Catastrophic health expenditure and healthcare services utilization, Mexico 2018
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.
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