Determinants of out-of-pocket health expenditure on children: an analysis of the 2004 Pelotas Birth Cohort

International Journal for Equity in Health

Cesar Augusto Oviedo Tejada⁴  Iná S. Santos²  Alicia Matijasevich¹  Paulo de Andrade Jacinto³  Andréa D. Bertoldi²  Aluísio J. D. Barros²  Marcelo Torres da Silva⁴ 

[1] Departamento de Medicina Preventiva, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil;Programa de Pós-Graduação em Epidemiologia, Universidade Federal de Pelotas, Pelotas, Brazil;Programa de Pós-Graduação em Economia do Desenvolvimento, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil;Programa de Pós-Graduação em Organizações e Mercados, Universidade Federal de Pelotas, Rua Gomes Carneiro 1, Pelotas 96010-610, RS, Brazil

关键词: Inequality;    Health economics;    Children;    Health expenditure;    Determinants;   

Others  :  1220149
DOI  :  10.1186/s12939-015-0180-0

 received in 2014-11-20, accepted in 2015-05-18,  发布年份 2015

【 摘 要 】

Background

The present study aimed to examine the impact of socioeconomic, demographic, and health status-related factors on out-of-pocket expenditure on health care for children.

Methods

Data were obtained from a birth cohort study conducted in the city of Pelotas, state of Rio Grande do Sul (RS), southern Brazil, in 2004. The final sample is a result of adjusts made in order to keep in the analysis only those that attended to 3 follow-ups (at 12, 24 and 48 months of age). Estimates were carried out using the Panel Data Tobit Model with random effects.

Results

The study showed that expenditure on medicines was 20 % less likely in those considered healthy children by their mothers and, if there was any expenditure with healthy children, the expected expenditure was reduced by 58 %. A 1 % increase in household income increased the expected expenditure on medicines by 16 %, and by 23 % in children with private health insurance coverage.

Conclusions

All types of health care expenditures examined were higher for children covered by private health insurance. Although total health care expenditure was higher for children of better-off families, it represented a lower share of these families’ income evidencing income inequality in health care expenditures.

【 授权许可】

   
2015 da Silva et al.

【 图 表 】

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