Abstract

SAENZ VELA, Hada Melissa  and  GUZMAN GIRALDO, Ángela Melissa. Catastrophic health expenditure and healthcare services utilization, Mexico 2018. Rev. econ. [online]. 2021, vol.38, n.97, pp.65-87.  Epub Dec 06, 2021. ISSN 2395-8715.  https://doi.org/10.33937/reveco.2021.218.

The aim is to estimate the probability of incurring catastrophic out-of-pocket expenditures when using public health services in Mexico. Biprobit models were estimated to identify the relationship between these variables. Utilization of affiliated public service and public spending help decrease the chances of incurring catastrophic expenses moderately. Catastrophic expenditures affect individuals from any socioeconomic status, not finding significantly different effects by income quintile. Inequalities in public health spending, combined with the fragmentation of services themselves, seem to have an impact on the supply of services. This leads to a greater propensity to incur excessive expenditures, since it is a phenomenon that affect the entire income distribution.

Keywords : catastrophic expenditure; health services; income; Mexico; I10; I18; R10.

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