). Participants reported household characteristics and expenditure on ten healthcare services. CHE was defined as healthcare spending equal to or higher than 40% of the household's capacity to pay. The associations of various household characteristics and OOP payments for specific healthcare services with CHE were assessed in logistic regression models. Poorer, rural and smaller households as well as those with older adults and individuals with chronic conditions had greater odds of facing CHE. According to the estimates from the adjusted regression model, healthcare services could be grouped into three groups. Medical tests, surgery and medication were in the first group with odds ratios (ORs) between 6.43 and 4.72. Hospitalisation, outpatient, dental and eye care were in the second group with ORs between 2.61 and 1.46. Child care, maternity care and other healthcare services (such as contraceptives, rehabilitation, etc.) were in the third group with non-significant ORs. Many Peruvian households are forced to finance their healthcare through OOP payments, burdening their finances to the extent of affecting their living standards.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.