OBJECTIVE: To estimate the effect of disability and incapacity in health expenditure in poor households in Mexico. MATERIAL AND METHODS: This is an analysis of baseline survey of the Oportunidades evaluation. Households with siblings with structural disability or incapacity were identified, and health expenditure was estimated. RESULTS: In 15314 households analyzed, 10.1% had a sibling with structural disability, and 13.4% with mild or severe incapacity. The presence of structural disability was not associated with a higher expenditure in health care. The presence of mild or severe incapacity was associated with 97% higher expenditure in ambulatory care compared with households without incapacity. The poor households have higher health related expenditures. CONCLUSIONS: These results indicate that the incapacity to develop day to day activities has a significant impact on the out of pocket health expenditure. This impact is higher in poor households.
OBJECTIVE: To estimate the effect of disability and incapacity in health expenditure in poor households in Mexico. MATERIAL AND METHODS: This is an analysis of baseline survey of the Oportunidades evaluation. Households with siblings with structural disability or incapacity were identified, and health expenditure was estimated. RESULTS: In 15314 households analyzed, 10.1% had a sibling with structural disability, and 13.4% with mild or severe incapacity. The presence of structural disability was not associated with a higher expenditure in health care. The presence of mild or severe incapacity was associated with 97% higher expenditure in ambulatory care compared with households without incapacity. The poor households have higher health related expenditures. CONCLUSIONS: These results indicate that the incapacity to develop day to day activities has a significant impact on the out of pocket health expenditure. This impact is higher in poor households.
Authors: Liem Nguyen; John Tayu Lee; Emily S G Hulse; Minh Van Hoang; Giang Bao Kim; Duong Bach Le Journal: Int J Environ Res Public Health Date: 2021-05-25 Impact factor: 3.390