ArticleInternational journal of environmental research and public health2021
Catastrophic Household Expenditure Associated with Out-of-Pocket Healthcare Payments in Spain.
Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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Who cites it
6 citing papers in PubMed.
- Good intentions and the costs of inaction: Financial protection in Austria.Health policy OPEN · 2026Article
- Catastrophic out-of-pocket payments for dental treatment: regional evidence from Spain.BMC health services research · 2023Article
- Factors influencing catastrophic health expenditure of households with people with diabetes in Northwest China-an example from Gansu Province.BMC health services research · 2023Article
- A scoping review on the impact of austerity on healthcare access in the European Union: rethinking austerity for the most vulnerable.International journal for equity in health · 2023Article
- How International Health System Austerity Responses to the 2008 Financial Crisis Impacted Health System and Workforce Resilience - A Realist Review.International journal of health policy and management · 2023Review
- A 25-Year Trend of Catastrophic Health Expenditure and Its Inequality in China: Evidence from Longitudinal Data.Risk management and healthcare policy · 2022Article
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Authors and funding
4 authors.
Funding
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Abstract
backgroundThe financial effect of households' out-of-pocket payments (OOP) on access and use of health systems has been extensively studied in the literature, especially in emerging or developing countries. However, it has been the subject of little research in European countries, and is almost nonexistent after the financial crisis of 2008. The aim of the work is to analyze the incidence and intensity of financial catastrophism derived from Spanish households' out-of-pocket payments associated with health care during the period 2008-2015.
methodsThe Household Budget Survey was used and catastrophic measures were estimated, classifying the households into those above the threshold of catastrophe versus below. Three ordered logistic regression models and margins effects were estimated.
resultsThe results reveal that, in 2008, 4.42% of Spanish households dedicated more than 40% of their income to financing out-of-pocket payments in health, with an average annual gap of EUR 259.84 (DE: EUR 2431.55), which in overall terms amounts to EUR 3939.44 million (0.36% of GDP).
conclusionThe findings of this study reveal the existence of catastrophic households resulting from OOP payments associated with health care in Spain and the need to design financial protection policies against the financial risk derived from facing these types of costs.
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