Análisis del gasto de los hogares en salud en Argentina, como componente de la cobertura universal de salud

Zúñiga, Roberto Ariel Abeldaño

doi:10.1590/1413-81232017225.21102015

Cited by 9 publications

(10 citation statements)

References 22 publications

(22 reference statements)

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“…After introducing Plan Federal de Salud [Federal Health Plan] in 2004, the Argentinean MOH launched Plan Nacer [Plan to Born] in 2007, providing coverage to pregnant women and children up to ve years of age. [25] In 2013, the program changed its name to Plan Sumar [Plan to Add] expanding coverage to atrisk and low-income citizens through nancial aid programs, such as Asignación Universal por Hijo [Universal Child Allowance] and Asignación Universal por Nacimiento [Universal Birth Allowance]. Since inception of Plan Nacer, the low birth weight mortality rates have dropped 9%, while neonatal mortality has fallen 22%.…”

Section: Healthcare Service Deliverymentioning

confidence: 99%

“…[37] II. Access to medicines and health products All four of these countries created programs to expand coverage of essential medicines, which, when paired with other interventions, [19,25,27,28,39] strengthened PHC [16,19,27] and thereby improved treatment of non-communicable diseases. Although comprehensive oncology care and access to high cost drugs are provided in Argentina, Brazil, Colombia and Mexico, inequities still exist for people treated under the public healthcare system.…”

Section: Healthcare Service Deliverymentioning

confidence: 99%

“…The MOH provide essential drugs, such as those to treat diabetes, hypertension, asthma, and other chronic conditions, free of charge. [16,25,27] In 2008, REMEDIAR was integrated into different health service networks (REMEDIAR + REDES) aimed at controlling non-communicable diseases through early detection, while expanding vaccination programs for at-risk populations. [18] This program has changed its name to CUS Medicamentos [UHC Medicines], [19] and recently was revamped as REMEDIAR.…”

Section: Argentinamentioning

confidence: 99%

“…It is worth to remark that health expenditures vary across the four LAC as do their nancing mechanisms, according to the type of scal policies with most using a mix of federal and state taxes. [14,18,21,22,25,36,37,44,45] As other elements like Public-Private Partnerships (PPP), governance and HIS also do. .…”

Section: Financing Governance Stewardship and Hismentioning

confidence: 99%

“…In 2015, Argentina spent 10.2% of its GDP on healthcare, yet only 3% on public health expenditure with a per-capita health expenditure of $1390; Although,Argentina is on top of LAC in health expenditures. [18,25] Due to its Federal constitution, each province owns the healthcare delivery. The government funds national programs like SUMAR by cash transfer; however, each MOH allocates them according to their local needs and capacities.…”

Section: Argentinamentioning

confidence: 99%

See 4 more Smart Citations

Strengthening health systems to achieve Universal Health Coverage: Lessons from four Latin American countries.

Gilardino¹,

B²,

Valanzasca³

2020

Preprint

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Background: During the 1990s, health systems within several Latin American countries changed to expand service coverage and reach more people. These changes are considered the antecedent of the Universal Health Coverage (UHC). Seven years after the United Nations’ call for UHC, healthcare services in Argentina, Brazil, Colombia, Mexico are generally accessible and affordable. However, these countries increasingly struggle to meet their populations’ growing health needs while also addressing rising health care costs. This research aims to describe measures taken by these four countries to commit by UHC, addressing their barriers and challenges. Methods: This study examined literature review data, supplemented with survey data collected from regional stakeholders. Data were analyzed within an ad-hoc matrix.Results: These four countries increased healthcare services coverage by strengthening their primary healthcare systems. They also expanded coverage for non-communicable diseases, provided community outreach, and increased the number of skilled healthcare workers. New pharmaceutical support programs provided access to treatments for chronic conditions at zero cost, while high-costs drugs and cancer treatments were partially guaranteed. However, these measures did not achieve full financial protection to all, leaving citizens exposed to possible catastrophic expenditures, despite increased service coverage. UHC is funded primarily through taxes and polling resources, and these four countries still struggle to find mechanisms that could increase pooling mechanisms capable of increasing service coverage, while reducing financial inequities among people. Conclusions: Argentina, Brazil, Colombia, and Mexico have made progress towards UHC. Nevertheless, additional mechanisms to sustain financial protection are urgently required. The decentralization of the primary healthcare system, the development of public-private partnerships, and the implementation of progressive financing mechanisms like conditional cash transfers are potential manners to improve service delivery and financial protection contributing to effective UHC.

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Section: Healthcare Service Deliverymentioning

confidence: 99%

Section: Healthcare Service Deliverymentioning

confidence: 99%

Section: Argentinamentioning

confidence: 99%

Section: Financing Governance Stewardship and Hismentioning

confidence: 99%

Section: Argentinamentioning

confidence: 99%

See 3 more Smart Citations

Strengthening health systems to achieve Universal Health Coverage: Lessons from four Latin American countries.

