Bibliographic Details
| Title: |
Association between changes in out-ofpocket expenditures during 2020 with the Covid-19 pandemic in Mexico. |
| Alternate Title: |
Asociación entre los cambios en el gasto de bolsillo durante 2020 y la pandemia de Covid-19. |
| Authors: |
Colchero, M. Arantxa1, Morales-Ríos, Jesús E.1, Sánchez-Ortiz, Néstor A.1 nextor18@hotmail.com |
| Source: |
Salud Pública de México. may/jun2026, Vol. 68 Issue 3, p197-204. 8p. |
| Subjects: |
Consumption (Economics), COVID-19 pandemic, Health insurance, Social security |
| Geographic Terms: |
Mexico |
| Abstract (English): |
Objective. To disentangle the contribution of the Covid-19 pandemic and the abolition of the Seguro Popular (SP) health protection system to changes in out-of-pocket health expenditures (OPE) in Mexico during 2020. Materials and methods. We used national representative surveys between 2014 and 2020. We described OPE in absolute and relative terms and per disposable income. Changes in OPE were estimated using adjusted two-part models. Results were reported nationally, by health insurance and income quintile. Results. OPE increased for all in 2020 with the largest increases for the high- and very high-income households and those with social security (30.4, 23.4 and 22.2 USD, respectively). Households with no health insurance and those with Seguro Popular/Instituto de Salud para el Bienestar had the lowest increase in OPE. However, for the lowest income households and those with no social security, OPE represented the highest proportion per disposable income as their income decreased during the Covid-19. Conclusions. Social safety nets, including access to health care services for the uninsured and lower income households, are crucial. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): |
Objetivo. Aislar la contribución de la pandemia de Covid-19 y de la eliminación del Seguro Popular (SP) en cambios en gasto de bolsillo (GDB) en México en 2020. Material y métodos. Se utilizó información de encuestas nacionales (2014-2020). Se describió el GDB en términos absolutos y relativos, y por ingreso disponible. Se estimaron cambios en GDB con modelos en dos partes. Los resultados se presentan por tipo de afiliación y por quintil de ingresos. Resultados. El GDB se incrementó para todos en 2020 con aumentos mayores en hogares de ingresos altos, muy altos y en aquellos con afiliación (30.4, 23.4 y 22.2 USD). Los hogares sin afiliación y los de Seguro Popular/Instituto de Salud para el Bienestar presentaron los menores incrementos en GDB. Sin embargo, para los hogares de menores ingresos y aquellos sin seguridad social, el GDB representó la mayor proporción por ingreso disponible porque su ingreso se redujo durante la pandemia. Conclusiones. Es crucial contar con redes de protección social y acceso a servicios de salud, especialmente para hogares sin afiliación y aquellos de menores ingresos. [ABSTRACT FROM AUTHOR] |
|
Copyright of Salud Pública de México is the property of Instituto Nacional de Salud Publica and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| Database: |
MedicLatina |
