<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2683-2852</journal-id>
<journal-title><![CDATA[Carta económica regional]]></journal-title>
<abbrev-journal-title><![CDATA[Carta econ. reg.]]></abbrev-journal-title>
<issn>2683-2852</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Guadalajara, Centro Universitario de Ciencias Económico Administrativas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2683-28522021000200059</article-id>
<article-id pub-id-type="doi">10.32870/cer.v0i128.7825</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Gasto de bolsillo y gastos catastróficos en salud en hogares mexicanos]]></article-title>
<article-title xml:lang="en"><![CDATA[Out of Pocket and Catastrophic Health Expenses in Mexican Households]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Abreu]]></surname>
<given-names><![CDATA[Mauricio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de las Américas Puebla  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<volume>34</volume>
<numero>128</numero>
<fpage>59</fpage>
<lpage>83</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2683-28522021000200059&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2683-28522021000200059&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2683-28522021000200059&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: Con el surgimiento del Sistema de Protección Social en Salud (SPSS) se buscaba alcanzar la cobertura universal en ella. A pesar de haber incorporado a sectores de la población que antes no contaban con servicios médicos, el SPSS no ha logrado erradicar los gastos de bolsillo ni los gastos catastróficos en salud. Usando la ENIGH 2018 y una serie de modelos de regresión beta y modelos logísticos, el presente artículo analiza factores asociados a incrementos en la proporción del gasto de bolsillo en salud, así como la propensión a incurrir en gastos catastróficos. Los hallazgos indican que el género y la escolaridad del jefe del hogar y la composición del mismo, pero particularmente el contexto rural de residencia, incrementan la presencia de estos gastos en los hogares mexicanos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: The implementation of the System of Social Protection in Health (SSPH) had the aim of reaching universal health coverage. However, while this system has been successful on increasing coverage rates, it has not eradicated out-of-pocket expenses nor catastrophic health expenditures. Using the ENIGH 2018 (the income and expenditures survey), and a series of beta and logistic regression models, this article analyses the factor associated with increases in the proportion of household expenses for health and the likelihood of experiencing a catastrophic health expenditure. Findings indicate that gender and education of household head, household composition, but mainly rural residency, are factors determining the presence of these expenses.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[gasto catastrófico]]></kwd>
<kwd lng="es"><![CDATA[gasto de bolsillo]]></kwd>
<kwd lng="es"><![CDATA[gasto en salud]]></kwd>
<kwd lng="en"><![CDATA[catastrophic health expenditure]]></kwd>
<kwd lng="en"><![CDATA[out-of-pocket expense]]></kwd>
<kwd lng="en"><![CDATA[health expenses]]></kwd>
</kwd-group>
</article-meta>
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