Gilardino¹,

B²,

Valanzasca³

2020

Preprint

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Investigating households’ out-of-pocket healthcare expenditures based on number of chronic conditions in Riyadh, Saudi Arabia: a cross-sectional study using quantile regression approach

et al. 2022

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ObjectivesThis study investigated the level and associated factors, focusing on the number of individuals with chronic conditions, of out-of-pocket healthcare expenditures (OOPHE).DesignA cross-sectional study was conducted from January 2021 to June 2021.SettingRiyadh Province, Saudi Arabia.ParticipantsA total of 1176 households that used any healthcare services at least once in the past 3 months.Outcome measuresThe OOPHE incurred in the previous 3-month period when a household member is receiving health services. The effects of predisposing, enabling and need factors on the level of OOPHE. The association between the number of individuals with chronic conditions in a household and OOPHE along with the OOPHE distribution.ResultsThe average household OOPHE among all the surveyed households (n=1176) was SAR1775.30. For households affected by one chronic condition, OOPHE was SAR1806, and for households affected by more than one chronic condition, OOPHE was SAR2704. If the head of the household was older, better educated and employed, they were more vulnerable to a higher OOPHE (p<0.0001). At the household level, the increased number of family members with chronic conditions, the presence of a member less than 14 years old, higher socioeconomic status, coverage from health insurance plans, residence in an urban area and the presence of a member with a disability in the household were correlated with a considerably greater level of OOPHE (p<0.0001). The result of quantile regression analysis indicates that an increase in the number of members with chronic conditions in a household was significantly associated with greater overall OOPHE at higher health expenditure quantiles.ConclusionsThe burden of OOPHE on households with chronic conditions remains heavy, and some disparities still exist. The number of individuals with chronic conditions in a household plays a substantial and prominent role in increasing the risk of incurring OOPHE.

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Financial risk protection from out-of-pocket health spending in low- and middle-income countries: a scoping review of the literature

Rahman

Gasbarro

Alam

2022

Health Res Policy Sys

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Background Financial risk protection (FRP), defined as households’ access to needed healthcare services without experiencing undue financial hardship, is a critical health systems target, particularly in low- and middle-income countries (LMICs). Given the remarkable growth in FRP literature in recent times, we conducted a scoping review of the literature on FRP from out-of-pocket (OOP) health spending in LMICs. The objective was to review current knowledge, identify evidence gaps and propose future research directions. Methods We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines to conduct this scoping review. We systematically searched PubMed, Scopus, ProQuest and Web of Science in July 2021 for literature published since 1 January 2015. We included empirical studies that used nationally representative data from household surveys to measure the incidence of at least one of the following indicators: catastrophic health expenditure (CHE), impoverishment, adoption of strategies to cope with OOP expenses, and forgone care for financial reasons. Our review covered 155 studies and analysed the geographical focus, data sources, methods and analytical rigour of the studies. We also examined the level of FRP by disease categories (all diseases, chronic illnesses, communicable diseases) and the effect of health insurance on FRP. Results The extant literature primarily focused on India and China as research settings. Notably, no FRP study was available on chronic illness in any low-income country (LIC) or on communicable diseases in an upper-middle-income country (UMIC). Only one study comprehensively measured FRP by examining all four indicators. Most studies assessed (lack of) FRP as CHE incidence alone (37.4%) or as CHE and impoverishment incidence (39.4%). However, the LMIC literature did not incorporate the recent methodological advances to measure CHE and impoverishment that address the limitations of conventional methods. There were also gaps in utilizing available panel data to determine the length of the lack of FRP (e.g. duration of poverty caused by OOP expenses). The current estimates of FRP varied substantially among the LMICs, with some of the poorest countries in the world experiencing similar or even lower rates of CHE and impoverishment compared with the UMICs. Also, health insurance in LMICs did not consistently offer a higher degree of FRP. Conclusion The literature to date is unable to provide a reliable representation of the actual level of protection enjoyed by the LMIC population because of the lack of comprehensive measurement of FRP indicators coupled with the use of dated methodologies. Future research in LMICs should address the shortcomings identified in this review.

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Análisis del gasto de los hogares en salud en Argentina, como componente de la cobertura universal de salud

Cited by 9 publications

References 22 publications

Strengthening health systems to achieve Universal Health Coverage: Lessons from four Latin American countries.

Strengthening health systems to achieve Universal Health Coverage: Lessons from four Latin American countries.

Investigating households’ out-of-pocket healthcare expenditures based on number of chronic conditions in Riyadh, Saudi Arabia: a cross-sectional study using quantile regression approach

Financial risk protection from out-of-pocket health spending in low- and middle-income countries: a scoping review of the literature

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