ArticleInternational journal of health policy and management2022
Measuring the Protective Effect of Health Insurance Coverage on Out-of-Pocket Expenditures During the COVID-19 Pandemic in the Peruvian Population.
Article in International journal of health policy and management, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Trends and socioeconomic factors associated with low available food variety among Peruvian households: 2015-2024.Frontiers in nutrition · 2026Article
- Article
- Impact of COVID-19 on unmet needs for healthcare in Peru: an interrupted time series analysis.PLOS global public health · 2025Article
- The impact of COVID-19 post-infection on the cognition of adults from Peru.Frontiers in psychology · 2024Article
- Ethnic disparities in out-of-pocket expense on medicines in Peru: Evidence from a nationwide survey.Public health in practice (Oxford, England) · 2023Article
- Catastrophic health expenditure during the COVID-19 pandemic in five countries: a time-series analysis.The Lancet. Global health · 2023Article
- Household catastrophic health expenditure for COVID-19 during March-August 2021, in South India: a cross-sectional study.BMC public health · 2023Article
- Catastrophic health expenditure due to hospitalisation for COVID-19 treatment in India: findings from a primary survey.BMC research notes · 2022Article
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Authors and funding
4 authors.
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Abstract
backgroundHealth insurance coverage is expected to protect individuals from out-of-pocket (OOP) expenditures, potentially preventing them from falling into poverty. However, to date, the effect of health insurance on OOP spending during the coronavirus disease 2019 (COVID-19) pandemic has not been fully explored. This study aimed to estimate differences in the proportion and the amount of OOP expenditures among Peruvians during the pre- and post-mandatory lockdown response to COVID-19 in 2020 according to the health insurance coverage status.
methodsThis study utilized repeated cross-sectional data from the National Household Survey on Living and Poverty Conditions (ENAHO) from the first quarter of 2017 until the fourth quarter of 2020. The outcomes were (
resultsITS analysis showed that the proportion of individuals reporting OOP expenditures after implementation of mandatory lockdown due to COVID-19 in Peru decreased in both groups, but no difference in the slope trend was found (
conclusionThe mandatory lockdown in response to the COVID-19 was associated with a higher amount of OOP expenditures and a lower likelihood of incurring OOP expenditures. However, our findings suggest that health insurance coverage does not lower OOP expenditures or reduce the likelihood of incurring OOP expenditures.
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