Catastrophic expenditure on medicines: an analysis based on the portuguese household budget survey 2015/2016

Quintal, Carlota; Lopes, José

Publication

Catastrophic expenditure on medicines: an analysis based on the portuguese household budget survey 2015/2016

2019Conference object

dc.contributor.author	Quintal, Carlota
dc.contributor.author	Lopes, José
dc.date.accessioned	2020-04-08T08:29:28Z
dc.date.available	2020-04-08T08:29:28Z
dc.date.issued	2019
dc.description.abstract	Financial protection is a core dimension of health system evaluation and several works on catastrophic health expenditure (CHE) have been developed. There are however some gaps in the literature, hence, this work aims to look at CHE from a different angle, following the money spent by households. The objectives are to identify how many and which health services are driving CHE and analyse the profile of households with CHE. Data come from the Portuguese Household Budget Survey 2015/2016 and the study includes 11,398 observations. WHO methodology for CHE identification was adopted. Over a fifth of households incurring CHE spent only on medicines and this item presented by far the highest expenditures. All families with CHE spent on medicines and about two thirds spent on up to three items. Expenditures on medical devices and hospital services were low. Dental care expenditures tended to assume extreme values. Although primary care services are spread across the country, expenditures on GP services were not at all negligible. The typical household with CHE consists of an old poor person living alone. Exempting these people from medicine co-payments is crucial to prevent catastrophic expenditure.	pt_PT
dc.description.sponsorship	CEBER, University of Coimbra, Coimbra, Portugal; CICF - IPCA, Polytechnic Institute of Bragança (IPB), Bragança, Portugal,	pt_PT
dc.description.version	info:eu-repo/semantics/publishedVersion	pt_PT
dc.identifier.citation	Quintal, Carlota; Lopes, José (2019). Catastrophic expenditure on medicines: an analysis based on the portuguese household budget survey 2015/2016. In 34th IBIMA Conference. Madrid, Spain	pt_PT
dc.identifier.uri	http://hdl.handle.net/10198/21592
dc.language.iso	eng	pt_PT
dc.peerreviewed	yes	pt_PT
dc.rights.uri	http://creativecommons.org/licenses/by/4.0/	pt_PT
dc.subject	Catastrophic health expenditure	pt_PT
dc.subject	Financial protection	pt_PT
dc.subject	Portugal	pt_PT
dc.title	Catastrophic expenditure on medicines: an analysis based on the portuguese household budget survey 2015/2016	pt_PT
dc.type	conference object
dspace.entity.type	Publication
oaire.citation.conferencePlace	Madrid, Spain	pt_PT
oaire.citation.title	34th IBIMA Conference	pt_PT
person.familyName	Quintal
person.familyName	Lopes
person.givenName	Carlota
person.givenName	Jose
person.identifier.ciencia-id	7A19-95A2-FA58
person.identifier.orcid	0000-0002-8306-3431
person.identifier.orcid	0000-0002-0516-0076
person.identifier.scopus-author-id	34873265600
rcaap.rights	openAccess	pt_PT
rcaap.type	conferenceObject	pt_PT
relation.isAuthorOfPublication	4dc7c8b2-ffc2-498c-84ad-25336b614304
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