Factors associated with financial risk due to health spending in Argentina

Abstract This article aims to assess the association between household demographic and socioeconomic characteristics and catastrophic health expenditure (CHE) in Argentina during 2017–2018. CHE was estimated as the proportion of household consumption capacity (using both income and total consumption...

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Bibliographic Details
Published in:Health policy and planning 2024-08, Vol.39 (7), p.683-692
Main Authors: Virdis, Juan Marcelo, Elorza, María Eugenia, Delbianco, Fernando
Format: Article
Language:English
Subjects:
Consumption
Demographic variables
Demographics
Demography
Dependent variables
Expenditures
Head of household
Health care expenditures
Health care industry
Health insurance
Households
Inactive
Logit models
Long term
Original
Personal expenditure
Robustness
Social factors
Socioeconomic factors
Socioeconomics
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Summary:Abstract This article aims to assess the association between household demographic and socioeconomic characteristics and catastrophic health expenditure (CHE) in Argentina during 2017–2018. CHE was estimated as the proportion of household consumption capacity (using both income and total consumption in separate estimations) allocated for Out-of-Pocket (OOP) health expenditure. For assessing the determinants, we estimated a generalized ordered logit model using different intensities of CHE (10%, 15%, 20% and 25%) as the ordinal dependent variable, and socioeconomic, demographic and geographical variables as explanatory factors. We found that having members older than 65 years and with long-term difficulties increased the likelihood of incurring CHE. Additionally, having an economically inactive household head was identified as a factor that increases this probability. However, the research did not yield consistent results regarding the relationship between public and private health insurance and consumption capacity. Our results, along with the robustness checks, suggest that the magnitude of the coefficients for the household head characteristics could be exaggerated in studies that overlook the attributes of other household members. In addition, these results emphasize the significance of accounting for long-term difficulties and indicate that omitting this factor could overestimate the impact of members aged over 65.
ISSN:1460-2237
0268-1080
1460-2237
DOI:10.1093/heapol/czae051