Decomposition of socioeconomic inequalities in catastrophic out-of-pocket expenditure for healthcare in Canada

社会经济地位 衡平法 不平等 消费(社会学) 医疗保健 索引(排版) 经济 卫生服务研究 社会经济学 业务 环境卫生 人口经济学 地理 经济增长 医学 人口 政治学 社会学 法学 万维网 数学分析 计算机科学 社会科学 数学
作者
Mohammad Hajizadeh,Sujita Pandey,Mohammad Habibullah Pulok
出处
期刊:Health policy [Elsevier BV]
卷期号:127: 51-59 被引量:17
标识
DOI:10.1016/j.healthpol.2022.12.005
摘要

Despite a publicly financed health system for physician and hospital services, out-of-pocket health expenditure (OHE) accounts for a significant proportion of healthcare financing in Canada. We pooled annual Surveys of Household Spending conducted from 2010 to 2017 (n=34,105) to estimate the catastrophic out-of-pocket expenditure (COHE) burden using two definitions: the budget share (OHE exceeding 10% of a household's total consumption) and capacity-to-pay (OHE exceeding 40% of a household's total consumption minus basic subsistence needs). The Wagstaff index (WI) and the Erreygers Index (EI) were used to quantify and decompose socioeconomic inequalities in COHE. Results demonstrate that approximately 6% and 10% of the households faced COHE in Canada, depending on whether we used the budget share or capacity-to-pay approach to measure COHE. The COHE was found to be concentrated among low socioeconomic status (SES) households. Decomposition results indicate that besides SES, household characteristics (e.g., households headed by females and the presence of senior(s) in the households) were the most important factors contributing to the concentration of COHE among the poorer households. The lower utilization of healthcare services among the poor resulted in reduced COHE among these households. A higher burden of COHE is a major concern in Canada. Policies to enhance risk protection among specific populations such as the seniors are required to improve equity in healthcare financing in Canada.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
刚刚
Maerang发布了新的文献求助10
刚刚
1秒前
1秒前
ljxx发布了新的文献求助10
1秒前
朝气发布了新的文献求助10
1秒前
2秒前
在水一方应助犹豫忆南采纳,获得10
3秒前
艽野发布了新的文献求助10
3秒前
3秒前
sky发布了新的文献求助10
4秒前
mianbao完成签到,获得积分10
6秒前
ccc发布了新的文献求助10
6秒前
hilknk完成签到,获得积分10
6秒前
言之妈妈完成签到,获得积分10
7秒前
ll发布了新的文献求助10
7秒前
7秒前
小黄包子完成签到,获得积分10
7秒前
7秒前
CodeCraft应助舒服的山晴采纳,获得10
7秒前
彭桢发布了新的文献求助10
8秒前
8秒前
Qiuyajing完成签到,获得积分10
8秒前
9秒前
10秒前
隐形曼青应助肉肉采纳,获得10
10秒前
huhu发布了新的文献求助10
10秒前
小于完成签到,获得积分10
12秒前
12秒前
机智涵阳完成签到,获得积分10
13秒前
sunshine完成签到,获得积分10
13秒前
13秒前
LI完成签到 ,获得积分10
13秒前
香蕉觅云应助wenwen采纳,获得30
13秒前
朝气发布了新的文献求助10
14秒前
hoangphong完成签到,获得积分10
14秒前
64658应助ZH采纳,获得10
14秒前
yunsww发布了新的文献求助10
14秒前
完美世界应助asdew采纳,获得10
15秒前
15秒前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
Cognitive Neuroscience: The Biology of the Mind 1000
Technical Brochure TB 814: LPIT applications in HV gas insulated switchgear 1000
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
Picture Books with Same-sex Parented Families: Unintentional Censorship 500
Nucleophilic substitution in azasydnone-modified dinitroanisoles 500
不知道标题是什么 500
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3969222
求助须知:如何正确求助?哪些是违规求助? 3514124
关于积分的说明 11171948
捐赠科研通 3249361
什么是DOI,文献DOI怎么找? 1794799
邀请新用户注册赠送积分活动 875431
科研通“疑难数据库(出版商)”最低求助积分说明 804779