<?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>2395-8715</journal-id>
<journal-title><![CDATA[Revista de economía]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. econ.]]></abbrev-journal-title>
<issn>2395-8715</issn>
<publisher>
<publisher-name><![CDATA[Facultad de Economía, Universidad Autónoma de Yucatán]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2395-87152021000200065</article-id>
<article-id pub-id-type="doi">10.33937/reveco.2021.218</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Gasto catastrófico y utilización de servicios de salud, México 2018]]></article-title>
<article-title xml:lang="en"><![CDATA[Catastrophic health expenditure and healthcare services utilization, Mexico 2018]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sáenz Vela]]></surname>
<given-names><![CDATA[Hada Melissa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guzmán Giraldo]]></surname>
<given-names><![CDATA[Ángela Melissa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Autónoma de Coahuila Centro de Investigaciones Socioeconómicas ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Autónoma de Coahuila  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</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>38</volume>
<numero>97</numero>
<fpage>65</fpage>
<lpage>87</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2395-87152021000200065&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2395-87152021000200065&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2395-87152021000200065&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen El objetivo es estimar la probabilidad de incurrir en gastos catastróficos al utilizar los servicios públicos de salud en México, a partir de la Encuesta Nacional de Ingresos y Gastos de los Hogares (ENIGH) 2018. Se estimaron modelos Biprobit para identificar la relación entre estas variables. La utilización del servicio público al que se tiene afiliación y el gasto público ayudan a disminuir moderadamente las probabilidades de incurrir en gastos catastróficos. Los gastos catastróficos afectan a individuos de cualquier estrato socioeconómico, al no encontrar efectos considerablemente distintos por quintil de ingreso. Las desigualdades en el gasto público, aunadas a la propia fragmentación de los servicios parecen repercutir en la oferta de servicios. Lo anterior provoca una mayor propensión a incurrir en gastos excesivos, puesto que es un fenómeno que afecta a lo largo de la distribución de ingresos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract 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.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[gasto catastrófico]]></kwd>
<kwd lng="es"><![CDATA[servicios de salud]]></kwd>
<kwd lng="es"><![CDATA[ingreso]]></kwd>
<kwd lng="es"><![CDATA[México]]></kwd>
<kwd lng="es"><![CDATA[I10]]></kwd>
<kwd lng="es"><![CDATA[I18]]></kwd>
<kwd lng="es"><![CDATA[R10]]></kwd>
<kwd lng="en"><![CDATA[catastrophic expenditure]]></kwd>
<kwd lng="en"><![CDATA[health services]]></kwd>
<kwd lng="en"><![CDATA[income]]></kwd>
<kwd lng="en"><![CDATA[Mexico]]></kwd>
<kwd lng="en"><![CDATA[I10]]></kwd>
<kwd lng="en"><![CDATA[I18]]></kwd>
<kwd lng="en"><![CDATA[R10]]></kwd>
</kwd-group>
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