ArticleThe European journal of health economics : HEPAC : health economics in prevention and care2019
Assessing progressivity and catastrophic effect of out-of-pocket payments for healthcare in Canada: 2010-2015.
Article in The European journal of health economics : HEPAC : health economics in prevention and care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- What Policy Approaches Were Effective in Reducing Catastrophic Health Expenditure? A Systematic Review of Studies from Multiple Countries.Applied health economics and health policy · 2022Pooled it
- Oral health care's contribution to catastrophic spending in Canada: a descriptive study.Health policy OPEN · 2026Article
- Insured but unequal: who really utilizes voluntary health insurance in Israel? Evidence from two consecutive cross-sectional studies.Israel journal of health policy research · 2026Article
- Household financial burden associated with out-of-pocket payments for healthcare in Iran: insights from a cross-sectional survey.BMC health services research · 2024Article
- Inequalities in Out-of-Pocket Health Expenditure Measured Using Financing Incidence Analysis (FIA): A Systematic Review.Healthcare (Basel, Switzerland) · 2024Review
- Decomposed Trends of Iranian Private Health Expenditures: Should Inequality be Appreciated?Medical journal of the Islamic Republic of Iran · 2022Article
- Effect of financial inclusion on out-of-pocket health expenditure: empirics from Ghana.The European journal of health economics : HEPAC : health economics in prevention and care · 2021Article
- Universal Pharmacare - Redressing Social Inequities in the Canadian Health System: A Response to Recent Commentaries.International journal of health policy and management · 2021Article
- Trend and status of out-of-pocket payments for healthcare in Iran: equity and catastrophic effect.The Journal of the Egyptian Public Health Association · 2020Article
- Impact of the economic crisis on household health expenditure in Greece: an interrupted time series analysis.BMJ open · 2020Article
- Universal Pharmacare in Canada: A Prescription for Equity in Healthcare.International journal of health policy and management · 2020Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
Equity in healthcare is an important policy objective of the Canadian healthcare system. Out-of-pocket payments for healthcare (OPPH) by Canadian households account for a substantial share of total healthcare expenditures. Using data from Statistics Canada's Survey of Household Spending (SHS, n = 33,367), this study examined the progressivity and catastrophic effect of OPPH in Canada over the period 2010 to 2015 inclusive. The Kakwani Progressivity Index (KPI) was used to measure the progressivity of OPPH for each year of the study period. The catastrophic effect of OPPH was calculated using a threshold of 10% of total household consumption. The computed KPI indicated that OPPH are a regressive source of healthcare funding in Canada and the regressivity of OPPH has increased over the study period. This indicates that the distribution of OPPH in Canada is not equitable and the percentage contribution of households from their total consumption to healthcare as OPPH decreases as their consumption increase. The results also suggested that 7% of Canadian households face catastrophic out-of-pocket payments for healthcare (COPPH) over the study period. The proportion of households with COPPH was higher in rural areas compared with urban areas over the study period. Policies to enhance financial risk protection among low-income and rural households are required to improve equity in healthcare financing in Canada.
Indexed as
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Registered trials
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