Resumo

URQUIETA-SALOMON, José E; FIGUEROA, José L  e  HERNANDEZ-PRADO, Bernardo. Health expenditure related to disability: a study with poor population in Mexico. Salud pública Méx [online]. 2008, vol.50, n.2, pp.136-146. ISSN 0036-3634.

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.

Palavras-chave : disabled persons; health expenditures; poverty; Mexico.

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