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Equity in out-of-pocket payment in Chile
Mondaca, Alicia Lorena Núñez; Chi, Chunhuei.
Affiliation
  • Mondaca, Alicia Lorena Núñez; University of Chile. School of Economics and Business. Department of Management Control and Information Systems. Santiago. CL
  • Chi, Chunhuei; University of Chile. School of Economics and Business. Department of Management Control and Information Systems. Santiago. CL
Rev. saúde pública ; 51: 44, 2017. tab, graf
Article in English | LILACS | ID: biblio-845873
Responsible library: BR1.1
ABSTRACT
ABSTRACT OBJECTIVE To assess the distribution of financial burden in Chile, with a focus on the burden and progressivity of out-of-pocket payment. METHODS Based on the principle of ability to pay, we explore factors that contribute to inequities in the health system finance and issues about the burden of out-of-pocket payment, as well as the progressivity and redistributive effect of out-of-pocket payment in Chile. Our analysis is based on data from the 2006 National Survey on Satisfaction and Out-of-Pocket Payments. RESULTS Results from this study indicate evidence of inequity, in spite of the progressivity of the healthcare system. Our analysis also identifies relevant policy variables such as education, insurance system, and method of payment that should be taken into consideration in the ongoing debates and research in improving the Chilean system. CONCLUSIONS In order to reduce the detected disparities among income groups, healthcare priorities should target low-income groups. Furthermore, policies should explore changes in the access to education and its impact on equity.
Subject(s)


Full text: Available Collection: International databases Health context: SDG3 - Target 3.8 Achieve universal access to health / Sustainable Health Agenda for the Americas Health problem: Delivery Arrangements / Financial Arrangements / Goal 1 Equitable access to health services / Goal 11: Inequalities and inequities in health / Goal 4: Health financing Database: LILACS Main subject: Health Expenditures / Delivery of Health Care / Healthcare Disparities / Financing, Personal Type of study: Prognostic study Aspects: Social determinants of health / Equity and inequality Limits: Humans Country/Region as subject: South America / Chile Language: English Journal: Rev. saúde pública Journal subject: Public Health Year: 2017 Document type: Article Affiliation country: Chile Institution/Affiliation country: University of Chile/CL

Full text: Available Collection: International databases Health context: SDG3 - Target 3.8 Achieve universal access to health / Sustainable Health Agenda for the Americas Health problem: Delivery Arrangements / Financial Arrangements / Goal 1 Equitable access to health services / Goal 11: Inequalities and inequities in health / Goal 4: Health financing Database: LILACS Main subject: Health Expenditures / Delivery of Health Care / Healthcare Disparities / Financing, Personal Type of study: Prognostic study Aspects: Social determinants of health / Equity and inequality Limits: Humans Country/Region as subject: South America / Chile Language: English Journal: Rev. saúde pública Journal subject: Public Health Year: 2017 Document type: Article Affiliation country: Chile Institution/Affiliation country: University of Chile/CL
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