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Determinants of out-of-pocket health expenditure on children: an analysis of the 2004 Pelotas Birth Cohort.
- Source :
-
International Journal for Equity in Health . 2015, Vol. 14 Issue 1, p1-9. 9p. 3 Charts, 3 Graphs. - Publication Year :
- 2015
-
Abstract
- Background: The present study aimed to examine the impact of socioeconomic, demographic, and health status-related factors on out-of-pocket expenditure on health care for children. Methods: Data were obtained from a birth cohort study conducted in the city of Pelotas, state of Rio Grande do Sul (RS), southern Brazil, in 2004. The final sample is a result of adjusts made in order to keep in the analysis only those that attended to 3 follow-ups (at 12, 24 and 48 months of age). Estimates were carried out using the Panel Data Tobit Model with random effects. Results: The study showed that expenditure on medicines was 20 % less likely in those considered healthy children by their mothers and, if there was any expenditure with healthy children, the expected expenditure was reduced by 58 %. A 1 % increase in household income increased the expected expenditure on medicines by 16 %, and by 23 % in children with private health insurance coverage. Conclusions: All types of health care expenditures examined were higher for children covered by private health insurance. Although total health care expenditure was higher for children of better-off families, it represented a lower share of these families' income evidencing income inequality in health care expenditures. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 14759276
- Volume :
- 14
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- International Journal for Equity in Health
- Publication Type :
- Academic Journal
- Accession number :
- 108355590
- Full Text :
- https://doi.org/10.1186/s12939-015-0180-0